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Use of tissue adhesive to secure spinal epidural stimulating electrodes: technical note
R K Simpson1, J A Halter, D G Auzenne
1Department of Neurosurgery, Baylor College of Medicine, Houston, Texas 77030.
Surgical Neurology
|November 11, 1992
Summary
Securing spinal cord stimulating electrodes (SCS) using fibrin glue after limited laminectomy is a viable alternative. This method prevented electrode migration in four patients over two years, offering a safe solution for pain and spasticity management.
Area of Science:
- Neurosurgery
- Biomaterials
- Pain Management
Background:
- Securing spinal cord stimulating (SCS) electrodes in the epidural space is technically challenging.
- Complications include cerebrospinal fluid leaks and electrode migration, impacting treatment efficacy.
- Limited laminectomy is a surgical approach for SCS electrode placement.
Observation:
- Four patients underwent limited laminectomy for SCS electrode placement to manage pain and/or spasticity.
- Suturing electrodes directly to the dura was not feasible in these cases.
- A tissue adhesive, specifically fibrin glue, was utilized to secure the electrodes.
Findings:
- Two-year follow-up data demonstrated no instances of electrode migration.
- Fibrin glue proved to be an effective and safe method for securing epidural SCS electrodes.
- The technique successfully maintained electrode position without adverse events related to migration.
Implications:
- Fibrin glue represents a promising alternative for stabilizing SCS electrodes when traditional suturing is not possible.
- This approach may reduce the risk of complications associated with electrode placement.
- Improved electrode security can enhance the long-term effectiveness of SCS for chronic pain and spasticity.