Indications

Technique:

Patient should lye either in prone or lateral position. One pillow should be placed below the pelvic of a patient is in prone position. Sacral hiatus should be palpated and then 21/22gage 1.5/3inch needle should be introduced. The needle position should be confirmed either by loss of resistance or by spread of radio opaque dye under C-arm.

Complications:

Complication is very rare in expert hands. Potential complications are infection, haematoma, injury to the nerve roots, respiratory depression, sub-arachnoid/subdural injection of drugs etc.