Difference Between Direct And Lateral Epidural Anesthesia

Generally, direct approach is used to locate and puncture easily. However, in some elderly patients with calcification of the intervertebral supraspinous ligament of ligamentum flavum, lateral approach is used to avoid puncture, which is easier. In my personal experience, lateral approach is used for epidural catheterization in most cases with better patency and better effect. Also some people waist hemp direct side enters method.

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