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. 2022 Mar 23;47(6):380–383. doi: 10.1136/rapm-2021-103242

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© American Society of Regional Anesthesia & Pain Medicine 2022. Re-use permitted under CC BY-NC. No commercial re-use. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, an indication of whether changes were made, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Multiple views of the spine in a patient undergoing transforaminal spinal anesthesia. (A) Planned transforaminal needle trajectory (dashed arrow) from an axial view from a prior CT scan. (B) Far left: lateral position of the spine in a coronal view from a prior CT scan. (C) Ultrasound view of the needle trajectory. (D) Lateral tunnel fluoroscopic view. (E) Anterior–posterior fluoroscopic view of a 25-gage 5 cm non-cutting needle used for spinal anesthesia. Image included with patient consent.