{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T23:29:41Z","timestamp":1769729381381,"version":"3.49.0"},"reference-count":40,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"27","license":[{"start":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T00:00:00Z","timestamp":1735516800000},"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":[[2024,12,30]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Rupture of the lumbar catheter in lumboperitoneal (LP) shunts is rare and typically occurs due to long-term mechanical stress. The authors describe an unusual case of early postoperative lumbar catheter severing after a fall on the buttocks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 78-year-old woman underwent LP shunt placement for communicating hydrocephalus after aneurysmal subarachnoid hemorrhage. The lumbar catheter was inserted via a median approach, and the postoperative course was uneventful. However, 2 months after the LP shunt surgery, she accidentally fell on her buttocks in the hospital ward. Radiography showed a rupture of the lumbar catheter due to the shearing force caused by compression of the spinous processes from the impact of the fall.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>In patients who have undergone catheter placement via a median approach, even within a short period after LP shunt placement, the lumbar catheter that has deteriorated due to \u201cpinch-off\u201d can rupture due to \u201cbite-off\u201d by the spinous processes following a fall on the buttocks.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE24509\">https:\/\/thejns.org\/doi\/10.3171\/CASE24509<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case24509","type":"journal-article","created":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T01:47:09Z","timestamp":1735523229000},"source":"Crossref","is-referenced-by-count":0,"title":["Early postoperative lumbar catheter severing in a lumboperitoneal shunt due to bite-off by the spinous processes following a fall on the buttocks: illustrative case"],"prefix":"10.3171","volume":"8","author":[{"given":"Ryoji","family":"Munakata","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Southern TOHOKU Research Institute for Neuroscience, Southern TOHOKU General Hospital, Koriyama, Fukushima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuomi","family":"Horiuchi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southern TOHOKU Research Institute for Neuroscience, Southern TOHOKU General Hospital, Koriyama, Fukushima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zenichiro","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southern TOHOKU Research Institute for Neuroscience, Southern TOHOKU General Hospital, Koriyama, Fukushima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Banri","family":"Segawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southern TOHOKU Research Institute for Neuroscience, Southern TOHOKU General Hospital, Koriyama, Fukushima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuta","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southern TOHOKU Research Institute for Neuroscience, Southern TOHOKU General Hospital, Koriyama, Fukushima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rikiya","family":"Kameno","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southern TOHOKU Research Institute for Neuroscience, Southern TOHOKU General Hospital, Koriyama, Fukushima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akinori","family":"Onuki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southern TOHOKU Research Institute for Neuroscience, Southern TOHOKU General Hospital, Koriyama, Fukushima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daichi","family":"Fujimori","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southern TOHOKU Research Institute for Neuroscience, Southern TOHOKU General Hospital, Koriyama, Fukushima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Oinuma","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southern TOHOKU Research Institute for Neuroscience, Southern TOHOKU General Hospital, Koriyama, Fukushima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuo","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southern TOHOKU Research Institute for Neuroscience, Southern TOHOKU General Hospital, Koriyama, Fukushima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"417","key":"bib1","series-title":"Surg Neurol Int","first-page":"417","article-title":"Late intrathecal retraction of a lumboperitoneal shunt","volume":"14","author":"Kim","year":"2023","unstructured":"Kim YJFujita AMaeyama MHori TTanaka KSasayama T. Late intrathecal retraction of a lumboperitoneal shunt. Surg Neurol Int. 2023;14(417):417."