Superior Hypogastric Plexus Block for Refractory Pelvic Pain in Bertolotti's Syndrome: A Case Report.

This case demonstrates the feasibility of transdiscal SHP neurolysis in patients with complex spinal anatomy when guided by thorough anatomical understanding, meticulous planning, and refined technique. Clinicians must recognize the full spectrum of lumbosacral variations and adapt interventional strategies accordingly in complex spine scenarios.