Spinal Cord Stimulation (SCS) in Conjunction With Peripheral Nerve Field Stimulation (PNfS) for the Treatment of Complex Pain in Failed Back Surgery Syndrome (FBSS)

Evaluation of the Effectiveness of Percutaneous Octapolar Leads in Pain Treatment with Spinal Cord Stimulation of Patients with Failed Back Surgery Syndrome During a 1‐Year Follow‐Up: A Prospective Multicenter International Study

“…Several new treatment options, involving refinement of traditional SCS, have therefore evolved in order to find a solution to this problem. Recent reports on the use of multicolumn surgical paddle leads utilizing an algorithmic programing approach, peripheral nerve field stimulation in combination with SCS, 10‐kHz high‐frequency stimulation, and so‐called burst stimulation have presented with varying success in treating the axial low back pain component in FBSS patients. High‐frequency SCS in particular has shown promising long‐term results in the management of chronic low back pain .…”

Spinal cord stimulation for neuropathic pain: current perspectives

“…PNFS has been described in a couple of case reports,58,59,67 smaller cases series,56,62,65 and some studies with higher case numbers 61,64,68. A retrospective multicentre study on 111 patients with chronic low back pain, FBSS, cervical pain, postherpetic neuralgia, tension headache, and some patients with trigeminal neuralgia or thoracic pain showed that the relatively best pain relief was obtained in patients with thoracic back pain, whereas the least pain relief was seen in patients with tension headache.…”

“…First publications on PNFS dealt with chronic abdominal pain 56,57. Later, studies concerning chronic thoracic pain,58,59 chronic low back pain,60–63 failed back surgery syndrome (FBSS),64,65 and sacroiliac joint pain66 also were published.…”

“…A so-called “hybrid simulation”, combining SCS and PFNS, has also been proposed for various pain syndromes 61,62,65,67,72–74…”

Spinal Cord Stimulation in Failed Back Surgery Syndrome: Review of Clinical Use, Quality of Life and Cost-Effectiveness

“…FBSS causes serious problems in terms of its social, physical, and psychological effects on the affected individuals [53]. Many studies showed statistically significant difference, measured in psycho-sociological questionnaires, between baseline and follow-up [5455].…”