{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T22:39:15Z","timestamp":1769726355221,"version":"3.49.0"},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"23","license":[{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"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 Neurosurg Case Lessons"],"published-print":{"date-parts":[[2025,12,8]]},"abstract":"\n BACKGROUND<\/jats:title>\n Spinal needle breakage is a rare complication of spinal anesthesia procedures, most commonly reported in cases of neuraxial anesthesia administered for inpatient surgeries. To date, there has been no report of spinal needle breakage during an outpatient spine pain management procedure.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n Here, the authors present the case of a 63-year-old man who presented to the emergency department with a broken Jamshidi cannula protruding from his lumbar spine following a basivertebral nerve ablation (BVNA) performed at an outside facility. Neurosurgery was consulted for emergency resection of the retained instrument, which was lodged in the left L4 pedicle. Intraoperative and postoperative imaging confirmed complete extraction of the fragment, and the patient was discharged the following day without further complications.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n Spinal needle breakage is an exceedingly rare complication of spinal anesthesia and has not previously been reported in the context of outpatient spine pain management procedures like BVNAs. In such cases, prompt neurosurgical evaluation and resection are essential to prevent neurological injury, infection, or other adverse outcomes.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE25723<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case25723","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:14:39Z","timestamp":1769685279000},"source":"Crossref","is-referenced-by-count":0,"title":["Successful retrieval of a retained Jamshidi needle fragment from the L4 pedicle following elective basivertebral nerve ablation: illustrative case"],"prefix":"10.3171","volume":"10","author":[{"given":"Kiana J.","family":"Yeganeh","sequence":"first","affiliation":[{"name":"Ponce Health Sciences University School of Medicine, Ponce, Puerto Rico"},{"name":"Department of Neurosurgery, Brain, and Spine, University of South Florida, Morsani College of Medicine, Tampa, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Vignolles-Jeong","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brain, and Spine, University of South Florida, Morsani College of Medicine, Tampa, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srujan","family":"Kopparapu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brain, and Spine, University of South Florida, Morsani College of Medicine, Tampa, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Screven","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brain, and Spine, University of South Florida, Morsani College of Medicine, Tampa, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dana","family":"Saleh","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brain, and Spine, University of South Florida, Morsani College of Medicine, Tampa, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego","family":"Soto Rubio","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brain, and Spine, University of South Florida, Morsani College of Medicine, Tampa, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7343-266X","authenticated-orcid":true,"given":"Cesar","family":"Carballo-Cuello","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brain, and Spine, University of South Florida, Morsani College of Medicine, Tampa, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1296-9751","authenticated-orcid":true,"given":"Mohsen","family":"Rostami","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brain, and Spine, University of South Florida, Morsani College of Medicine, Tampa, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Puya","family":"Alikhani","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brain, and Spine, University of South Florida, Morsani College of Medicine, Tampa, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"bib1","series-title":"StatPearls","article-title":"Basivertebral nerve ablation","author":"Tieppo Francio","year":"2025","unstructured":"Tieppo Francio VSayed D.Basivertebral nerve ablation. In: StatPearls. StatPearls Publishing; 2025."},{"issue":"4","key":"bib2","series-title":"Cureus","first-page":"e37114","article-title":"The effectiveness of intraosseous basivertebral nerve ablation in the treatment of nonradiating vertebrogenic pain: a systematic review","volume":"15","author":"Nwosu","year":"2023","unstructured":"Nwosu MAgyeman WYBisht AThe effectiveness of intraosseous basivertebral nerve ablation in the treatment of nonradiating vertebrogenic pain: a systematic review. Cureus. 