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Spinal cord stimulators: typical positioning and postsurgical complications.

Elcin Zan1, Kubra Neslihan Kurt, David M Yousem

  • 1Department of Radiology, Johns Hopkins Hospital, 600 N Wolfe St., Phipps B-100F, Baltimore, MD 21287-2182, USA.

AJR. American Journal of Roentgenology
|January 25, 2011
PubMed
Summary

Spinal cord stimulator (SCS) placement varies by electrode type and pain location. Radiologists must recognize typical SCS positioning and potential complications like lead misplacement, which can impact pain relief.

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Area of Science:

  • Radiology
  • Neurosurgery
  • Pain Management

Background:

  • Spinal cord stimulators (SCS) are used for chronic pain.
  • Radiological literature lacks comprehensive descriptions of SCS positioning and complications.

Purpose of the Study:

  • To describe SCS electrode types, locations, and associated complications.
  • To inform radiologists about expected SCS placement and potential issues.

Main Methods:

  • Retrospective review of 36 SCSs in 24 patients over 5 years.
  • Analysis of imaging (CT) and medical records for electrode type, location, and complications.

Main Results:

  • Fourteen electrode types identified; most placed in the thoracic spine.

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  • Electrodes typically located in the epidural space, posterior one-third of the spinal canal.
  • Complications included lead issues, thecal sac puncture, infection, and hematoma.

    • Conclusions:

    • Radiologists need familiarity with diverse SCS electrodes and typical spinal locations.
    • Improper SCS electrode placement can lead to poor pain relief and complications.