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Doctor insights on: Pediatric Lumbar Puncture Procedure

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How is lumbar puncture performed?

How is lumbar puncture performed?

Carefully :): Lp is typically performed in the office. You will lie on your side curled up into a tight ball. After sterilizing the area, local anesthetic is injected into the skin at the small of the back, and then a spinal needle is advanced between the vertebrae into the spinal canal. Once in the canal, the fluid pressure is measured and fluid is removed for analysis. Total time is typically 20 mins. ...Read more

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Dr. Dariush Saghafi
399 doctors shared insights

Lumbar Puncture (Definition)

To test for meningitis or multiple sclerosis or a variety of problems, a small needle is inserted into the lumbosacral cistern to obtain spinal fluid for testing ...Read more


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Lumbar canal stenosis is orthopedic or neurosurgical problem?

Lumbar canal stenosis is orthopedic or neurosurgical problem?

LLumbar Stenosis: Either an Orthopaedic surgeon who is fellowship trained in spine or a neurosurgeon can help you with lumbar stenosis. Many times conservative treatment with therapy and injections and medications can give one relief of painful symptoms. Hope this help. Take care. Joe Wilson ...Read more

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Is transforaminal lumbar interbody fusion a very common procedure?

Is transforaminal lumbar interbody fusion a very common procedure?

It is very common.: Transforaminal interbody fusion, or tlif, is a common spinal procedure. It is just one of many tools used in spine surgery. It's important that the decision for surgery be made carefully, and that the particular combination of procedures be individualized for a person's anatomy and symptoms. ...Read more

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Does lumbar spinal stenosis require surgery?

Does lumbar spinal stenosis require surgery?

Depends: If the symptoms aren't bad then i generally do not recommend surgery. If someone can't walk a block and has failed physical therapy and epidural steroids, surgery can be helpful. ...Read more

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Has anyone done a posterior lumbar interbody fusion surgery?

Has anyone done a posterior lumbar interbody fusion surgery?

Sure: This is a very good operation for the right patient. It provides both decompression and stabilization and has good results for the great majority of patients. ...Read more

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How is a spinal tap procedure done?

How is a spinal tap procedure done?

Carefully: Generally, the patient is placed on their side, the area in the lumbar region is then sterily cleaned. A local anesthetic is infused in the region of the planned procedure. Finally, a needle is introduced and advanced into the sub-arachnoid space till spinal fluid is encountered. Usually, an opening pressure is measured and spinal fluid is sent for analysis. ...Read more

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Lumbar stenosis surgery safety?

Very safe: Most of these surgeries are done on an out patient basis w/ the patient returning to work w/in few days. These surgeries are done on a minimally invasive fashion w/ typically excellent results. ...Read more

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Dr. Ki-Hon Lin Dr. Lin
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What type of orthopedic surgeon can perform spinal surgery for a C7 foramenal stenosis radiculopathy?

Dr. Ki-Hon Lin Dr. Lin
3 doctors agreed:
What type of orthopedic surgeon can perform spinal surgery for a C7 foramenal stenosis radiculopathy?

Yes: I agree with dr. Poelstra - make sure the surgeon has additional spine surgery training, and does many spine surgery procedures. The same would be recommended for a neurosurgeon doing spine surgery. ...Read more

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What occurs during a reconstructive lumbar spinal surgery?

What occurs during a reconstructive lumbar spinal surgery?

A lot: Reconstructive implies that either a fracture is being repaired or abnormal curves (scoliosis or kyphosis) is being addressed. The surgery involves taking pressure of nerves by removing bone as needed, along with fusion of the involved bones in order to align them properly. Rods, screws and cages are often placed. Osteotomies to allow the vertebra to be aligned better can be performed as well. ...Read more

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What is the m.I.L.D. Procedure, minimally invasive lumbar diskectomy?

What is the m.I.L.D. Procedure, minimally invasive lumbar diskectomy?

A few variations: Minimally invasive lumbar diskectomies are when spine surgeons utilize a small retractor or tube through which they gain access to the spine. They can then perform surgery in a minimally invasive way to remove a herniated disk in your back. ...Read more

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What is done during scoliosis spinal surgery?