2023;15(4):e37114."},{"issue":"6","key":"bib3","series-title":"Int J Spine Surg","first-page":"1084","article-title":"ISASS policy statement 2022: literature review of intraosseous basivertebral nerve ablation","volume":"16","author":"Lorio","year":"2022","unstructured":"Lorio MClerk-Lamalice ORivera MLewandrowski KU.ISASS policy statement 2022: literature review of intraosseous basivertebral nerve ablation. Int J Spine Surg. 2022;16(6):1084-1094."},{"key":"bib4","series-title":"J Pain Res","first-page":"2801","article-title":"Best practice guidelines on the diagnosis and treatment of vertebrogenic pain with basivertebral nerve ablation from the American society of pain and neuroscience","volume":"15","author":"Sayed","year":"2022","unstructured":"Sayed DNaidu RKPatel KVBest practice guidelines on the diagnosis and treatment of vertebrogenic pain with basivertebral nerve ablation from the American society of pain and neuroscience. J Pain Res. 2022;15:2801-2819."},{"issue":"5","key":"bib5","series-title":"Eur Spine J","first-page":"1146","article-title":"Intraosseous basivertebral nerve ablation for the treatment of chronic low back pain: a prospective randomized double-blind sham-controlled multi-center study","volume":"27","author":"Fischgrund","year":"2018","unstructured":"Fischgrund JSRhyne AFranke JIntraosseous basivertebral nerve ablation for the treatment of chronic low back pain: a prospective randomized double-blind sham-controlled multi-center study. Eur Spine J. 2018;27(5):1146-1156."},{"issue":"5","key":"bib6","series-title":"Cureus","first-page":"e38822","article-title":"Successful management of a broken spinal needle during difficult spinal anesthesia: a case report","volume":"15","author":"Alsharif","year":"2023","unstructured":"Alsharif THAlanazi ATDeif AAboueleneein H.Successful management of a broken spinal needle during difficult spinal anesthesia: a case report. Cureus. 2023;15(5):e38822."},{"key":"bib7","series-title":"Local Reg Anesth","first-page":"111","article-title":"Broken needle during spinal anesthesia: an avoidable complication","volume":"11","author":"Kabor\u00e9","year":"2018","unstructured":"Kabor\u00e9 RAFTraore IATraore SISBougouma CTHWPAugustin POuro-Bang\u2019Na Maman AF.Broken needle during spinal anesthesia: an avoidable complication. Local Reg Anesth. 2018;11:111-113."},{"issue":"10","key":"bib8","series-title":"Cureus","first-page":"e46972","article-title":"Spinal introducer needle breakage during spinal anesthesia for Cesarean section: a case report","volume":"15","author":"Sobot Novakovic","year":"2023","unstructured":"Sobot Novakovic SRakanovic DMilic-Radic T.Spinal introducer needle breakage during spinal anesthesia for Cesarean section: a case report. Cureus. 2023;15(10):e46972."},{"issue":"1","key":"bib9","series-title":"Anesth Analg","article-title":"Fractured small gauge needle during attempted combined spinal-epidural anesthesia for cesarean delivery","volume":"111","author":"Wendling","year":"2010","unstructured":"Wendling ALWendling MTGravenstein DEuliano TY.Fractured small gauge needle during attempted combined spinal-epidural anesthesia for cesarean delivery. Anesth Analg. 2010;111(1):245."},{"issue":"6","key":"bib10","series-title":"Cureus","first-page":"e40241","article-title":"A systemic review of spinal needles broken during neuraxial anesthesia","volume":"15","author":"Alsharif","year":"2023","unstructured":"Alsharif THGronfula AGTurkistani SA systemic review of spinal needles broken during neuraxial anesthesia. Cureus. 2023;15(6):e40241."},{"issue":"2","key":"bib11","series-title":"Clin Med Res","first-page":"114","article-title":"Penetrating glass injury to the sacral spine","volume":"8","author":"Anderson","year":"2010","unstructured":"Anderson ERGrant HIWeissman M.Penetrating glass injury to the sacral spine. Clin Med Res. 2010;8(2):114-115."},{"issue":"2","key":"bib12","series-title":"J Trauma Inj","first-page":"131","article-title":"Penetrating sacral injury with a metallic pipe: a case report and literature review","volume":"35","author":"Ha","year":"2022","unstructured":"Ha MNam KHKim JHHan IH.Penetrating sacral injury with a metallic pipe: a case report and literature review. J Trauma Inj. 2022;35(2):131-138."},{"key":"bib1","series-title":"StatPearls","article-title":"Basivertebral nerve ablation","author":"Tieppo Francio","year":"2025","unstructured":"Tieppo Francio VSayed D.Basivertebral nerve ablation. In: StatPearls. StatPearls Publishing; 2025."},{"issue":"4","key":"bib2","series-title":"Cureus","first-page":"e37114","article-title":"The effectiveness of intraosseous basivertebral nerve ablation in the treatment of nonradiating vertebrogenic pain: a systematic review","volume":"15","author":"Nwosu","year":"2023","unstructured":"Nwosu MAgyeman WYBisht AThe effectiveness of intraosseous basivertebral nerve ablation in the treatment of nonradiating vertebrogenic pain: a systematic review. Cureus. 