Heran Manraj K S, Al-Shikarchy Hisham, Chowne Carolyn
Department of Diagnostic Radiology, University of British Columbia, Vancouver General Hospital, 3350-950 West 10th Ave., Vancouver, BC, V5Z 4E3, Canada.
Department of Radiology, British Columbia Children's Hospital, Vancouver, BC, Canada.
Pediatr Radiol. 2017 May;47(6):761-763. doi: 10.1007/s00247-017-3816-y. Epub 2017 Mar 20.
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.
鞘内注射巴氯芬长期以来一直被认为是治疗脑瘫患儿痉挛的有效方法。通常需要进行试验性推注给药以确保患者能从这种治疗中获益。对于这部分人群中的一部分，尤其是那些接受过术后脊柱融合块手术的患者，插入鞘内导管进行试验性推注给药可能具有挑战性。我们概述了一种在有术后融合块的患者中插入脊髓导管进行试验性推注给药的新技术，即使用截骨针通过椎板创建一个开窗。
