Four‐Extremity Neurostimulation Using Two Cervical Octapolar Leads and High Frequency of 10 <scp>kH</scp>z

Harandi, Shervin; Kapural, Leonardo

doi:10.1111/papr.12593

Cited by 4 publications

(13 citation statements)

References 4 publications

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“…Of these, 144 were duplicate publications; therefore, 196 citations were reviewed during title and abstract screening. The full-text publications of 47 studies were then screened for eligibility, and 15 were included in this review [15][16][17][28][29][30][31][32][33][34][35][36][37][38][39]. Reasons for exclusion of articles during abstract screening and full-text screening included not meeting criteria for patient population, study design articles, nonclinical studies, and conference presentations.…”

Section: Search Resultsmentioning

confidence: 99%

Pain Relief and Safety Outcomes with Cervical 10 kHz Spinal Cord Stimulation: Systematic Literature Review and Meta-analysis

et al. 2021

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Background: Chronic pain in head, neck, shoulders and upper limbs is debilitating, and patients usually rely on pain medications or surgery to manage their symptoms. However, given the current opioid epidemic, non-pharmacological interventions that reduce pain, such as spinal cord stimulation (SCS), are needed. The purpose of this study was to review the evidence on paresthesia-free 10 kHz SCS therapy for neck and upper extremity pain.Methods: Systematic literature search was performed for studies reporting outcomes for cervical 10 kHz SCS using date limits from May 2008 to November 2020. The study results were analyzed and described qualitatively. Additionally, when feasible, meta-analyses of the outcome data, with 95% confidence intervals (CIs), were conducted using both the fixed-effects (FE) and random-effects (RE) models. Results: A total of 15 studies were eligible for inclusion. The proportion of patients who achieved C 50% pain reduction was 83% (95% CI 77-89%) in both the FE and RE models. The proportion of patients who reduced/eliminated their opioid consumption was 39% (95% CI 31-46%) in the FE model and 39% (95% CI 31-48%) in the RE model. Pain or discomfort with the implant, lead migration, and infections were potential risks following cervical SCS. Explant rate was 0.1 (95% CI 0.0-0.2) events per 100 person-months, and no patients in the included studies experienced a neurological complication or paresthesia. Conclusion: Findings suggest 10 kHz SCS is a promising, safe, minimally invasive alternative for managing chronic upper limb and neck pain.

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Section: Search Resultsmentioning

confidence: 99%

Pain Relief and Safety Outcomes with Cervical 10 kHz Spinal Cord Stimulation: Systematic Literature Review and Meta-analysis

et al. 2021

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“…Twenty‐two reports were identified that included at least 1 patient with neuropathic pain from SCI treated with SCS. Five were published case reports, 1 was a prospective nonrandomized, noncontrolled study, and the remaining 16 were case series or reports published as conference abstracts . All reports other than that of Kishima et al were retrospective in nature.…”

Section: Resultsmentioning

confidence: 99%

“…In addition to pain outcome measures (see Table ), many of the reports mentioned other positive benefits of SCS in their patients. Three reports commented that their patients had an improvement in their spasticity post‐SCS based on the Modified Ashworth Scale, while 8 reports mentioned change in pain medication usage. All but 1 article reported a decrease in pain medication use.…”

Section: Resultsmentioning

confidence: 99%

Current Evidence Lacking to Guide Clinical Practice for Spinal Cord Stimulation in the Treatment of Neuropathic Pain in Spinal Cord Injury: A Review of the Literature and a Proposal for Future Study

et al. 2020

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Background/Objective Chronic pain is commonly reported in individuals with spinal cord injuries (SCIs), with recent prevalence reported as high as 80%. Uncontrolled pain is known to decrease quality of life, attenuate mood, and impact sleep. Spinal cord stimulation (SCS) for the treatment of refractory pain was first used in the SCI population in 1972. To date there have been no randomized controlled trials examining the effect of SCS on neuropathic pain post‐SCI. A literature review in 2009 identified 27 studies, the majority prior to 2000, that included at least 1 patient with SCI. Given the significant advancements in the field of SCS, this review examines the updated evidence of SCS for the treatment of neuropathic pain in individuals with SCI and provides guidance on future investigations. Methods MEDLINE and EMBASE databases were searched. All published reports, case series, and clinical trials reviewing SCS for neuropathic pain that included at least 1 individual with SCI were included. Results The initial search identified 376 reports, of which 22 met inclusion criteria, for a total of 69 patients. All reports were of very low quality. A majority of the reported patients were male, underwent tonic stimulation, and reportedly experienced improvement in pain and spasticity, with decreased use of pain medication. Conclusions The synthesized findings from primarily case studies support the safety of SCS in SCI with the suggestion of potential pain relief benefit; however, data from low‐quality studies are insufficient for informing clinical practice. A well‐designed, prospective clinical trial is proposed to further investigate this indication.

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“…No evidence exists for using HF 10kHz in patients who have already had cervical spine surgery except for isolated case reports in analyses of mixed patients' populations with chronic cervical pain with or without previous surgery (7,8).…”

Section: Discussionmentioning

confidence: 99%

“…Even if there is no clear indication of best catheter placement for covering cervical axial pain, case reports suggest the best lead placement is between C2 and C6 vertebral bodies for adequate covering of both neck and upper limbs pain (8,9). Catheter displacement is a common complication of SCS, particularly in the cervical spine.…”

Section: Discussionmentioning

confidence: 99%

High Frequency 10khz Spinal Cord Stimulation for Failed Neck Surgery Syndrome: A Case Report

Tinnirello¹

2018

PMCR

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Four‐Extremity Neurostimulation Using Two Cervical Octapolar Leads and High Frequency of 10 kHz

Abstract: Here we describe a successful case of high-frequency SCS at 10 kHz where profound control of neuropathic pain of all 4 extremities was achieved without the complication of paresthesias. Discussed are future implications of such therapy.

Cited by 4 publications

References 4 publications

Pain Relief and Safety Outcomes with Cervical 10 kHz Spinal Cord Stimulation: Systematic Literature Review and Meta-analysis

Pain Relief and Safety Outcomes with Cervical 10 kHz Spinal Cord Stimulation: Systematic Literature Review and Meta-analysis

Current Evidence Lacking to Guide Clinical Practice for Spinal Cord Stimulation in the Treatment of Neuropathic Pain in Spinal Cord Injury: A Review of the Literature and a Proposal for Future Study

High Frequency 10khz Spinal Cord Stimulation for Failed Neck Surgery Syndrome: A Case Report

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