2023;15(4):e37114."},{"issue":"6","key":"bib3","series-title":"Int J Spine Surg","first-page":"1084","article-title":"ISASS policy statement 2022: literature review of intraosseous basivertebral nerve ablation","volume":"16","author":"Lorio","year":"2022","unstructured":"Lorio MClerk-Lamalice ORivera MLewandrowski KU.ISASS policy statement 2022: literature review of intraosseous basivertebral nerve ablation. Int J Spine Surg. 2022;16(6):1084-1094."},{"key":"bib4","series-title":"J Pain Res","first-page":"2801","article-title":"Best practice guidelines on the diagnosis and treatment of vertebrogenic pain with basivertebral nerve ablation from the American society of pain and neuroscience","volume":"15","author":"Sayed","year":"2022","unstructured":"Sayed DNaidu RKPatel KVBest practice guidelines on the diagnosis and treatment of vertebrogenic pain with basivertebral nerve ablation from the American society of pain and neuroscience. J Pain Res. 2022;15:2801-2819."},{"issue":"5","key":"bib5","series-title":"Eur Spine J","first-page":"1146","article-title":"Intraosseous basivertebral nerve ablation for the treatment of chronic low back pain: a prospective randomized double-blind sham-controlled multi-center study","volume":"27","author":"Fischgrund","year":"2018","unstructured":"Fischgrund JSRhyne AFranke JIntraosseous basivertebral nerve ablation for the treatment of chronic low back pain: a prospective randomized double-blind sham-controlled multi-center study. Eur Spine J. 2018;27(5):1146-1156."},{"issue":"5","key":"bib6","series-title":"Cureus","first-page":"e38822","article-title":"Successful management of a broken spinal needle during difficult spinal anesthesia: a case report","volume":"15","author":"Alsharif","year":"2023","unstructured":"Alsharif THAlanazi ATDeif AAboueleneein H.Successful management of a broken spinal needle during difficult spinal anesthesia: a case report. Cureus. 2023;15(5):e38822."},{"key":"bib7","series-title":"Local Reg Anesth","first-page":"111","article-title":"Broken needle during spinal anesthesia: an avoidable complication","volume":"11","author":"Kabor\u00e9","year":"2018","unstructured":"Kabor\u00e9 RAFTraore IATraore SISBougouma CTHWPAugustin POuro-Bang\u2019Na Maman AF.Broken needle during spinal anesthesia: an avoidable complication. Local Reg Anesth. 2018;11:111-113."},{"issue":"10","key":"bib8","series-title":"Cureus","first-page":"e46972","article-title":"Spinal introducer needle breakage during spinal anesthesia for Cesarean section: a case report","volume":"15","author":"Sobot Novakovic","year":"2023","unstructured":"Sobot Novakovic SRakanovic DMilic-Radic T.Spinal introducer needle breakage during spinal anesthesia for Cesarean section: a case report. Cureus. 2023;15(10):e46972."},{"issue":"1","key":"bib9","series-title":"Anesth Analg","article-title":"Fractured small gauge needle during attempted combined spinal-epidural anesthesia for cesarean delivery","volume":"111","author":"Wendling","year":"2010","unstructured":"Wendling ALWendling MTGravenstein DEuliano TY.Fractured small gauge needle during attempted combined spinal-epidural anesthesia for cesarean delivery. Anesth Analg. 2010;111(1):245."},{"issue":"6","key":"bib10","series-title":"Cureus","first-page":"e40241","article-title":"A systemic review of spinal needles broken during neuraxial anesthesia","volume":"15","author":"Alsharif","year":"2023","unstructured":"Alsharif THGronfula AGTurkistani SA systemic review of spinal needles broken during neuraxial anesthesia. Cureus. 2023;15(6):e40241."},{"issue":"2","key":"bib11","series-title":"Clin Med Res","first-page":"114","article-title":"Penetrating glass injury to the sacral spine","volume":"8","author":"Anderson","year":"2010","unstructured":"Anderson ERGrant HIWeissman M.Penetrating glass injury to the sacral spine. Clin Med Res. 2010;8(2):114-115."},{"issue":"2","key":"bib12","series-title":"J Trauma Inj","first-page":"131","article-title":"Penetrating sacral injury with a metallic pipe: a case report and literature review","volume":"35","author":"Ha","year":"2022","unstructured":"Ha MNam KHKim JHHan IH.Penetrating sacral injury with a metallic pipe: a case report and literature review. J Trauma Inj. 2022;35(2):131-138."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/10\/23\/article-CASE25723.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/10\/23\/article-CASE25723.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/10\/23\/article-CASE25723.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:14:39Z","timestamp":1769685279000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/10\/23\/article-CASE25723.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,8]]},"references-count":24,"journal-issue":{"issue":"23"},"URL":"https:\/\/doi.org\/10.3171\/case25723","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,8]]}}}