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The use of laminectomy for the placement of a percutaneous spinal cord stimulation electrode
Tjemme Beems1, Jeroen P Beekwilder, Robert T M van Dongen
1Department of Neurosurgery, Radboud University Medical Centre, Nijmegen The Netherlands.
Objective:
The placement of a percutaneous electrode for trial stimulation to evaluate the effectiveness of spinal cord stimulation can be impossible because of epidural adhesions from previous spinal surgeries. The authors would like to describe a combination of techniques in order to place a percutaneous lead for a test phase.
Materials And Methods:
Technical report of an illustrative case where a partial laminectomy was used to assist a percutaneous lead placement.
Results:
Adequate trial spinal cord stimulation with a single lead electrode at the right target area was possible.
Conclusion:
This case demonstrates the possibility to use a combination of an open and percutaneous technique for trial spinal cord stimulation in patients with prior operations in the target area of stimulation.
