 Under fluoroscopy, the right sacral alar notch was identified and after placement of a 22-gauge, 3-1/2 inch spinal needle in to the notch, negative aspiration was performed and 5 cc of 0.5% Marcaine plus 20 mg of Depo-Medrol was injected. 
Under fluoroscopy , the right sacral alar notch was identified and after placement of a 22 - gauge , 3 - 1/2 inch spinal needle in to the notch , negative aspiration was performed and 5 cc of 0.5 % Marcaine plus 20 mg of Depo - Medrol was injected .