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Successful electrode insertion for spinal cord stimulation after balloon adhesiolysis in a patient with epidural adhesion - A case report -

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Abstract
Background: Spinal cord stimulation (SCS) can be successfully performed using highly developed implantation techniques. However, anatomical barriers, such as epidural adhesion, may impede placing the electrode for SCS in an adequate position.Case: A 60-year-old woman who had SCS with an electrode at the T9-10 level removed because she had a wound infection at the back incision site. After the wound infection was completely resolved, we tried to re-insert the SCS electrode. However, it was difficult to advance it up to the T11 level due to epidural adhesion. We performed a combined epidural adhesiolysis using balloon decompression with an inflatable balloon catheter. After that, the SCS lead was successfully placed up to the T11 level, and implantation of SCS was performed.Conclusions: When a patient has epidural adhesion, an epidural adhesiolysis with an inflatable balloon catheter may help the insertion of the SCS electrode in the epidural space.
Author(s)
김유진박찬혜최성수현동민
Issued Date
2021
Type
Article
Keyword
BalloonInfectionPercutaneous epidural adhesiolysisSpinal cord stimulationSpinal Pain마취과학
DOI
10.17085/apm.20084
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7272
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_nrf_kci_oai_kci_go_kr_ARTI_9779581&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Successful%20electrode%20insertion%20for%20spinal%20cord%20stimulation%20after%20balloon%20adhesiolysis%20in%20a%20patient%20with%20epidural%20adhesion%20-%20A%20case%20report%20-&offset=0&pcAvailability=true
Publisher
Anesthesia and Pain Medicine
Location
대한민국
Language
영어
ISSN
1975-5171
Citation Volume
16
Citation Number
2
Citation Start Page
191
Citation End Page
195
Appears in Collections:
Medicine > Medicine
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