We examined the extradural space using a flexible extraduroscope in 11
3 patients undergoing extradural anaesthesia. Patients were classified
into two groups to receive either thoracic or lumbar extradural anaes
thesia as needed for peri-operative analgesia, The extraduroscopy show
ed that the thoracic extradural space becomes widely patent after inje
cting a given amount of air and that the amount of fatty and fibrous c
onnective tissue is less in the thoracic extradural space compared wit
h the lumbar extradural space. We suggest that differences between the
structure of these two vertebral regions may affect the spread of loc
al anaesthetics in the extradural space.