{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T01:34:02Z","timestamp":1780104842920,"version":"3.54.0"},"reference-count":20,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"10","license":[{"start":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T00:00:00Z","timestamp":1725235200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,9,2]]},"abstract":"\n BACKGROUND<\/jats:title>\n The intrathecal baclofen pump is an effective treatment option for patients with severe spasticity. In children, subfascial pump placement is often preferred given concerns for infection and wound healing. However, this approach is not without risk, and rare complications, such as peritoneal pump migration, can occur.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n The authors describe three pediatric cases of peritoneal pump migration at their institution over the past 14 years (3\/545, 0.5%). All three patients had low body weight (below the 39th percentile), and two had scoliosis requiring surgery. All pumps had been placed using the subfascial technique. The first case occurred 6 months postplacement, and the pump was not replaced. Cases 2 and 3 occurred at 2 and 3 years postplacement, respectively, and both pumps were replaced.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n The authors conclude that peritoneal pump migration, although uncommon, can occur in patients with subfascial pump placement, and providers should have a low threshold of suspicion for repeat imaging prior to refilling if the pump\u2019s location has migrated. Potential contributing factors to pump migration include a patient\u2019s small size, a larger pump size (40-mL pump), and scoliosis. All these factors should be considered during pump placement, and surgeons can consider using a 20-ml pump for smaller patients.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/abs\/10.3171\/CASE24290<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case24290","type":"journal-article","created":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T02:45:33Z","timestamp":1725245133000},"source":"Crossref","is-referenced-by-count":3,"title":["Peritoneal baclofen pump migration: a rare complication of subfascial placement. Illustrative cases"],"prefix":"10.3171","volume":"8","author":[{"given":"Ashley","family":"Ricciardelli","sequence":"first","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, Baylor College of Medicine, Houston, Texas"},{"name":"Division of Neurosurgery, Department of Surgery, Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan","family":"Guntin","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, Baylor College of Medicine, Houston, Texas"},{"name":"Division of Neurosurgery, Department of Surgery, Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Korb","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, Baylor College of Medicine, Houston, Texas"},{"name":"Division of Neurosurgery, Department of Surgery, Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel J","family":"Curry","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, Baylor College of Medicine, Houston, Texas"},{"name":"Division of Neurosurgery, Department of Surgery, Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nisha","family":"Gadgil","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, Baylor College of Medicine, Houston, Texas"},{"name":"Division of Neurosurgery, Department of Surgery, Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"bib1","series-title":"ISRN Neurol","first-page":"575168","article-title":"Complications of intrathecal baclofen pump: prevention and cure","volume":"2012","author":"Awaad","year":"2012","unstructured":"Awaad YRizk TSiddiqui IRoosen NMcIntosh KWaines GM. Complications of intrathecal baclofen pump: prevention and cure. ISRN Neurol. 2012;2012:575168."},{"issue":"1","key":"bib2","series-title":"J Neurosurg","first-page":"32","article-title":"The use of intrathecal baclofen pump implants in children and adolescents: safety and complications in 200 consecutive cases","volume":"107","author":"Motta","year":"2007","unstructured":"Motta FBuonaguro VStignani C. The use of intrathecal baclofen pump implants in children and adolescents: safety and complications in 200 consecutive cases. J Neurosurg. 2007;107(1suppl):32-35."},{"key":"bib3","series-title":"Eur J Paediatr Neurol","first-page":"94","article-title":"Surgical complications of intrathecal baclofen in children: a single centre, 20-year retrospective cohort study","volume":"37","author":"Bonouvri\u00e9","year":"2022","unstructured":"Bonouvri\u00e9 LALagendijk KEBeckerman HSlot KMvan de Pol LABuizer AI. Surgical complications of intrathecal baclofen in children: a single centre, 20-year retrospective cohort study. Eur J Paediatr Neurol. 2022;37:94-97."},{"issue":"12","key":"bib4","series-title":"Arch Phys Med Rehabil","first-page":"1721","article-title":"Intrathecal baclofen therapy in children with cerebral palsy: efficacy and complications","volume":"83","author":"Murphy","year":"2002","unstructured":"Murphy NAIrwin MCNHoff C. Intrathecal baclofen therapy in children with cerebral palsy: efficacy and complications. Arch Phys Med Rehabil. 2002;83(12):1721-1725."},{"issue":"21","key":"bib5","series-title":"Healthcare (Basel)","first-page":"2820","article-title":"Complications of intrathecal baclofen pump therapy: an institutional experience from Saudi Arabia","volume":"11","author":"Qureshi","year":"2023","unstructured":"Qureshi AZShacfe HIlyas A, et al. Complications of intrathecal baclofen pump therapy: an institutional experience from Saudi Arabia. Healthcare (Basel). 