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Distance to the Adult Cervical Epidural Space.

작성자명홍보팀
조회수1059
등록일2013-10-25 오후 3:16:40

Background and Objectives: Cervical epidural block is useful in the management of a variety of acute,
chronic, and cancer-related pain syndromes involving the head, face, neck, and upper extremities. Knowledge
of the depth from the skin to the cervical epidural space (DSES) may be helpful when performing cervical
epidural block and may reduce the possibility of complications. We studied DSES in adults and its relationship
with patient age, height, weight, and neck circumference.


Methods: The study included 816 patients. Cervical epidural block was performed at the C5-6, C6-7, and
C7-T1 intervertebral space by a midline approach under fluoroscopic guidance. The depth to the epidural space
from the skin was measured.


Results: DSES at C5-6, C6-7, and C7-T1 was 4.7 0.6 cm, 5.1 0.6 cm, 5.6 0.8 cm in males and 4.0
0.6 cm, 4.6 0.6 cm, 5.0 0.6 cm in females (mean SD). Linear regression analysis revealed significant
correlations between DSES and weight, neck circumference, and body mass index.


Conclusion: DSES varies with cervical intervertebral space. DSES increases as one moves caudally. The greatest
DSES was noted at C7-T1 in men, and the least was at C5-6 in women. DSES had a significant relationship with
weight, neck circumference, and body mass index in both genders. Reg Anesth Pain Med 2003;28:95-97.


Key Words: Analgesia, Epidural, Cervical, Depth.

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