3-Step Framework to Successful Pediatric Spinal Ultrasound

Tuesday Tip ✅

Goals of Pediatric Spinal Ultrasound:

1. Identify the level of the conus:

The hypoechoic distal spinal cord tapers to form the conus. The tip is normally positioned between the level of L2-L3.

2. Assess the presence of nerve root motion:  

Recording a cine loop and using m-mode during respiration can demonstrate normal cauda equina motion. 

3. Assess the spinal cord and skin surface for the presence of a mass or sinus tract: 

There are several spinal dysraphisms that can occur with or without a mass that may or not be covered by the skin.