A, A 3.5-inch 22-ga spinal needle is advanced into the right L4–5 facet under intermittent CT guidance, with the patient prone. A, A 3.5-inch 22-ga spinal.

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Presentation transcript:

A, A 3.5-inch 22-ga spinal needle is advanced into the right L4–5 facet under intermittent CT guidance, with the patient prone. A, A 3.5-inch 22-ga spinal needle is advanced into the right L4–5 facet under intermittent CT guidance, with the patient prone. B, Injection of 0.2 mL of contrast confirms placement in the joint, and epidural extension is seen after continuing contrast injection. Note that the images are displayed with the patient's right side on the right side of the image, rather than by radiologic convention. We find this orientation easier when performing procedures, especially in the situation of planned bilateral access. J.L. Bykowski, and W.H.W. Wong AJNR Am J Neuroradiol 2012;33:1419-1426 ©2012 by American Society of Neuroradiology