What is done during scoliosis spinal surgery?

Many things : Careful positioning to avoid pressure on certain body areas, various monitoring device placement like nerve & oxygen levels, blood loss control techniques, appropriate imaging when indicated, careful counting & assessment of levels operated on, careful handling of all tissues, avoiding too much stress with instrumentation on the bone interfaces & on over lentghening the spinal cord & a correct fix. ...Read more

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About how much cerebro spinal fluid is removed during a diagnostic lumbar puncture ?

Small amount: Typically 1 to 2 tablespoons. If fluid needs to be sent for cytology - looking for abnormal cells, then more fluid is needed. You produce the fluid continuously and whatever fluid is taken out is rapidly replaced. ...Read more

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Should lumbar puncture be performed on my infant?

Should lumbar puncture be performed on my  infant?

It depends: A lumbar puncture (LP) or spinal tap is a method for obtaining a sample of cerebral spinal fluid (csf). CSF is the fluid that surrounds the brain and spinal cord. An LP is usually done a part of a 'septic workup', in order to see if an ill person has meningitis. If your infant does have meningitis, it is important to know what is causing the infection and how best to treat that infection. ...Read more

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Is an operation necessary for a herniated lumbar disc of 5cm?

Second Opinion: I suspect that you meant 5 millimeters, not centimeters. The need for surgery is dependent on many things. Are you having neurologic problems such as weakness, numbness or pain. Is the condition something that you can resolve with nsaids, rest, massage, and so forth. If in any doubt discuss this with a different surgeon than the one who is suggesting surgery. Hope this helps and good luck. ...Read more

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Are CT scans necessary before spinal fusion surgery?

Are CT scans necessary before spinal fusion surgery?

It depends: Ct is better in the identification of bony anatomy then mris. Depending on the indications for a spinal fusion the ct scan can be an important adjunct. ...Read more

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Pain long after lumbar puncture, dr. listed "lumbosacral plexopathy", "lumbar puncture reaction". Did procedure cause perm damage, can DR be at fault?

Pain long after lumbar puncture, dr. listed "lumbosacral plexopathy", "lumbar puncture reaction". Did procedure cause perm damage, can DR be at fault?

Doubtful diagnosis: The lumbar plexus is nowhere near a lumbar puncture needle. This is likely the wrong code. Lumbar pain is rare after a lumbar puncture but not non-existent. Because it is rare, coding might be difficult and he probably just chose one that comes close. This is probably "mal-outcome" (expected potential side effect) rather than malpractice. ...Read more

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Orthodedic surgeon or neurosurgeon for the field of spinal fusions?

Orthodedic surgeon or neurosurgeon for the field of spinal fusions?

Experience/training: Orthopaedic and neurologic surgeons are qualified with basic training to perform spinal fusions. Surgeons from both fields can undergo additional training in spine surgery known as a fellowship. The best recommendation of choosing a surgeon should be based upon experience and training. Understand board certification status, and ask for patient recommendations. ...Read more

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What is posterior spinal fusion with instrumentation surgery?

What is posterior spinal fusion with instrumentation surgery?

A type of spine : Surgery where implants which are usually several screws that attach to the bones of the spine and are then interconnected over one or more levels with usually a pair of metal rods -this is the instrumentation. A fusion is a healing together of two or more spine bones or vertebra with the use of bone material or synthetic substitutes. ...Read more

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How much cerebro spinal fluid is removed during lumbar puncture ?

How much cerebro spinal fluid is removed during lumbar puncture ?

3-5 cc: Usually routine analysis necessitates between 3 to 5 cc. This is about half a teaspoon to one teaspoon. Some conditions necessitate removing 2 teaspoons and in rare conditions such as hydrocephalus, 20-30 cc may be removed. ...Read more

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Dr. Gary Sandler
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Lumbar (Definition)

Refers to something related to the area about the lower part of the ...Read more


Dr. Chad Rudnick
3,268 doctors shared insights

Pediatrics (Definition)

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