a.k.a. a lumbar puncture spinal tap: used to obtain a sample of CSF for diagnostic purposes spinal anesthesia: used to give anesthesia to the nerve roots of cauda equina within the dural sac (lumbar cistern); commonly used in cesarean sections needle is inserted at L3/L4 or L4/L5 passes through ligamentum flavum (between lamina, dura mater, and arachnoid mater