Fluoroscopic guided lumbar puncture

Case contributed by Dr Calvin Gan


Failed lumbar punctures on the ward.

Patient Data

Age: 30 years
Gender: Male

Informed consent obtained.

Patient positioned prone.

Sterile prep and drape.

1% lignocaine local anesthetic.

Under fluoroscopic guidance via posterior approach a 22G spinal needle was inserted into the L3/4 intervertebral space (second image: collimated image demonstrating spinal needle inserted into the intervertebral space; third image: Lateral image confirming needle in the spinal canal).

CSF samples obtained.


Needle removed and a dressing applied.

No peri procedural complications observed.

Case Discussion

Lumbar puncture performed in fluoroscopy in the prone position.

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Case information

rID: 45064
Published: 13th May 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included