Transient tetraplegia after cervical facet joint injection for chronic neck pain administered without imaging guidance

Heckmann, Josef G.; Maihöfner, Christian; Lanz, Stefan; Rauch, Christoph; Neundörfer, B.

doi:10.1016/j.clineuro.2005.07.002

Cited by 47 publications

(39 citation statements)

References 11 publications

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“…A success rate of up to 91% has been noted in temporarily relieving cervical axial pain following intra-articular and perifacetal injections [11]. The importance of performing these injections under imaging control for accurate localisation needs no emphasis [6]. The most common levels involved in cervical spondylosis and hence indicated for facet infiltrations are the lower cervical levels.…”

Section: Discussionmentioning

confidence: 99%

Technical note: the swimmer’s view for cervical facet joint injections

et al. 2006

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Image intensifier (C-arm) guided facet infiltration of a mixture of long acting local anaesthetic and corticosteroid is a safe and effective office procedure for cervical spondylosis. Visualisation of lower cervical anatomy using C-arm may not always be possible due to the shadow cast by the shoulders. We describe the successful adaptation of swimmer's view in such cases to carry out the injections.

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Section: Discussionmentioning

confidence: 99%

Technical note: the swimmer’s view for cervical facet joint injections

et al. 2006

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“…Because the facet joints are deeply located and cannot be accessed using anatomic landmarks, radiologic guidance under fluoroscopy or less commonly under CT has been routinely required for all facet injection procedures to maximize medication placement success and to avoid neurovascular complications [55][56][57][58][59]. Cohen et al has reported a 7 % incidence of unintentional intravascular injection during fluoroscopy-guided cervical medial branch block.…”

Section: Facet Joint Injectionsmentioning

confidence: 99%

Ultrasound Guided Spine Injections: Advancement Over Fluoroscopic Guidance?

Yoon

O’Brien

Tran

2013

Curr Phys Med Rehabil Rep

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This review article discusses the current role of ultrasound in interventional spine practice as both a diagnostic tool and as a modality for image guidance with procedures. Epidemiology of spine pain, the emergence of ultrasound, advantages and disadvantages of ultrasound in comparison to other image modalities are discussed. Recent selected published articles pertaining to the role of ultrasound in the guidance of spinal interventional procedures are reviewed. The potential for the use of ultrasound with spine procedures is discussed as well as further evaluation of its cost-effectiveness, accuracy, safety, and efficacy when compared to the current standards of practice.

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“…15,16 However, I am aware of a few cases of serious neurologic complications after cervical medial branch block that have not been formally reported. In these cases, injection into a radicular or anastamosing artery was presumed to be the mechanism for an associated untoward outcome.…”

Section: Performing Cervical Medial Branch Block Using the Short-axismentioning

confidence: 99%

Ultrasound-Guided Cervical Spine Injections

Narouze

2012

Regional Anesthesia and Pain Medicine

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Transient tetraplegia after cervical facet joint injection for chronic neck pain administered without imaging guidance

Cited by 47 publications

References 11 publications

Technical note: the swimmer’s view for cervical facet joint injections

Technical note: the swimmer’s view for cervical facet joint injections

Ultrasound Guided Spine Injections: Advancement Over Fluoroscopic Guidance?

Ultrasound-Guided Cervical Spine Injections

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