Novel Technique for Insertion of Cervical Spinal Cord Stimulator Percutaneous Leads: Technical Note and Institutional Experience

Ali, Rushna; Chon, Jeewon; Mathews, Letha; Yu, Hong; Konrad, Peter E.

doi:10.1016/j.wneu.2018.07.218

Cited by 3 publications

(4 citation statements)

References 21 publications

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“…Data are less robust for locally invasive procedures for refractory pain, although anecdotal reports and several series have suggested similar efficacy. 3,7,10,13 Denis et al have published their experience with the use of laminectomy in cervical lead placement. 6 The procedure is not without risk.…”

Section: Discussionmentioning

confidence: 99%

Management of post-cervical laminectomy fusion pain syndrome with a successful trial of spinal cord stimulation

Dahbour

Wright

Rusha

et al. 2021

PR9

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Section: Discussionmentioning

confidence: 99%

Management of post-cervical laminectomy fusion pain syndrome with a successful trial of spinal cord stimulation

Dahbour

Wright

Rusha

et al. 2021

PR9

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Section: Introductionmentioning

confidence: 99%

“…Spinal cord stimulation, a form of neuromodulation, has become an effective modality for treating chronic pain conditions since the 1960s [1,2]. A few of the many benefits of spinal cord stimulation are costeffectiveness, improvement in quality of life, and decreased amounts of pain medications prescribed for patients [1,3]. The superiority of spinal cord stimulation compared with conservative treatment (particularly for failed back surgery syndrome) has been evidenced by two randomized controlled trials, detailing the effectiveness in pain improvement and functional outcomes [4,5].…”

Section: Introductionmentioning

confidence: 99%

“…Historically, the laminotomy approach provided lower rates of lead migration; however, with the development of fascial anchors, the two techniques have comparable rates of migration [7]. This technique has been described briefly in textbooks or various novel approaches (i.e., patient in sitting position) [1], but it is not readily and rapidly accessible in peer-reviewed literature. Given that the literature is currently lacking a standard description of the operative technique for percutaneous thoracic spinal cord stimulation implantation, here we illustrate our institutional technique of percutaneous spinal cord stimulator placement.…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous Thoracic Spinal Cord Stimulator Placement

Westrup¹,

Conner²

2021

Cureus

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Spinal cord stimulation is a safe, effective, and reversible method for the management of chronic neuropathic pain. Spinal cord stimulation was found to be superior to traditional conservative management in recent clinical trials. The superiority of this therapeutic strategy is in part due to the many benefits, such as decreased use of prescription pain medications, cost-effectiveness, and improvement in patient quality of life. With appropriate patient consent for photography during the operation per hospital policy, the technical description for percutaneous placement of a spinal cord stimulator was documented at the authors home institution. The percutaneous technique allows for decreased operative times and thus reduced anesthesia, as well as decreased post-operative pain due to less tissue and muscle dissection. Additionally, the percutaneous leads have a smaller footprint in the epidural space, allowing more patients with mild spinal canal stenosis to receive this therapeutic device, which generally precludes paddle placement. These features make the percutaneous method an appealing alternative to the traditional laminotomy technique. The traditional laminotomy approach for paddle lead placement has been well described in the literature. However, detailed and indexed techniques of the percutaneous alternative are lacking. This technical description provides the first, easily accessible technical guide for the percutaneous placement of thoracic spinal cord stimulators. The operative technique was documented with images and detailed descriptions at the authors home institution.

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The Neurostimulation Appropriateness Consensus Committee (NACC): Recommendations on Best Practices for Cervical Neurostimulation

Deer

Russo

Grider

et al. 2022

Neuromodulation: Technology at the Neural Interface

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Novel Technique for Insertion of Cervical Spinal Cord Stimulator Percutaneous Leads: Technical Note and Institutional Experience

Cited by 3 publications

References 21 publications

Management of post-cervical laminectomy fusion pain syndrome with a successful trial of spinal cord stimulation

Management of post-cervical laminectomy fusion pain syndrome with a successful trial of spinal cord stimulation

Percutaneous Thoracic Spinal Cord Stimulator Placement

The Neurostimulation Appropriateness Consensus Committee (NACC): Recommendations on Best Practices for Cervical Neurostimulation

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