RT Book, Section A1 Reichman, Eric F. A2 Reichman, Eric F. SR Print(0) ID 1159804641 T1 Lateral Cervical Puncture T2 Reichman's Emergency Medicine Procedures, 3e YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9781259861925 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1159804641 RD 2024/04/23 AB The safest procedure to obtain cerebrospinal fluid (CSF) is lumbar puncture. However, there are situations where lumbar puncture is either contraindicated or technically not feasible. This includes infections in the lumbar area, obesity, previous spinal surgery, previous spinal fusion, a history of arachnoiditis, and the previous injection of chemotherapeutics. The usual and safe alternative method is a lateral cervical puncture under such circumstances.