Sacral neuromodulation after stabilization of L2-S1 vertebrae with metallic fixation devices: is it feasible?
Sacral neuromodulation is a surgical treatment for voiding difficulties. We report the case of a patient affected by overflow urinary incontinence and reduced bladder sensation subsequent to decompression and stabilization of L2-S1, showing that sacral nerve stimulation can be used in patients with sacral anatomy distortion and metallic fixation system. In these cases, implant is feasible with fluoroscopic guidance and little changes of standard implantation procedure.
Department of Obstetrics and Gynecology, University of Rome Campus Bio-Medico, Via Álvaro del Portillo 200, 00128 Rome, Italy.
Marzio Angelo
MA
Zullo
Roberto
R
Montera
Francesco
F
Plotti
Federica
F
Guzzo
Roberto
R
Angioli
D000368:Aged; D019299:Decompression, Surgical / Q000379:methods; D004599:Electric Stimulation Therapy; D005260:Female; D006801:Humans; D016268:Internal Fixators; D008159:Lumbar Vertebrae / Q000601:surgery*; D008160:Lumbosacral Plexus / Q000502:physiology*; D012447:Sacrum / Q000601:surgery*; D012600:Scoliosis / Q000601:surgery*; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000503:physiopathology / Q000628:therapy*; D014563:Urodynamics / Q000502:physiology