RT Journal Article
SR Electronic
T1 Postmyelography Acute Paraplegia in Patients With Spinal Cord Stimulators: Case Series and Review of Literature
JF International Journal of Spine Surgery
JO Int J Spine Surg
FD International Society for the Advancement of Spine Surgery
SP 8760
DO 10.14444/8760
A1 Cuello, César Carballo
A1 Kumar, Jay
A1 Flores-Milan, Gabriel
A1 Rubio, Diego Soto
A1 Clampitt, Bryan
A1 Alikhani, Puya
YR 2025
UL https://www.ijssurgery.com/content/early/2025/05/09/8760.abstract
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.