Subfascial expansive plasty for intrathecal baclofen pump replacement. A technical note.
OBJECTIVE
Although intratechal pump replacement is a common technique, it can be sometimes complicated when aiming to replace a 20 ml pump with a bigger one (40 ml). We developed a simple and straightforward technique to relax the wall of the pocket of the pump, preserving its fascial layer.


METHODS
A 20-year-old boy with spastic tetraparesia was admitted for pump replacement. After scar opening and pump removal, various lineal incisions were performed in the posterior layer of the subfascial pocket in a cranio-caudal direction.


RESULTS
A 40 ml pump was placed without skin incision ampliation and preserving subfascial plane.


CONCLUSIONS
This easy, expansive technique for infusion pump replacement preserves subfascial plane and prevents the need for more extensive surgeries.
Giovanni
G
Pancucci
Gustau
G
Perez-Prat
Monica
M
Rivero-Garvía
Maria Jose
MJ
Mayorga-Buiza
Javier
J
Marquez-Rivas
D001418:Baclofen / Q000008:administration & dosage*; D004868:Equipment Failure; D000071938:Fasciotomy; D006801:Humans; D015918:Infusion Pumps, Implantable / Q000009:adverse effects*; D008297:Male; D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D020336:Paraparesis, Spastic / Q000188:drug therapy* / Q000601:surgery; D013116:Spinal Cord / Q000601:surgery*; D055815:Young Adult
D001418:Baclofen
Baclofen; Intrathecal injection; Muscle spasticity