• J Clin Neurosci · Aug 2021

    Lead Migration in Neuromodulation.

    • Semira Mollica, Mohammed Awad, and Peter J Teddy.
    • Department of Neurosurgery, Royal Melbourne Hospital, University of Melbourne, Melbourne, Victoria, Australia. Electronic address: semira.mollica@mh.org.au.
    • J Clin Neurosci. 2021 Aug 1; 90: 32-35.

    AbstractWe describe a simple technique of securing surgically implanted leads for spinal cord (SCS), dorsal root ganglion (DRG) and occipital nerve stimulation (ONS), for both primary surgical implantation and correcting lead migration. This technique could also be adapted for securing percutaneously implanted leads. Thirty-nine patients underwent neurosurgical implantation of SCS, DRG, and ONS devices utilizing titanium mini-plates to obtain secure anchorage of leads to adjacent laminae close to their exit point from the epidural space, thereby minimizing the risk of further lead migration or electrode displacement. There were no cases of primary or recurrent lead migration in any patient undergoing lead placement using mini-plate anchorage. The technique appears to offer a reliable means of preventing post-operative lead migration in a variety of spinal and extra-cranial neuromodulation implants.Copyright © 2021 Elsevier Ltd. All rights reserved.

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