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Intradural migration of broken IDET catheter causing a radiculopathy
R Douglas Orr1, Santhosh A Thomas
1Cleveland Clinic Spine Institute, Lutheran Hospital, Cleveland, OH 44113, USA. ord@ccf.org
Journal of Spinal Disorders & Techniques
|April 1, 2005
Summary
A broken electrothermal therapy catheter migrated from the disc space to the thecal sac, causing radiculopathy. Surgical removal of the catheter tip resolved the patient's symptoms.
Area of Science:
- Neurosurgery
- Pain Management
- Spinal Procedures
Background:
- Intradiscal electrothermal therapy (IDET) is a minimally invasive procedure for chronic low back pain.
- Complications, though rare, can occur during or after spinal interventions.
Observation:
- A case report details a fractured IDET catheter tip.
- The fragment migrated from the intervertebral disc space into the thecal sac.
Findings:
- The catheter fragment's migration caused significant radiculopathy.
- Successful surgical removal of the foreign body led to symptom resolution.
Implications:
- Highlights the potential for device migration as a complication of IDET.
- Emphasizes the importance of vigilance and prompt intervention for such events.
- Informs procedural safety protocols for spinal therapies.