Abstract
Spinal needle fracture during neuraxial anesthesia is a rare but potentially serious complication. We report the case of a term primigravida with scoliosis and obesity who underwent labor epidural analgesia followed by spinal anesthesia for cesarean section. Multiple attempts were required before cerebrospinal fluid return was achieved, and a local anesthetic was administered. Upon withdrawal, the spinal needle fractured, leaving a fragment in the paravertebral musculature. The fragment was successfully removed endoscopically on postpartum day three without sequelae. This case highlights risk factors, the importance of imaging, appropriate management, and preventive strategies, including the potential role of neuraxial ultrasound.