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Fig. 1 | Orphanet Journal of Rare Diseases

Fig. 1

From: Unilateral interlaminar fenestration on the convex side provides a reliable access for intrathecal administration of nusinersen in spinal muscular atrophy: a retrospective study

Fig. 1

Unilateral fenestration at L3–L4 interval on the convex side for nusinersen administration after spinal fusion. A Narrow interlaminar space (black box indicated by white arrow) before fenestration. B Enlarged interlaminar space (black box indicated by white arrow) after fenestration. C Enlarged interlaminar space without ossification and closure (indicated by the white arrow) confirmed by axial computed tomography scan 3 months after surgery. D Successful lumbar puncture via fenestrated interlaminar space under ultrasound guidance. E Intrathecal nusinersen injection via fenestrated interlaminar space

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Orphanet Journal of Rare Diseases

ISSN: 1750-1172