},{"issue":"6","key":"bib2","series-title":"Lancet Neurol","first-page":"585","article-title":"Lumboperitoneal shunt surgery for idiopathic normal pressure hydrocephalus (SINPHONI-2): an open-label randomised trial","volume":"14","author":"Kazui","year":"2015","unstructured":"Kazui HMiyajima MMori EIshikawa M, SINPHONI-2 Investigators. Lumboperitoneal shunt surgery for idiopathic normal pressure hydrocephalus (SINPHONI-2): an open-label randomised trial. Lancet Neurol. 2015;14(6):585-594."},{"issue":"3","key":"bib3","series-title":"J Neurosurg","first-page":"578","article-title":"Stretching and breaking characteristics of cerebrospinal fluid shunt tubing","volume":"98","author":"Tomes","year":"2003","unstructured":"Tomes DJHellbusch LCAlberts LR. Stretching and breaking characteristics of cerebrospinal fluid shunt tubing. J Neurosurg. 2003;98(3):578-583."},{"issue":"2","key":"bib4","series-title":"Radiology","first-page":"353","article-title":"Pinch-off syndrome: a complication of implantable subclavian venous access devices","volume":"177","author":"Hinke","year":"1990","unstructured":"Hinke DHZandt-Stastny DAGoodman LRQuebbeman EJKrzywda EAAndris DA. Pinch-off syndrome: a complication of implantable subclavian venous access devices. Radiology. 1990;177(2):353-356."},{"issue":"1","key":"bib5","series-title":"Radiology","first-page":"159","article-title":"The mechanisms of positional dysfunction of subclavian venous catheters","volume":"200","author":"Krutchen","year":"1996","unstructured":"Krutchen AEBjarnason HStackhouse DJNazarian GKMagney JEHunter DW. The mechanisms of positional dysfunction of subclavian venous catheters. Radiology. 1996;200(1):159-163."},{"issue":"5","key":"bib6","series-title":"JPEN J Parenter Enteral Nutr","first-page":"528","article-title":"Catheter fracture and embolization in totally implanted venous access catheters","volume":"12","author":"Franey","year":"1988","unstructured":"Franey TDeMarco LCGeiss ACWard RJ. Catheter fracture and embolization in totally implanted venous access catheters. JPEN J Parenter Enteral Nutr. 1988;12(5):528-530."},{"issue":"6","key":"bib7","series-title":"Clin Oncol (R Coll Radiol)","first-page":"412","article-title":"Spontaneous fracture and embolization of a central venous catheter: prevention and early detection","volume":"10","author":"Coles","year":"1998","unstructured":"Coles CEWhitear WPLe Vay JH. Spontaneous fracture and embolization of a central venous catheter: prevention and early detection. Clin Oncol (R Coll Radiol). 1998;10(6):412-414."},{"issue":"11","key":"bib8","series-title":"Arch Surg","first-page":"1280","article-title":"Reliability of implantable central venous access devices in patients with cancer","volume":"122","author":"Stanislav","year":"1987","unstructured":"Stanislav GVFitzgibbons RJJrBailey RTJrMailliard JAJohnson PSFeole JB. Reliability of implantable central venous access devices in patients with cancer. Arch Surg. 1987;122(11):1280-1283."},{"issue":"6","key":"bib9","series-title":"JPEN J Parenter Enteral Nutr","first-page":"754","article-title":"Hickman catheter separation","volume":"9","author":"Rubenstein","year":"1985","unstructured":"Rubenstein RBAlberty REMichels LGPederson RWRosenthal D. Hickman catheter separation. JPEN J Parenter Enteral Nutr. 1985;9(6):754-757."},{"issue":"10","key":"bib10","series-title":"Bone Marrow Transplant","first-page":"927","article-title":"Central venous catheter pinch-off and fracture: recognition, prevention and management","volume":"31","author":"Fazeny-D\u00f6rner","year":"2003","unstructured":"Fazeny-D\u00f6rner BWenzel CBerzlanovich A, et al. Central venous catheter pinch-off and fracture: recognition, prevention and management. Bone Marrow Transplant. 