Superior Cluneal Nerve Stimulator Lead Displacement to the Thigh: A Case Report and Management Recommendations. Issue 2 (22nd April 2022)

• Record Type: Journal Article
• Authors: Song, Junho; Humphrey, Tyler; Zhang, Andrew; Chao, Simon; Czerwein, John
• Is Part Of: JBJS case connector. Volume 12:Issue 2(2022)
• Publication Date: 2022-04-22
• Subjects: peripheral nerve stimulator -- lead -- electrode -- migration -- complication -- cluneal nerve -- displacement -- back pain -- Stimwave; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.21.00637
• Languages: English
• ISSNs: 2160-3251

Abstract

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.