Tuesday, 17 December 2013

Spinal levels

Segment level of epidural /spinal block

  • LSCS and kidney surgeries : T6
  • Testicular and hernia prostate  :T10
  • Appendix :T8-T10
  • Perineal :sacral plexus block


Surface landmarks :

  • C7 spine  most prominent cx palpable
  • T7 lies to inf angle scapula
  • Highest point on iliiac creast :L4-L5 interspace
  • Nipples correspond to: T4
  • Xiphoid :T6
  • Umblicus :T10
  • Inguinal lig :L1


Segment levels of spinal reflexes

  • epigastric :T7-T8
  • abdominal :T9-T12
  • plantar :S1-S2
  • ankle jerk :S1-S2
  • knee jerk :L2-L3-L4
  • anal sphincter :S4-S5
  • cremasteric :L1-L2



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