2003;31(10):927-930."},{"issue":"5","key":"bib11","series-title":"AJR Am J Roentgenol","first-page":"1025","article-title":"Age-related alteration in the vertebral spinous processes and intervening soft tissue: radiologic-pathologic correlation","volume":"145","author":"Sartoris","year":"1985","unstructured":"Sartoris DJResnick DTyson RHaghighi P. Age-related alteration in the vertebral spinous processes and intervening soft tissue: radiologic-pathologic correlation. AJR Am J Roentgenol. 1985;145(5):1025-1030."},{"issue":"suppl","key":"bib12","series-title":"J Med Assoc Thai","first-page":"S1","article-title":"The interlaminar and the narrowest distances at the L3\/4 and L4\/5 interspinous spaces and location of the intercrestal line in Thai cadavers","volume":"97","author":"Lakchayapakorn","year":"2014","unstructured":"Lakchayapakorn KSuwanlikhid N. The interlaminar and the narrowest distances at the L3\/4 and L4\/5 interspinous spaces and location of the intercrestal line in Thai cadavers. J Med Assoc Thai. 2014;97(suppl 8):S1-S6."},{"issue":"4","key":"bib13","series-title":"Oper Neurosurg (Hagerstown)","first-page":"471","article-title":"Fluoroscopic-guided paramedian approach for lumbar catheter placement in cerebrospinal fluid shunting: assessment of safety and accuracy","volume":"16","author":"Tucker","year":"2019","unstructured":"Tucker AKajimoto YOhmura T, et al. Fluoroscopic-guided paramedian approach for lumbar catheter placement in cerebrospinal fluid shunting: assessment of safety and accuracy. Oper Neurosurg (Hagerstown). 2019;16(4):471-477."},{"key":"bib14","series-title":"WHO Global Report on Falls Prevention in Older Age","year":"2008","unstructured":"WHO Global Report on Falls Prevention in Older Age. World Health Organization; 2008. Accessed November 22, 2024. https:\/\/iris.who.int\/handle\/10665\/43811"},{"issue":"4","key":"bib15","series-title":"Reg Anesth Pain Med","first-page":"375","article-title":"Retained intrathecal catheter fragment after spinal drain insertion","volume":"34","author":"Forsythe","year":"2009","unstructured":"Forsythe AGupta ACohen SP. Retained intrathecal catheter fragment after spinal drain insertion. Reg Anesth Pain Med. 2009;34(4):375-378."},{"issue":"2","key":"bib16","series-title":"J Spinal Disord Tech","first-page":"185","article-title":"Intradural migration of broken IDET catheter causing a radiculopathy","volume":"18","author":"Orr","year":"2005","unstructured":"Orr RDThomas SA. Intradural migration of broken IDET catheter causing a radiculopathy. J Spinal Disord Tech. 2005;18(2):185-187."},{"issue":"2","key":"bib17","series-title":"Neurol Med Chir (Tokyo)","first-page":"165","article-title":"Spinal intradural granuloma as a complication of an infected cerebrospinal fluid drainage tube fragment\u2014case report","volume":"50","author":"Aoyama","year":"2010","unstructured":"Aoyama THida K. Spinal intradural granuloma as a complication of an infected cerebrospinal fluid drainage tube fragment\u2014case report. Neurol Med Chir (Tokyo). 2010;50(2):165-167."},{"issue":"6","key":"bib18","series-title":"J Neurosurg Spine","first-page":"641","article-title":"Subarachnoid hemorrhage due to retained lumbar drain","volume":"15","author":"Guppy","year":"2011","unstructured":"Guppy KHSilverthorn JWAkins PT. Subarachnoid hemorrhage due to retained lumbar drain. J Neurosurg Spine. 2011;15(6):641-644."},{"issue":"1","key":"bib19","series-title":"J Neurosurg Spine","first-page":"47","article-title":"Migrating lumbar intrathecal catheter fragment associated with intracranial subarachnoid hemorrhage","volume":"22","author":"Hnenny","year":"2015","unstructured":"Hnenny LSabry HARaskin JSLiu JJRoundy NEDogan A. Migrating lumbar intrathecal catheter fragment associated with intracranial subarachnoid hemorrhage. J Neurosurg Spine. 2015;22(1):47-51."},{"issue":"6","key":"bib20","series-title":"Neurosurgery","first-page":"E1212","article-title":"Cranial migration of a baclofen pump catheter associated with subarachnoid hemorrhage: case report","volume":"65","author":"Nakaji","year":"2009","unstructured":"Nakaji PConsiglieri GDGarrett MPBambakidis NCShetter AG. Cranial migration of a baclofen pump catheter associated with subarachnoid hemorrhage: case report. Neurosurgery. 