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Related Experiment Videos

Persistent pain following lumbar disc replacement.

Kevin L Wininger¹, Kedar K Deshpande, Michelle L Bester

¹Orthopaedic & Spine Center in Columbus, Ohio, USA.

Radiologic Technology

|May 19, 2012

Summary

Spinal cord stimulation (SCS) effectively manages intractable pain after artificial disc replacement when other treatments fail. This neuroaugmentive technique significantly improved a patient's quality of life and reduced pain by over 75%.

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Area of Science:

Spinal surgery
Pain management
Biomechanical modeling

Background:

Facet and sacroiliac joint pain after lumbar total disc replacement (TDR) correlates with biomechanical load transfer.
Intractable pain following TDR often necessitates advanced treatment options when conventional therapies are exhausted.

Observation:

A patient with persistent pain post-TDR, unresponsive to injections and physical therapy over three years, was considered for spinal cord stimulation (SCS) over reoperation.
A constant-current multiple source SCS system was implanted.

Findings:

At 12-month follow-up, the implanted SCS system reduced the patient's pain by over 75%.
The patient reported significant improvements in quality of life, including restored restful sleep.

Implications:

Spinal cord stimulation (SCS) presents a viable and effective neuroaugmentive technique for managing refractory pain associated with artificial disc implants.
This case highlights the potential of SCS as an alternative to fusion surgery for intractable pain after TDR.