Lumbar puncture is performed at the vertebral level of which of the following?

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Multiple Choice

Lumbar puncture is performed at the vertebral level of which of the following?

Explanation:
The key idea is that lumbar puncture is done to access the CSF in the lumbar cistern, and you want to do this below where the spinal cord ends. In adults, the spinal cord ends around the level of the first few lumbar vertebrae, so entering the canal at lower levels avoids damaging the cord. The iliac crests align with the L4 vertebral level (the so-called Tuffier’s line), so locating that landmark points to a safe puncture site in the L3–L4 or L4–L5 interspace. Clinically, this is why the puncture is performed at the level of L4—providing access to CSF in the subarachnoid space without risking the spinal cord.

The key idea is that lumbar puncture is done to access the CSF in the lumbar cistern, and you want to do this below where the spinal cord ends. In adults, the spinal cord ends around the level of the first few lumbar vertebrae, so entering the canal at lower levels avoids damaging the cord. The iliac crests align with the L4 vertebral level (the so-called Tuffier’s line), so locating that landmark points to a safe puncture site in the L3–L4 or L4–L5 interspace. Clinically, this is why the puncture is performed at the level of L4—providing access to CSF in the subarachnoid space without risking the spinal cord.

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