VA BVNA

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Did a VA case yesterday. Brutal case, L4 and L5 easy, S1 was bad. High riding pelvis, I think approach angle was like 5 degrees oblique. Obviously went anterior and struggled to cross medially. Hard bone, heavy mallet. Male aged 55-60ish? Loose CArm that doesn’t do great laterals, moves a few inches even after you lock it.