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Severe Leg Pain Following Spinal Cord Stimulator Implantation – A Case Report
Author(s) -
Shi Weibin,
Schultz Shan,
Gater David R.
Publication year - 2019
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1016/j.pmrj.2018.09.024
Subject(s) - medicine , spinal cord stimulator , deep vein , perioperative , surgery , neuropathic pain , spinal cord , pulmonary embolism , anesthesia , percutaneous , thrombosis , intractable pain , paraplegia , spinal cord stimulation , psychiatry
Following spinal cord stimulator (SCS) implantation, postoperative pain is commonly incisional or neuropathic from neurological damage. Occasionally, this new pain may mimic symptoms caused by preexisting pathology. This article presents a case of immediate, severe, postoperative leg pain secondary to a lower extremity deep vein thrombosis (DVT) and subsequent pulmonary embolism after percutaneous SCS implantation for failed back syndrome. The risk factors of DVT after spine surgery and perioperative prophylaxis are further discussed with a brief literature review. Level of Evidence V