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Best Practices in Spinal Cord Stimulation.

B Todd Sitzman1, David A Provenzano2

  • 1Advanced Pain Therapy, Hattiesburg, MS.

Spine
|May 2, 2017
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Summary
This summary is machine-generated.

This review summarizes clinical best practices for spinal cord stimulation (SCS), offering guidance on patient selection, management, and device choice for refractory pain. Adhering to these guidelines can optimize outcomes and improve patient care.

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Area of Science:

  • Neurology
  • Pain Management
  • Medical Device Technology

Background:

  • Spinal cord stimulation (SCS) has alleviated suffering for over 30 years in refractory pain conditions.
  • Prospective studies confirm SCS benefits: reduced pain, improved function, and lower healthcare costs in select groups.
  • Clinical application of SCS varies due to physician training, practice variations, and insurance coverage.

Purpose of the Study:

  • To summarize published evidence-based guidelines for spinal cord stimulation (SCS) utilization.
  • To provide guidance on patient selection, disease indications, perioperative management, and complication mitigation.
  • To emphasize durable outcomes and cost-effective care delivery in SCS.

Main Methods:

  • Review of clinical best practices for spinal cord stimulation (SCS).
  • Synthesis of published studies, case reports, evidence-based guidelines, and expert consensus.
  • Focus on enhancing physician competency and patient care through improved outcomes.

Main Results:

  • Provides a guide for SCS implantation and patient selection.
  • Offers ranked recommendations for diseases benefiting most from SCS.
  • Details complication mitigation strategies and SCS modality selection for specific pain conditions.

Conclusions:

  • SCS is safe and effective for various pain conditions, with emerging modalities offering greater efficacy.
  • Careful patient selection and management are crucial for maximizing SCS benefits.
  • Optimizing patient and device management is key to realizing the full promise of SCS therapy.