Delete please, double posted by accident

[jwalker12]

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Sorry double posted this thread. Please ignore.

 

[pmrmd]

Hello,

I always have trouble with these patient's when I do get them so was looking for some guidance. I always count from the top (starting at L1) below last rib. Then if I am to do a TFESI is it correct to assume if there is Sacralization of L5 my approach should be similar to doing a traditional S1 but at the L5 level to target the L5 nerve root? Same goes for lumbarization of S1 is it correct to assume my approach for a S1 TFESI should be similar to a traditional L5 TFESI to target the S1 nerve root? Lastly, does this transitional anatomy have any effect on the development of the ligamen or is it safe to do a Interlaminer injection between a L5-S1 transitional level? Thank you as always for everyones help, much appreciated.

Count from T1. The nerves are always the same even if the bones are different.