Response to letter to the editor

Published:January 12, 2023DOI:
      In Jefferson et al. (1) retrospective study they use needle without introducer, because of difficulty routine spinal needle. However, SA should be performed using a spinal needle, especially in children. Otherwise, the risk of iatrogenic epidermoid tumor increase as a result of a complication from a lumbar puncture that performed a needle without an introducer (3). Can we ignore the complication and routinely use the needle without an introducer?
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Pediatric Urology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Baxter A.L.
        • Fisher R.G.
        • Burke B.L.
        • Goldblatt S.S.
        • Isaacman D.J.
        • Lawson M.L.
        Local anesthetic and stylet styles: factors associated with resident lumbar puncture success.
        Pediatrics. 2006; 117: 876-881
        • Nigrovic L.E.
        • Kuppermann N.
        • Neuman M.I.
        Risk factors for traumatic or unsuccessful lumbar punctures in children.
        Ann Emerg Med. 2007; 49: 762-771
        • Sheskey M.C.
        • Rocco A.G.
        • Bizzarri-Schmid M.
        • Francis D.M.
        • Edstrom H.
        • Covino B.G.
        A dose-response study of bupivacaine for spinal anesthesia.
        Anesth Analg. 1983; 62: 931-935

      Linked Article