TIPS for ILESI - difficult arthritic back

Had a patient that had extremely arthritic spine, difficult to see due to OA/osteophytes Is there some technique to orient yourself in the spine with this type of back (sorry, no pictures saved, but in future if I see them, i'll post it). My thought was to square end plate (and try to aim between pedicles - if unable to see opening). Any way people have to try and optimize this?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums