case_images: PMC6744752_01
case_images: Initial placement of the thoracic epidural paddle at the T10-T11 vertebrae.
case_images: SNI-10-118-g001.jpg
case_images: PMC6744752_01_SNI-10-118-g001.jpg
case_images: F1
case_images: T10-T11 laminotomy [Figure 1]. The lead was secured to the ligamentum flavum with 4-0 NUROLON sutures.
case_images: (a) Anterior-posterior and (b) lateral radiographs obtained in clinic demonstrating migration of the epidural paddle to the lower cervical spine. (c) The strain-relief loop has become fully stretched.
case_images: SNI-10-118-g002.jpg
case_images: PMC6744752_01_SNI-10-118-g002.jpg
case_images: F2
case_images: A thoracic X-ray revealed that the epidural paddle electrode had migrated to the cervical C6-C7 epidural space [Figure 2].
case_images: Intraoperative radiograph demonstrating repositioning of the paddle to the T10-T11 vertebral level.
case_images: SNI-10-118-g003.jpg
case_images: PMC6744752_01_SNI-10-118-g003.jpg
case_images: F3
case_images: When placing a new epidural paddle electrode, we encountered significant adhesions in the epidural space requiring additional laminotomies at T8-T9 and T9-T10 to adequately dissect the adhesions and place the epidural paddle electrode [Figure 3].