Skip Navigation LinksHome > January 2011 - Volume 114 - Issue 1 > Complications of C1-C2 Facet Injection
doi: 10.1097/ALN.0b013e3182016655

Complications of C1-C2 Facet Injection

Tang, Edward M.D.

Free Access
Article Outline
Collapse Box

Author Information

Back to Top | Article Outline

To the Editor:

The case report by Edlow et al.1 is a valuable example of the vascular nature of the C1-C2 facet injection. However, the most valuable picture that would have shown whether the complication that occurred was truly because of an unusual complication of the procedure or whether it was because of simple misplacement of the needle was not included. The anterioposterior view would show how lateral the needle was placed; instead, only the lateral view is provided. The picture of dye spread from the lateral view shows significant spread, much more than what would be expected if the injection occurred purely intraarticular. The classic needle location in an anterioposterior view should show the needle placed in the lateral two-thirds of the joint. Any other picture would explain why this complication occurred. Live fluoroscopy was not used and may have spared this patient from a complication.
Edward Tang, M.D.,
Children's Hospital Central California, Madera, California.
Back to Top | Article Outline


1. Edlow BL, Wainger BJ, Frosch MP, Copen WA, Rathmell JP, Rost NS: Posterior circulation stroke after C1-C2 intraarticular facet steroid injection: Evidence for diffuse microvascular injury. Anesthesiology 2010; 112:1532–5

© 2011 American Society of Anesthesiologists, Inc.

Publication of an advertisement in Anesthesiology Online does not constitute endorsement by the American Society of Anesthesiologists, Inc. or Lippincott Williams & Wilkins, Inc. of the product or service being advertised.

Article Tools