Clinical Study

Real-Time Ultrasound/MRI Fusion for Suprasacral Parallel Shift Approach to Lumbosacral Plexus Blockade and Analysis of Injectate Spread: An Exploratory Randomized Controlled Trial

Figure 5

MRI of one subject visualizing spread of lidocaine-epinephrine added diluted contrast (magenta arrow) primarily lateral to the psoas major muscle (PMM), that is, in the retroperitoneal compartment, with minor seeping into the retropsoas subcompartment. (a) Sagittal plane. (b) Axial plane. (c) Coronal plane. Line (blue), position of coronal plane; Line (orange), position of sagittal plane; Line (purple), position of axial plane; S, sacral ala; VB L5, fifth lumbar vertebral body.
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