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Fig. 1. 36-year-old man with L4 radiculopathy undergoing L4L5
diskography. Oblique fluoroscopy image of random needle placement shows X-ray
tube angled 2535° laterally to medially. This image depicts pedicle
(P), superior articular facet (F), and lateral margin of intervertebral disks.
Needle entry zone is box with vertical sides formed by line joining lateral
margin of disk (x) and line along lateral margins of pedicle (y), and
horizontal sides formed by superior (a) and inferior (b) endplates. Shaded box
is needle entry zone for superior placement; needle (arrowhead)
placement in this patient is inferior.
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