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- Oct 6, 2016
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Hi all,
Curious to hear your thoughts. We have a patient at our center with L2 vertebral body compression secondary to malignancy. Literally the entire vertebral body is eroded, nothing there to augment with kypho/vertebroplasty and she's very intolerant to oral medications. Her cancer has about a ~1 year survival.
We are thinking intrathecal pump, but the concern is where to put the catheter. We are hoping to have the catheter tip sit around T9/10, but worry that entry around T12-L1 will not leave enough catheter, and it'll migrate easily.
We were thinking retrograde catheter insertion at a higher level, like T4. Risky, I know, but we've done it before and do think this would offer some quality of life.
What are your thoughts?
Curious to hear your thoughts. We have a patient at our center with L2 vertebral body compression secondary to malignancy. Literally the entire vertebral body is eroded, nothing there to augment with kypho/vertebroplasty and she's very intolerant to oral medications. Her cancer has about a ~1 year survival.
We are thinking intrathecal pump, but the concern is where to put the catheter. We are hoping to have the catheter tip sit around T9/10, but worry that entry around T12-L1 will not leave enough catheter, and it'll migrate easily.
We were thinking retrograde catheter insertion at a higher level, like T4. Risky, I know, but we've done it before and do think this would offer some quality of life.
What are your thoughts?