Pancucci, GiovanniPerez-Prat, GustauRivero-Garvía, MonicaMayorga-Buiza, Maria JoseMarquez-Rivas, Javier2023-01-252023-01-252015-05-03http://hdl.handle.net/10668/9794Although 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.enBaclofenIntrathecal injectionMuscle spasticityBaclofenEquipment FailureFasciotomyHumansInfusion Pumps, ImplantableMaleNeurosurgical ProceduresParaparesis, SpasticSpinal CordYoung Adultresearch article25936401open access10.1179/2045772315Y.00000000192045-7723PMC4725782https://europepmc.org/articles/pmc4725782?pdf=renderhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4725782/pdf