Serious Issues in Authorship, Design, and Conclusions of JAMA Neurology Real-World Evidence Study on Spinal Cord Stimulation Outcomes and Costs as Compared to Conventional Medical Therapy

History and Future of Spinal Cord Stimulation

“…A recent randomized clinical trial that included patients with chronic radicular pain after spine surgery found no significant difference in back pain–related disability with burst SCS vs placebo. 73 The participants first underwent a SCS trial using a tonic waveform paradigm, and positive responders underwent permanent implant using a different, namely burst, waveform. In addition, the burst waveform used in this study differed from what has been used in multiple preclinical and clinical studies.…”