ORIGINAL RESEARCH article
Front. Neurol.
Sec. Neuromuscular Disorders and Peripheral Neuropathies
Volume 16 - 2025 | doi: 10.3389/fneur.2025.1654310
Lumbar punctures based on computerized tomography scans combined with precise calculations: a new lumbar puncture technique for spinal muscular atrophy patients with scoliosis
Provisionally accepted
- Xuzhou Central Hospital, Xuzhou, China
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Objective: We report our experience performing lumbar punctures using a novel technique in SMA patients with scoliosis.Methods: A retrospective case series was conducted at the Department of Neurology at Xuzhou Central Hospital from January 2022 to August 2024. Patients diagnosed as SMA combined with scoliosis underwent 58 lumbar punctures using a novel guidance technique. Data on first pass success rate, needling time, using of sedation and adverse events (AEs) were collected and analyzed. Results: A total of 58 successful lumbar punctures were performed on six SMA patients with scoliosis using this novel technique. Most patients achieved first pass success for each LP, except for one patient. The media first LP needling time was 70.5s (range:45s-150s). For subsequent procedures, the needling time was shorter than for the first LP in all patients. Apart from one instance of back pain and one case of post-puncture headache, no other AEs were observed.Lumbar punctures guided by a single CT scan combined with precise calculations can be broadly and safely applied for intrathecal injection in patients with scoliosis.
Keywords: Lumbar Puncture, CT scan, Precise calculation, Scoliosis, spinal muscular atrophy
Received: 26 Jun 2025; Accepted: 28 Jul 2025.
Copyright: © 2025 Li, Du, Chen, Lu, Jiao and Dong. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Shuyu Dong, Xuzhou Central Hospital, Xuzhou, China
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