Lumbar translaminar fenestration for insertion of intrathecal baclofen catheter: a novel technique.
Intrathecal baclofen has long been known to be an efficacious treatment of spasticity in children with cerebral palsy. Test bolus administration is often necessary to ensure patients will benefit from this treatment. The introduction of a intrathecal catheter for test bolus administration can prove challenging in a subset of this population, particularly those who have received surgery with postoperative spinal fusion masses. We outline a novel technique of inserting a spinal catheter for test bolus administration in a patient with a postoperative fusion mass whereby a fenestration is created through the lamina using an osteotomy needle.
Department of Diagnostic Radiology, University of British Columbia, Vancouver General Hospital, 3350-950 West 10th Ave., Vancouver, BC, V5Z 4E3, Canada.
Manraj K S
MKS
Heran
Department of Diagnostic Radiology, University of British Columbia, Vancouver General Hospital, 3350-950 West 10th Ave., Vancouver, BC, V5Z 4E3, Canada. Hisham.al-shikarchy@medportal.ca.
Hisham
http://orcid.org/0000-0002-6173-5276
H
Al-Shikarchy
Department of Radiology, British Columbia Children's Hospital, Vancouver, BC, Canada.
Carolyn
C
Chowne
D000293:Adolescent; D001418:Baclofen / Q000008:administration & dosage*; D002408:Catheters, Indwelling; D002547:Cerebral Palsy / Q000000981:diagnostic imaging / Q000188:drug therapy*; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging*; D008297:Male; D009125:Muscle Relaxants, Central / Q000008:administration & dosage*; D009128:Muscle Spasticity / Q000000981:diagnostic imaging / Q000188:drug therapy*; D015641:Radiography, Interventional / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D009125:Muscle Relaxants, Central; D001418:Baclofen
Baclofen; Cerebral palsy; Child; Intrathecal; Spine; Test bolus