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Spinal cord stimulator--trial lead migration study.

Michael D Osborne¹, Salim M Ghazi, Scott C Palmer

¹Mayo Clinic Florida, Jacksonville, Florida 32224, USA. Osborne.michael@mayo.edu

Pain Medicine (Malden, Mass.)

|December 15, 2010

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Spinal cord stimulator (SCS) trial leads migrate significantly. Anchoring with suture and tape causes more lead migration than tape alone during a 3-day trial.

Area of Science:

Neurosurgery
Pain Management
Medical Devices

Background:

Spinal cord stimulator (SCS) trials are crucial for pain management.
Lead migration during SCS trials can impact efficacy and patient outcomes.
Standardized methods are needed to assess lead stability.

Purpose of the Study:

To investigate the extent of percutaneous SCS lead migration during a 3-day trial.
To determine if different skin anchoring methods affect lead migration.

Main Methods:

Prospective enrollment of 20 patients undergoing SCS trials.
Comparison of two anchoring methods: suture and tape vs. tape only.
Standardized X-ray imaging to measure lead position immediately after placement and at trial completion.

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Main Results:

SCS leads demonstrated significant inferior migration during the 3-day trial.
Leads anchored with tape only migrated an average of 8.72 mm.
Leads anchored with suture and tape migrated an average of 24.49 mm, a statistically significant difference (P=0.001).

Conclusions:

Percutaneous SCS trial electrodes exhibit significant inferior migration over a 3-day period.
Suture and tape anchoring is associated with substantially greater lead migration compared to tape-only anchoring.
These findings suggest optimizing anchoring techniques to improve SCS trial reliability.