Techniques in medicine: ipsilateral transforaminal epidural steroid injection in Bertolotti's syndrome

Bertolotti's syndrome, also known as lumbosacral transitional vertebrae, is a relatively rare spinal condition characterized by an anatomical variation in the lower spine. Conservative approaches such as physical therapy, anti-inflammatory medications and lifestyle modifications may be recommended for mild cases. In more severe cases or when conservative measures fail to provide relief, injections such as may be considered to alleviate pain. This case is unique in that we document a challenging technique of ipsilateral transforaminal epidural steroid injection in a patient with Bertolotti's syndrome. Bertolotti's syndrome is a rare spinal condition characterized by an anatomical variation in the lower spine. Injections are done for cases refractory to conservative management. We document a challenging technique of ipsilateral transforaminal epidural steroid injection.