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Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation
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Percutaneously implanted plates in failed back surgery syndrome (FBSS).

Leon H Vonhögen1, Tim Vancamp, Sven Vanneste

  • 1Department of Anesthesiology & Invasive Paintherapy, Sint Maartenskliniek Nijmegen, Nijmegen, The Netherlands. l.vonhogen@maartenskliniek.nl

Neuromodulation : Journal of the International Neuromodulation Society
|October 14, 2011
PubMed
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New plate electrodes for spinal cord stimulation effectively reduced back and leg pain. This minimally invasive technique improved quality of life and patient satisfaction in failed back surgery syndrome patients.

Area of Science:

  • Neuromodulation
  • Pain Management
  • Minimally Invasive Surgery

Background:

  • Failed back surgery syndrome (FBSS) often involves persistent low back and lower extremity pain.
  • Spinal cord stimulation (SCS) is a treatment option for chronic neuropathic pain.
  • Traditional SCS leads may have limitations in covering the back area effectively.

Purpose of the Study:

  • To evaluate the clinical efficacy of novel plate electrodes for SCS in managing back and lower extremity pain.
  • To assess pain reduction, functional improvement, and quality of life in FBSS patients.
  • To determine the effectiveness of percutaneous implantation of S-Series plate electrodes.

Main Methods:

  • Retrospective analysis of 20 consecutive FBSS patients with combined back and leg pain.

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  • Percutaneous implantation of S-Series plate electrodes via a 10-gauge epidural needle.
  • Assessment of pain (VAS), medication use, functional pain, patient satisfaction, and quality of life (QOL) pre- and post-implantation.

    • Main Results:

    • Significant reduction in leg pain (55%) and back pain (45.7%) post-implantation.
    • Sustained pain reduction at one year: 43% for legs, 27% for back.
    • 85% of patients experienced clinically relevant back pain reduction (≥2 points or 30% decrease in VAS).
    • Significant improvements in overall satisfaction (66%) and QOL (70%), sustained at one year.
    • Functional pain decreased by 51%; no infections reported.

    Conclusions:

    • Percutaneous implantation of S-Series plate electrodes offers a minimally invasive approach for SCS.
    • This technique effectively reduces back and leg pain in FBSS patients, supplementing leg coverage.
    • The S-Series electrodes provide significant improvements in pain control, function, satisfaction, and QOL for FBSS patients.