2009;65(6):E1212-E1213."},{"issue":"417","key":"bib1","series-title":"Surg Neurol Int","first-page":"417","article-title":"Late intrathecal retraction of a lumboperitoneal shunt","volume":"14","author":"Kim","year":"2023","unstructured":"Kim YJFujita AMaeyama MHori TTanaka KSasayama T. Late intrathecal retraction of a lumboperitoneal shunt. Surg Neurol Int. 2023;14(417):417."},{"issue":"6","key":"bib2","series-title":"Lancet Neurol","first-page":"585","article-title":"Lumboperitoneal shunt surgery for idiopathic normal pressure hydrocephalus (SINPHONI-2): an open-label randomised trial","volume":"14","author":"Kazui","year":"2015","unstructured":"Kazui HMiyajima MMori EIshikawa M, SINPHONI-2 Investigators. Lumboperitoneal shunt surgery for idiopathic normal pressure hydrocephalus (SINPHONI-2): an open-label randomised trial. Lancet Neurol. 2015;14(6):585-594."},{"issue":"3","key":"bib3","series-title":"J Neurosurg","first-page":"578","article-title":"Stretching and breaking characteristics of cerebrospinal fluid shunt tubing","volume":"98","author":"Tomes","year":"2003","unstructured":"Tomes DJHellbusch LCAlberts LR. Stretching and breaking characteristics of cerebrospinal fluid shunt tubing. J Neurosurg. 2003;98(3):578-583."},{"issue":"2","key":"bib4","series-title":"Radiology","first-page":"353","article-title":"Pinch-off syndrome: a complication of implantable subclavian venous access devices","volume":"177","author":"Hinke","year":"1990","unstructured":"Hinke DHZandt-Stastny DAGoodman LRQuebbeman EJKrzywda EAAndris DA. Pinch-off syndrome: a complication of implantable subclavian venous access devices. Radiology. 1990;177(2):353-356."},{"issue":"1","key":"bib5","series-title":"Radiology","first-page":"159","article-title":"The mechanisms of positional dysfunction of subclavian venous catheters","volume":"200","author":"Krutchen","year":"1996","unstructured":"Krutchen AEBjarnason HStackhouse DJNazarian GKMagney JEHunter DW. The mechanisms of positional dysfunction of subclavian venous catheters. Radiology. 1996;200(1):159-163."},{"issue":"5","key":"bib6","series-title":"JPEN J Parenter Enteral Nutr","first-page":"528","article-title":"Catheter fracture and embolization in totally implanted venous access catheters","volume":"12","author":"Franey","year":"1988","unstructured":"Franey TDeMarco LCGeiss ACWard RJ. Catheter fracture and embolization in totally implanted venous access catheters. JPEN J Parenter Enteral Nutr. 1988;12(5):528-530."},{"issue":"6","key":"bib7","series-title":"Clin Oncol (R Coll Radiol)","first-page":"412","article-title":"Spontaneous fracture and embolization of a central venous catheter: prevention and early detection","volume":"10","author":"Coles","year":"1998","unstructured":"Coles CEWhitear WPLe Vay JH. Spontaneous fracture and embolization of a central venous catheter: prevention and early detection. Clin Oncol (R Coll Radiol). 1998;10(6):412-414."},{"issue":"11","key":"bib8","series-title":"Arch Surg","first-page":"1280","article-title":"Reliability of implantable central venous access devices in patients with cancer","volume":"122","author":"Stanislav","year":"1987","unstructured":"Stanislav GVFitzgibbons RJJrBailey RTJrMailliard JAJohnson PSFeole JB. Reliability of implantable central venous access devices in patients with cancer. Arch Surg. 1987;122(11):1280-1283."},{"issue":"6","key":"bib9","series-title":"JPEN J Parenter Enteral Nutr","first-page":"754","article-title":"Hickman catheter separation","volume":"9","author":"Rubenstein","year":"1985","unstructured":"Rubenstein RBAlberty REMichels LGPederson RWRosenthal D. Hickman catheter separation. JPEN J Parenter Enteral Nutr. 1985;9(6):754-757."},{"issue":"10","key":"bib10","series-title":"Bone Marrow Transplant","first-page":"927","article-title":"Central venous catheter pinch-off and fracture: recognition, prevention and management","volume":"31","author":"Fazeny-D\u00f6rner","year":"2003","unstructured":"Fazeny-D\u00f6rner BWenzel CBerzlanovich A, et al. Central venous catheter pinch-off and fracture: recognition, prevention and management. Bone Marrow Transplant. 2003;31(10):927-930."