A patient undergoing lumbar puncture should have the spinal needle introduced between which lumbar interspaces to avoid the conus medullaris in an adult?

Answer and explanation

Correct answer: D. Between L3 and L4 or L4 and L5 interspaces

Answer: Between L3 and L4 or L4 and L5 interspaces.
Why not the others: In adults, the spinal cord terminates as the conus medullaris at the L1-L2 vertebral level. Inserting a needle at L1-L2 or higher risks direct mechanical puncture of the spinal cord and neurological deficit.

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