Is it a complication of anesthesia or a medical malpractice that the puncture needle pierces the dura and injures the spinal cord at the beginning of the epidural anesthesia?

The following are complications

1. Epidural hemorrhage; 2. Perforation of the dura; 3. Infection; 4. Hypotension; 5. Total spinal anesthesia; 6. Spinal nerve injury; 7. Low back pain; 9. The catheter is broken

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