},{"issue":"5","key":"bib11","series-title":"AJR Am J Roentgenol","first-page":"1025","article-title":"Age-related alteration in the vertebral spinous processes and intervening soft tissue: radiologic-pathologic correlation","volume":"145","author":"Sartoris","year":"1985","unstructured":"Sartoris DJResnick DTyson RHaghighi P. Age-related alteration in the vertebral spinous processes and intervening soft tissue: radiologic-pathologic correlation. AJR Am J Roentgenol. 1985;145(5):1025-1030."},{"issue":"suppl","key":"bib12","series-title":"J Med Assoc Thai","first-page":"S1","article-title":"The interlaminar and the narrowest distances at the L3\/4 and L4\/5 interspinous spaces and location of the intercrestal line in Thai cadavers","volume":"97","author":"Lakchayapakorn","year":"2014","unstructured":"Lakchayapakorn KSuwanlikhid N. The interlaminar and the narrowest distances at the L3\/4 and L4\/5 interspinous spaces and location of the intercrestal line in Thai cadavers. J Med Assoc Thai. 2014;97(suppl 8):S1-S6."},{"issue":"4","key":"bib13","series-title":"Oper Neurosurg (Hagerstown)","first-page":"471","article-title":"Fluoroscopic-guided paramedian approach for lumbar catheter placement in cerebrospinal fluid shunting: assessment of safety and accuracy","volume":"16","author":"Tucker","year":"2019","unstructured":"Tucker AKajimoto YOhmura T, et al. Fluoroscopic-guided paramedian approach for lumbar catheter placement in cerebrospinal fluid shunting: assessment of safety and accuracy. Oper Neurosurg (Hagerstown). 2019;16(4):471-477."},{"key":"bib14","series-title":"WHO Global Report on Falls Prevention in Older Age","year":"2008","unstructured":"WHO Global Report on Falls Prevention in Older Age. World Health Organization; 2008. Accessed November 22, 2024. https:\/\/iris.who.int\/handle\/10665\/43811"},{"issue":"4","key":"bib15","series-title":"Reg Anesth Pain Med","first-page":"375","article-title":"Retained intrathecal catheter fragment after spinal drain insertion","volume":"34","author":"Forsythe","year":"2009","unstructured":"Forsythe AGupta ACohen SP. Retained intrathecal catheter fragment after spinal drain insertion. Reg Anesth Pain Med. 2009;34(4):375-378."},{"issue":"2","key":"bib16","series-title":"J Spinal Disord Tech","first-page":"185","article-title":"Intradural migration of broken IDET catheter causing a radiculopathy","volume":"18","author":"Orr","year":"2005","unstructured":"Orr RDThomas SA. Intradural migration of broken IDET catheter causing a radiculopathy. J Spinal Disord Tech. 2005;18(2):185-187."},{"issue":"2","key":"bib17","series-title":"Neurol Med Chir (Tokyo)","first-page":"165","article-title":"Spinal intradural granuloma as a complication of an infected cerebrospinal fluid drainage tube fragment\u2014case report","volume":"50","author":"Aoyama","year":"2010","unstructured":"Aoyama THida K. Spinal intradural granuloma as a complication of an infected cerebrospinal fluid drainage tube fragment\u2014case report. Neurol Med Chir (Tokyo). 2010;50(2):165-167."},{"issue":"6","key":"bib18","series-title":"J Neurosurg Spine","first-page":"641","article-title":"Subarachnoid hemorrhage due to retained lumbar drain","volume":"15","author":"Guppy","year":"2011","unstructured":"Guppy KHSilverthorn JWAkins PT. Subarachnoid hemorrhage due to retained lumbar drain. J Neurosurg Spine. 2011;15(6):641-644."},{"issue":"1","key":"bib19","series-title":"J Neurosurg Spine","first-page":"47","article-title":"Migrating lumbar intrathecal catheter fragment associated with intracranial subarachnoid hemorrhage","volume":"22","author":"Hnenny","year":"2015","unstructured":"Hnenny LSabry HARaskin JSLiu JJRoundy NEDogan A. Migrating lumbar intrathecal catheter fragment associated with intracranial subarachnoid hemorrhage. J Neurosurg Spine. 2015;22(1):47-51."},{"issue":"6","key":"bib20","series-title":"Neurosurgery","first-page":"E1212","article-title":"Cranial migration of a baclofen pump catheter associated with subarachnoid hemorrhage: case report","volume":"65","author":"Nakaji","year":"2009","unstructured":"Nakaji PConsiglieri GDGarrett MPBambakidis NCShetter AG. Cranial migration of a baclofen pump catheter associated with subarachnoid hemorrhage: case report. 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