2023;11(21):2820."},{"issue":"4","key":"bib6","series-title":"J Neurosurg","first-page":"233","article-title":"Best-practice surgical techniques for intrathecal baclofen therapy","volume":"104","author":"Albright","year":"2006","unstructured":"Albright ALTurner MPattisapu JV. Best-practice surgical techniques for intrathecal baclofen therapy. J Neurosurg. 2006;104(4suppl):233-239."},{"issue":"3","key":"bib7","series-title":"Anesth Pain Med","first-page":"e33031","article-title":"Intrathecal baclofen pump migration into the peritoneal cavity: a case report","volume":"6","author":"Kovanda","year":"2016","unstructured":"Kovanda TJPestereva ELee A. Intrathecal baclofen pump migration into the peritoneal cavity: a case report. Anesth Pain Med. 2016;6(3):e33031."},{"issue":"5","key":"bib8","series-title":"Surg Neurol","first-page":"610","article-title":"Migration of pump for intrathecal drug delivery into the peritoneal cavity. 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Performance and complications associated with the Synchromed 10-ml infusion pump for intrathecal baclofen administration in children. J Neurosurg. 2004;101(1suppl):64-68."},{"key":"bib1","series-title":"ISRN Neurol","first-page":"575168","article-title":"Complications of intrathecal baclofen pump: prevention and cure","volume":"2012","author":"Awaad","year":"2012","unstructured":"Awaad YRizk TSiddiqui IRoosen NMcIntosh KWaines GM. Complications of intrathecal baclofen pump: prevention and cure. ISRN Neurol. 2012;2012:575168."},{"issue":"1","key":"bib2","series-title":"J Neurosurg","first-page":"32","article-title":"The use of intrathecal baclofen pump implants in children and adolescents: safety and complications in 200 consecutive cases","volume":"107","author":"Motta","year":"2007","unstructured":"Motta FBuonaguro VStignani C. The use of intrathecal baclofen pump implants in children and adolescents: safety and complications in 200 consecutive cases. J Neurosurg. 2007;107(1suppl):32-35."},{"key":"bib3","series-title":"Eur J Paediatr Neurol","first-page":"94","article-title":"Surgical complications of intrathecal baclofen in children: a single centre, 20-year retrospective cohort study","volume":"37","author":"Bonouvri\u00e9","year":"2022","unstructured":"Bonouvri\u00e9 LALagendijk KEBeckerman HSlot KMvan de Pol LABuizer AI. Surgical complications of intrathecal baclofen in children: a single centre, 20-year retrospective cohort study. Eur J Paediatr Neurol. 2022;37:94-97."},{"issue":"12","key":"bib4","series-title":"Arch Phys Med Rehabil","first-page":"1721","article-title":"Intrathecal baclofen therapy in children with cerebral palsy: efficacy and complications","volume":"83","author":"Murphy","year":"2002","unstructured":"Murphy NAIrwin MCNHoff C. Intrathecal baclofen therapy in children with cerebral palsy: efficacy and complications. Arch Phys Med Rehabil. 2002;83(12):1721-1725."},{"issue":"21","key":"bib5","series-title":"Healthcare (Basel)","first-page":"2820","article-title":"Complications of intrathecal baclofen pump therapy: an institutional experience from Saudi Arabia","volume":"11","author":"Qureshi","year":"2023","unstructured":"Qureshi AZShacfe HIlyas A, et al. Complications of intrathecal baclofen pump therapy: an institutional experience from Saudi Arabia. Healthcare (Basel). 2023;11(21):2820."},{"issue":"4","key":"bib6","series-title":"J Neurosurg","first-page":"233","article-title":"Best-practice surgical techniques for intrathecal baclofen therapy","volume":"104","author":"Albright","year":"2006","unstructured":"Albright ALTurner MPattisapu JV. Best-practice surgical techniques for intrathecal baclofen therapy. J Neurosurg. 2006;104(4suppl):233-239."},{"issue":"3","key":"bib7","series-title":"Anesth Pain Med","first-page":"e33031","article-title":"Intrathecal baclofen pump migration into the peritoneal cavity: a case report","volume":"6","author":"Kovanda","year":"2016","unstructured":"Kovanda TJPestereva ELee A. Intrathecal baclofen pump migration into the peritoneal cavity: a case report. Anesth Pain Med. 2016;6(3):e33031."},{"issue":"5","key":"bib8","series-title":"Surg Neurol","first-page":"610","article-title":"Migration of pump for intrathecal drug delivery into the peritoneal cavity. Case report","volume":"71","author":"Vanhauwaert","year":"2009","unstructured":"Vanhauwaert DJKalala JPOBaert E, et al. Migration of pump for intrathecal drug delivery into the peritoneal cavity. Case report. Surg Neurol. 2009;71(5):610-612."},{"issue":"2","key":"bib9","series-title":"Dev Med Child Neurol","first-page":"126","article-title":"Nutrition-related growth failure of children with quadriplegic cerebral palsy","volume":"35","author":"Stallings","year":"1993","unstructured":"Stallings VACharney EBDavies JCCronk CE. Nutrition-related growth failure of children with quadriplegic cerebral palsy. Dev Med Child Neurol. 1993;35(2):126-138."},{"issue":"1","key":"bib10","series-title":"J Neurosurg","first-page":"64","article-title":"Performance and complications associated with the Synchromed 10-ml infusion pump for intrathecal baclofen administration in children","volume":"101","author":"Albright","year":"2004","unstructured":"Albright ALAwaad YMuhonen M, et al. Performance and complications associated with the Synchromed 10-ml infusion pump for intrathecal baclofen administration in children. 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