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Superior Cluneal Nerve Stimulator Lead Displacement to the Thigh: A Case Report and Management Recommendations – Lumbar Spinal Stenosis

An 82-year-old man with a history of lumbar spinal stenosis and prior laminectomy underwent treatment for chronic lower back pain with bilateral superior cluneal nerve stimulators. However, at the 2-week follow-up, the patient experienced a loss of efficacy and new-onset paresthesia in the left lower extremity. Further evaluation revealed lead breakage and migration of the left-sided stimulator lead to the left anteromedial thigh. This case highlights the challenges of lead breakage and migration in peripheral nerve stimulation, which can result in treatment failure and new-onset sensory disturbance

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best recognised day surgery unit on Harley Street UK

Published article

CONCLUSION: Lead breakage and migration remains a challenge in peripheral nerve stimulation. This report illustrates the case of a nerve stimulator lead breakage and migration resulting in treatment failure and new-onset sensory disturbance.

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JBJS Case Connect. 2022 Jun 22;12(2). doi: 10.2106/JBJS.CC.21.00637. eCollection 2022 Apr 1.ABSTRACTCASE: An 82-year-old man with a history of lumbar spinal stenosis and prior laminectomy presented with chronic lower back pain and was treated with placement of bilateral superior cluneal nerve stimulators. At the 2-week follow-up, the patient reported loss of efficacy and new-onset paresthesia,

JBJS Case Connect. 2022 Jun 22;12(2). doi: 10.2106/JBJS.CC.21.00637. eCollection 2022 Apr 1.

ABSTRACT

CASE: An 82-year-old man with a history of lumbar spinal stenosis and prior laminectomy presented with chronic lower back pain and was treated with placement of bilateral superior cluneal nerve stimulators. At the 2-week follow-up, the patient reported loss of efficacy and new-onset paresthesia of the left lower extremity. Fluoroscopic evaluation revealed lead breakage and distal migration of the left-sided stimulator lead to the left anteromedial thigh.

CONCLUSION: Lead breakage and migration remains a challenge in peripheral nerve stimulation. This report illustrates the case of a nerve stimulator lead breakage and migration resulting in treatment failure and new-onset sensory disturbance.

PMID:37440694 | DOI:10.2106/JBJS.CC.21.00637

The London Spine Unit : best recognised day surgery unit on Harley Street UK

Read the original publication:

Superior Cluneal Nerve Stimulator Lead Displacement to the Thigh: A Case Report and Management Recommendations

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JBJS Case Connect. 2022 Jun 22;12(2). doi: 10.2106/JBJS.CC.21.00637. eCollection 2022 Apr 1.ABSTRACTCASE: An 82-year-old man with a history of lumbar spinal stenosis and prior laminectomy presented with chronic lower back pain and was treated with placement of bilateral superior cluneal nerve stimulators. At the 2-week follow-up, the patient reported loss of efficacy and new-onset paresthesia

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