Spinal Cord Injury Induced by a Cervical Spinal Cord Stimulator

Falowski, Steven; Ooi, Yinn Cher; Sabesan, Arvind; Sharan, Ashwini

doi:10.1111/j.1525-1403.2010.00313.x

Cited by 16 publications

(18 citation statements)

References 13 publications

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“…It is important to note, that the present rate of neurological injury refers only the immediate postoperative period. Rates of neurological injury due to cSCS will be even higher with known long-term neurological complications of cSCS including remote spinal cord injury from stimulator mass effect, 9 local tissue reaction causing cord injury, 5,16,21,30,34 and lead migration. Aside from direct cord injury, and epidural hematoma, associated neurological deficits remain a concern after cSCS and are described in case reports.…”

Section: Discussionmentioning

confidence: 99%

Rate of perioperative neurological complications after surgery for cervical spinal cord stimulation

Chan¹,

Winkler²,

Jacques³

2016

SPI

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OBJECTIVE Cervical spinal cord stimulation (cSCS) is used to treat pain of the cervical region and upper extremities. Case reports and small series have shown a relatively low risk of complication after cSCS, with only a single reported case of perioperative spinal cord injury in the literature. Catastrophic cSCS-associated spinal cord injury remains a concern as a result of underreporting. To aid in preoperative counseling, it is necessary to establish a minimum rate of spinal cord injury and surgical complication following cSCS. METHODS The Nationwide Inpatient Sample (NIS) is a stratified sample of 20% of all patient discharges from nonfederal hospitals in the United States. The authors identified discharges with a primary procedure code for spinal cord stimulation (ICD-9 03.93) associated with a primary diagnosis of cervical pathology from 2002 to 2011. They then analyzed short-term safety outcomes including the presence of spinal cord injury and neurological, medical, and general perioperative complications and compared outcomes using univariate analysis. RESULTS Between 2002 and 2011, there were 2053 discharges for cSCS. The spinal cord injury rate was 0.5%. The rates of any neurological, medical, and general perioperative complications were 1.1%, 1.4%, and 11.7%, respectively. There were no deaths. CONCLUSIONS In the largest series of cSCS, the risk of spinal cord injury was higher than previously reported (0.5%). Nonetheless, this procedure remains relatively safe, and physicians may use these data to corroborate the safety of cSCS in an appropriately selected patient population. This may become a key treatment option in an increasingly opioid-dependent, aging population.

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Section: Discussionmentioning

confidence: 99%

Rate of perioperative neurological complications after surgery for cervical spinal cord stimulation

Chan¹,

Winkler²,

Jacques³

2016

SPI

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“…The application of a strict protocol, based on safety criteria previously established in relation both to the MRI technique and to programming of the neurostimulation system , results in low patient morbidity. For several years, various centers have performed a variety of MRI examinations with few reported complications .…”

Section: Device‐related Complicationsmentioning

confidence: 99%

The Appropriate Use of Neurostimulation: Avoidance and Treatment of Complications of Neurostimulation Therapies for the Treatment of Chronic Pain

Deer¹,

Mekhail

Provenzano³

et al. 2014

Neuromodulation: Technology at the Neural Interface

156

182

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“…Left undiagnosed, these scenarios risk post-implantation adverse events, such as cord compression with subsequent myelopathy or paresis. A reported case of cervical spinal cord injury sustained from a fall after implantation demonstrates the need to assess for asymptomatic and undiagnosed degenerative changes that could lead to canal compromise and stenosis in the setting of a spaceoccupying lead (4).…”

Section: Letter To the Editormentioning

confidence: 99%

Pre-Operative Imaging for Spinal Cord Stimulation: A Case Report of a Spinal Cord Tumor Identified by Screening Magnetic Resonance Imaging of the Thoracic Spine

Stone

Falowski

2019

Neuromodulation: Technology at the Neural Interface

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Spinal Cord Injury Induced by a Cervical Spinal Cord Stimulator

Cited by 16 publications

References 13 publications

Rate of perioperative neurological complications after surgery for cervical spinal cord stimulation

Rate of perioperative neurological complications after surgery for cervical spinal cord stimulation

The Appropriate Use of Neurostimulation: Avoidance and Treatment of Complications of Neurostimulation Therapies for the Treatment of Chronic Pain

Pre-Operative Imaging for Spinal Cord Stimulation: A Case Report of a Spinal Cord Tumor Identified by Screening Magnetic Resonance Imaging of the Thoracic Spine

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