Severe Leg Pain Following Spinal Cord Stimulator Implantation - A Case Report

PM R. 2019 Mar;11(3):317-321. doi: 10.1016/j.pmrj.2018.09.024. Epub 2019 Feb 13.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Electric Stimulation Therapy / adverse effects*
  • Humans
  • Leg / blood supply*
  • Low Back Pain / therapy*
  • Pain Measurement
  • Pain, Postoperative / diagnostic imaging
  • Pain, Postoperative / etiology*
  • Pain, Postoperative / therapy
  • Pulmonary Embolism / diagnostic imaging
  • Pulmonary Embolism / etiology*
  • Pulmonary Embolism / therapy
  • Venous Thrombosis / diagnostic imaging
  • Venous Thrombosis / etiology*
  • Venous Thrombosis / therapy