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A transpedicular approach was planned to access the disc and endplates for biopsy. Local anesthetic was given along the needle track with a 23 gauge needle, and then a 22 gauge Quinkce needle. The latter helping plan the angulation for the bone biopsy trocar. The 14 gauge trocar accessed the pedicle, and the inner trocar was removed once the tip was just below the inferior endplate. The biopsy trocar was then inserted and an adequate sample obtained.