Spinal anesthesia needle implanted after successful epidural puncture needle

Generally speaking, the human spinal cord ends at L1-L2, so we choose L2-L3/L3-L4 for combined spinal-epidural puncture without damaging the spinal cord. However, in order to prevent individual cases, we should slowly rotate the spinal anesthesia needle to avoid damaging the spinal cord with too much force and too quickly.

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