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Transforminal ESI or Midline

Date: Feb 6, 2018

Question:

"Utilizing fluoroscopic guidance, a 20 gauge Touhy needle was placed into the left paracentral posterior epidural region at the L4-5 level. Needle localization was confirmed with contrast injection in multiple views and negative aspiration. 4 mg of dexamethasone and 1.5 mL 0.75% Sensorcaine were injected into the epidural region." Is this transforaminal approach or midline? Please advise. 

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