Related Experiment Video
Updated: Mar 2, 2026
04:42
Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation
Published on: June 26, 2018
15.2K
Factors Predicting Complications After Sacral Neuromodulation in Children
Molly E Fuchs1, Peter L Lu2, Stephanie J Vyrostek3
1Division of Pediatric Urology, Nationwide Children's Hospital, Columbus, OH.
Urology
|May 21, 2017
Summary
Pediatric sacral neuromodulation (SNM) showed no link between age, gender, or BMI and complications. However, children with bladder issues had more lead problems after SNM.
Area of Science:
- Pediatric Urology
- Neuromodulation
- Surgical Outcomes
Background:
- Sacral neuromodulation (SNM) is used for pediatric functional bowel and bladder disorders.
- Identifying preoperative factors associated with postoperative complications is crucial for optimizing patient outcomes.
Purpose of the Study:
- To investigate preoperative variables associated with postoperative complications in pediatric patients undergoing sacral neuromodulation (SNM).
Main Methods:
- A retrospective review of 63 pediatric patients who underwent SNM between 2012 and 2015.
- Data collected included demographics, indication for SNM (bowel vs. bladder), and postoperative complications (infection, lead migration, reoperation).
- Multivariate analysis was employed to identify associations between preoperative factors and complications.
Main Results:
- No significant associations were found between patient age, gender, or body mass index (BMI) and the risk of reoperation, wound infection, or lead migration.
- A statistically significant increase in lead migration was observed in children undergoing SNM for primarily bladder symptoms (P=0.0034).
- Reoperation was required in 25% of patients, with a mean time to reoperation of 10.9 months.
Conclusions:
- Age, gender, and BMI are not associated with postoperative complications following pediatric SNM.
- Children with primarily bladder symptoms may experience a higher rate of lead complications, warranting further investigation.
