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

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

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 lef...

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Bibliographic Details
Published in:JBJS case connector Vol. 12; no. 2
Main Authors: Song, Junho, Humphrey, Tyler, Zhang, Andrew, Chao, Simon, Czerwein, John
Format: Journal Article
Language:English
Published: United States Journal of Bone and Joint Surgery, Inc 01-04-2022
Subjects:
Aged, 80 and over
Humans
Laminectomy
Low Back Pain
Male
Paresthesia
Sacrococcygeal Region
Thigh
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Description
Summary: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. 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.
Bibliography:ObjectType-Case Study-2
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ISSN:2160-3251
2160-3251
DOI:10.2106/JBJS.CC.21.00637