PT  - JOURNAL ARTICLE
AU  - Cuello, César Carballo
AU  - Kumar, Jay
AU  - Flores-Milan, Gabriel
AU  - Rubio, Diego Soto
AU  - Clampitt, Bryan
AU  - Alikhani, Puya
TI  - Postmyelography Acute Paraplegia in Patients With Spinal Cord Stimulators: Case Series and Review of Literature
AID  - 10.14444/8760
DP  - 2025 May 09
TA  - International Journal of Spine Surgery
PG  - 8760
4099  - https://www.ijssurgery.com/content/early/2025/05/09/8760.short
4100  - https://www.ijssurgery.com/content/early/2025/05/09/8760.full
AB  - Background Computed tomography (CT) myelography is an important imaging modality utilized in patients who cannot tolerate magnetic resonance imaging (MRI) due to severe artifact or because of the presence of MRI incompatible medical devices. In the setting of thoracic stenosis and a spinal cord stimulator (SCS), it can predispose patients to develop acute weakness and paraplegia after myelography.Case Presentation We present 2 patients with symptomatic thoracic stenosis who developed acute paraplegia after a CT myelogram. Both patients had SCSs due to a history of back pain and were taken emergently to the operating room for SCS removal and thoracic spine decompression.Conclusion To our knowledge, these are the first reported cases of acute paraplegia postmyelography in the presence of an SCS in the thoracic spine. This report serves as an important warning and possible emerging contraindication for ordering CT myelography in patients with thoracic stenosis in the presence of an SCS.