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Effect of a novel fixation method for spinal cord stimulators
William Porter McRoberts1, Paul Wu, Ishmael Bentley
1Holy Cross Interventional Spine and Pain Medicine, Orthopedic Institute, Fort Lauderdale, FL, USA Anulex Technologies Inc., Minnetonka, MN, USA.
Neuromodulation : Journal of the International Neuromodulation Society
|September 20, 2012
Summary
A novel fixation device for spinal cord stimulation significantly reduces incision size and shows promise for decreased operating time. This technique resulted in no complications or lead migrations in ten patients.
Area of Science:
- Neurosurgery
- Minimally Invasive Procedures
Background:
- Spinal cord stimulation (SCS) is a standard treatment for chronic pain, particularly failed back surgery syndrome.
- Minimizing surgical invasiveness, such as incision size and operative time, is crucial for patient outcomes and physician efficiency.
Purpose of the Study:
- To evaluate the initial findings of a novel lead fixation device (fiXate) in percutaneous SCS.
- To assess the impact of this device on incision size and surgical technique.
Main Methods:
- A consecutive case series of ten patients undergoing permanent percutaneous SCS implantation.
- Utilized the fiXate device for affixing SCS leads to the thoracodorsal fascia.
- Incision size was determined by surgical visualization and working space requirements.
Main Results:
- The average midline incision size was 2.2 cm (range 1.9-2.6 cm), indicating significant minimization.
- No complications or adverse events were reported in any of the ten cases.
- No lead migrations were observed during an average follow-up of 18 weeks (range 11-26 weeks).
Conclusions:
- The novel fiXate device facilitates a reduction in incision size for percutaneous SCS.
- Potential benefits include reduced tissue morbidity, lower infection risk, and decreased operating/anesthesia time.
- The device appears to offer greater lead stability compared to standard suturing techniques.
