PMC6744752_01
Initial placement of the thoracic epidural paddle at the T10-T11 vertebrae.
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F1
T10-T11 laminotomy [Figure 1]. The lead was secured to the ligamentum flavum with 4-0 NUROLON sutures.
(a) Anterior-posterior and (b) lateral radiographs obtained in clinic demonstrating migration of the epidural paddle to the lower cervical spine. (c) The strain-relief loop has become fully stretched.
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F2
A thoracic X-ray revealed that the epidural paddle electrode had migrated to the cervical C6-C7 epidural space [Figure 2].
Intraoperative radiograph demonstrating repositioning of the paddle to the T10-T11 vertebral level.
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F3
When placing a new epidural paddle electrode, we encountered significant adhesions in the epidural space requiring additional laminotomies at T8-T9 and T9-T10 to adequately dissect the adhesions and place the epidural paddle electrode [Figure 3].