[Skip to Content]
[Skip to Content Landing]
Article
March 10, 1956

PARAVERTEBRAL INJECTION

JAMA. 1956;160(10):899. doi:10.1001/jama.1956.02960450081024

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

To the Editor:—  In the Dec. 31, 1955, issue of The Journal, page 1724, is an article "Intra-Articular and Paravertebral Injection of Cortisone in Osteoarthritis of Spine." I question the statement "Paravertebral injection of cervical vertebrae is relatively simple." Injection and infiltration of cervical paraspinal structures are potentially hazardous, and a lateral approach, as suggested by the authors, with the inadequate landmarks offered in the illustrations, should be seriously questioned. When a needle is inserted laterally "then advanced medially and anteriorly at a 45 degree angle until the transverse process is encountered and then directed toward the midline," two pitfalls may be encountered. Laterally, the vertebral artery may be pierced, and, medially, the ligamenta flava may be transfixed and the subarachnoid space entered, thus endangering the spinal cord.

First Page Preview View Large
First page PDF preview
First page PDF preview
×