• A&A practice · Sep 2020

    Dorsal Root Ganglion Stimulation Lead Fracture Within the Superficial Fascial Layers in 4 Cases.

    • Kenneth B Chapman, Kiran V Patel, Noud van Helmond, and ChienGeorge C ChangGCCDepartment of Pain Medicine, Ventura County Medical Center, Ventura, California; and.GCC Institute, Regenerative Medicine, Irvine, California..
    • From the The Spine & Pain Institute of New York, New York City, New York.
    • A A Pract. 2020 Sep 1; 14 (11): e01307.

    AbstractWe present 4 cases of dorsal root ganglion stimulation lead fracture. In these cases, the surgical technique involved (1) traversing fascial layers for placement of leads via a Tuohy needle in the upper low back, (2) subcutaneous tunneling from the implantable pulse generator site to the lead puncture site without dissecting below the superficial fascial plane at the puncture site, and (3) connection of the lead/extension with the generator. All fractures occurred adjacent to the original lead puncture site. These cases suggest lead entrapment within the membranous fascial plane, with tension on a thin lead, is a mechanism underlying lead fracture.

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