a nonsignificant trendP = 0.072
The AC group experienced significantly more procedure-related complications, particularly postdural puncture headache (18.2% versus 4.5%, RR: 4.00; 95% CI 1.07–14.97; P = 0.024), with a nonsignificant trend toward higher CSF leakage (12.1% versus 3.0%, P = 0.072).