PMC3259137_01
Simple X-ray of the lumbar spine. The enlarged right L5 transverse process can be identified (arrows).
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F1
However, the transverse process of the L5 vertebra and the iliac crest were in contact due to degenerative changes, so needle insertion failed (Fig. 1).
Unilateral, single-needle approach to perform the superior hypogastric plexus block. A catheter is inserted through the Tuohy needle.
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F2
Then, 2 ml of contrast media (Omnipaque300 ) was injected, and after verifying the adequate spread of the contrast media, 0.38% ropivacaine 8 cc was injected (Fig. 2, 3).
AP (A) and lateral views (B) of fluoroscopic X-ray of left unilateral approach. Radio-opaque dye spread from the left margin of L5 vertebral body to the right margin in the retroperitoneal space. The arrows indicate the epidural catheter tip at the level of the upper margin of the sacrum.
kjpain-25-43-g003.jpg
PMC3259137_01_kjpain-25-43-g003.jpg
F3
Then, 2 ml of contrast media (Omnipaque300 ) was injected, and after verifying the adequate spread of the contrast media, 0.38% ropivacaine 8 cc was injected (Fig. 2, 3).