%0 Journal Article
%A Pancucci, Giovanni
%A Perez-Prat, Gustau
%A Rivero-Garvía, Monica
%A Mayorga-Buiza, Maria Jose
%A Marquez-Rivas, Javier
%T Subfascial expansive plasty for intrathecal baclofen pump replacement. A technical note.
%D 2015
%U http://hdl.handle.net/10668/9794
%X Although intratechal pump replacement is a common technique, it can be sometimes complicated when aiming to replace a 20 ml pump with a bigger one (40 ml). We developed a simple and straightforward technique to relax the wall of the pocket of the pump, preserving its fascial layer. A 20-year-old boy with spastic tetraparesia was admitted for pump replacement. After scar opening and pump removal, various lineal incisions were performed in the posterior layer of the subfascial pocket in a cranio-caudal direction. A 40 ml pump was placed without skin incision ampliation and preserving subfascial plane. This easy, expansive technique for infusion pump replacement preserves subfascial plane and prevents the need for more extensive surgeries.
%K Baclofen
%K Intrathecal injection
%K Muscle spasticity
%~