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British Journal of Anaesthesia, Vol 78, Issue 2 149-152, Copyright © 1997 by The Board of Management and Trustees of the British Journal of Anaesthesia

CLINICAL INVESTIGATIONS

The lumbar extradural structure changes with increasing age

T. Igarashi, Y. Hirabayashi, R. Shimizu, K. Saitoh, H. Fukuda and H. Mitsuhata
Department of Anaesthesiology, Jichi Medical School, 3311-1 Yakushiji, Minamiakwachi-machi, Kawachi-gun, Tochigi-ken 329-04, Japan

We have examined the extradural space using a flexible extraduroscope in 74 patients undergoing extradural anaesthesia at the L2-3 interspace. Extraduroscopy showed that the extradural space becomes widely patent and the fatty tissue in the extradural space diminishes with increasing age. We postulate that these age-related structural changes may affect the spread of local anaesthetic in the extradural space.
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