Other mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead) digital illustration

Other mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead) Save


ICD-10 code: T85.192

Chapter: Injury, poisoning and certain other consequences of external causes

Dealing with Other Mechanical Complications of Implanted Electronic Neurostimulator of Spinal Cord Electrode (Lead)

Implanted Electronic Neurostimulators of Spinal Cord Electrodes are devices that are used for managing chronic pain in patients who have failed conventional treatment. They work by sending electrical signals to the spinal cord to interrupt the transmission of pain signals to the brain. These devices consist of an implantable pulse generator (IPG) that is placed under the skin, and a lead that is inserted into the spinal cord.

While these devices are generally safe and effective, they can sometimes cause mechanical complications. These complications can be due to the lead or the IPG, and they can occur at any time after the implantation procedure.

Types of Mechanical Complications
  1. Lead Migration: This is when the lead moves from its original position in the spinal cord. This can happen due to trauma, improper placement, or other factors. Symptoms of lead migration include changes in the stimulation pattern, reduction in pain relief, or no stimulation at all.
  2. Lead Fracture: This is when the lead breaks or becomes damaged. This can happen due to trauma, bending or twisting of the lead, or other factors. Symptoms of lead fracture include changes in stimulation pattern, reduction in pain relief, or no stimulation at all.
  3. IPG Malfunction: This is when the IPG fails to work properly. This can happen due to battery failure, wiring problems, or other factors. Symptoms of IPG malfunction include changes in stimulation pattern, reduction in pain relief, or no stimulation at all.
Treatment Options

If you experience any of the above symptoms, it is important to contact your healthcare provider immediately. They may recommend one or more of the following treatment options:

  • Repositioning or replacement of the lead
  • Repair or replacement of the IPG
  • Adjustment of the stimulation settings
  • Medication management
  • Physical therapy
  • Surgical intervention in severe cases

It is important to remember that mechanical complications of implanted electronic neurostimulators of spinal cord electrodes are rare. However, if you experience any symptoms, it is important to seek medical attention as soon as possible. With proper treatment, most patients can continue to manage their chronic pain effectively.