ArticlePediatric radiology2018
Ultrasound-guided lumbar puncture in pediatric patients: technical success and safety.
Article in Pediatric radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Two-operator real-time ultrasound-guided lumbar puncture in neonates: a case series.European journal of pediatrics · 2026Article
- The Utility of Point-Of-Care Ultrasound for Paediatric Lumbar Puncture: A Narrative Review.Emergency medicine Australasia : EMA · 2025Review
- Prospective study on ultrasonographic measurement of the spinal canal depth in very low birth weight infants.BMJ paediatrics open · 2025Observational
- Administration practices of and adherence to nusinersen in children with spinal muscular atrophy: a multicenter disease registry study in China.BMC pediatrics · 2025Article
- 'UltraGUD LP'-ultrasound guided diagnostic LP-a randomizedcontrolled trial. Traditional landmark based lumbar puncture is as effective as ultrasound guided lumbar puncture in outpatient neurology settings.Frontiers in neurology · 2025Article
- Lumbar Puncture Complications: A Review of Current Literature.Current pain and headache reports · 2024Review
- An evaluation of the practice of image-guided lumbar puncture.The British journal of radiology · 2023Article
- Introduction to interventional oncology: A COG Diagnostic Imaging Committee/SPR Oncology Committee White Paper.Pediatric blood & cancer · 2023Article
- Development and evaluation of a robotic system for lumbar puncture and epidural steroid injection.Frontiers in neurorobotics · 2023Article
- Comparing Ultrasonography and Surface Landmark-Guided Lumbar Puncture in Patients with Obesity and Difficult Anatomy; a Randomized Controlled Trial.Archives of academic emergency medicine · 2023Article
- Real-time ultrasound-guided lumbar puncture in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2021Observational
- Retrospective analysis of predisposing factors for difficult lumbar punctures requiring image guidance in pediatric oncology patients.Pediatric hematology and oncology · 2021Article
- Spinal ultrasound after failed landmarked-based lumbar puncture: a single institutional experience.Pediatric radiology · 2021Article
- Point-of-Care Ultrasound in the Pediatric Intensive Care Unit.Frontiers in pediatrics · 2021Review
- Kinetics and MR-Based Monitoring of AAV9 Vector Delivery into Cerebrospinal Fluid of Nonhuman Primates.Molecular therapy. Methods & clinical development · 2019Article
- Intrathecal administration of nusinersen in adolescent and adult SMA type 2 and 3 patients.Journal of neurology · 2019Article
- Spinal ultrasound for lumbar puncture in infants: To see or not to see.Saudi journal of anaesthesiaArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDisadvantages of fluoroscopically guided lumbar puncture include delivery of ionizing radiation and limited resolution of incompletely ossified posterior elements. Ultrasound (US) allows visualization of critical soft tissues and the cerebrospinal fluid (CSF) space without ionizing radiation.
objectiveTo determine the technical success and safety of US-guided lumbar puncture in pediatric patients. MATERIALS AND
methodsA retrospective review identified all patients referred to interventional radiology for lumbar puncture between June 2010 and June 2017. Patients who underwent lumbar puncture with fluoroscopic guidance alone were excluded. For the remaining procedures, technical success and procedural complications were assessed. Two hundred and one image-guided lumbar punctures in 161 patients were included. Eighty patients (43%) had previously failed landmark-based attempts.
resultsOne hundred ninety-six (97.5%) patients underwent lumbar puncture. Five procedures (2.5%) were not attempted after US assessment, either due to a paucity of CSF or unsafe window for needle placement. Technical success was achieved in 187 (95.4%) of lumbar punctures attempted with US guidance. One hundred seventy-seven (90.3%) were technically successful with US alone (age range: 2 days-15 years, weight range: 1.9-53.1 kg) and an additional 10 (5.1%) were successful with US-guided thecal access and subsequent fluoroscopic confirmation. Three (1.5%) cases were unsuccessful with US guidance but were subsequently successful with fluoroscopic guidance. Of the 80 previously failed landmark-based lumbar punctures, 77 (96.3%) were successful with US guidance alone. There were no reported complications.
conclusionUS guidance is safe and effective for lumbar punctures and has specific advantages over fluoroscopy in pediatric patients.
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