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Spinal cord stimulation in chronic pain: technical advances.
Emil Isagulyan1, Konstantin Slavin2, Nikolay Konovalov3
1Department of Functional Neurosurgery, Federal State Autonomous Institution «N.N. Burdenko National Scientific and Practical Center for Neurosurgery of the Ministry of Healthcare of the Russian Federation», Moscow, Russia.
The Korean Journal of Pain
|April 3, 2020
Summary
Spinal cord stimulation (SCS) offers an effective, long-term solution for chronic neuropathic pain, improving quality of life. Advances in SCS technology reduce complications and enhance treatment outcomes, avoiding addiction.
Area of Science:
- Neurology
- Pain Management
- Biomedical Engineering
Background:
- Chronic severe pain significantly impairs quality of life and often leads to medication abuse.
- Opioid-based treatments for chronic pain frequently lack efficacy and carry risks.
- Spinal cord stimulation (SCS) presents a highly effective interventional method for achieving long-term relief from chronic neuropathic pain.
Purpose of the Study:
- To review the current status of spinal cord stimulation (SCS) therapies.
- To highlight recent technical advancements in SCS systems and techniques.
Main Methods:
- Review of current literature on spinal cord stimulation.
- Analysis of novel SCS modalities, techniques, and technological developments.
Main Results:
- Conventional tonic stimulation has evolved into newer modalities like high-frequency and burst stimulation.
- Advanced techniques include dorsal root ganglia stimulation, with systems becoming wireless and implant-free.
- Improvements in SCS systems lead to reduced complications, fewer revision surgeries, and better long-term results, mitigating addiction risks.
Conclusions:
- Spinal cord stimulation is a leading technology for managing chronic neuropathic pain.
- Ongoing technical innovations are enhancing the safety, efficacy, and patient outcomes of SCS.
- Novel SCS approaches offer improved long-term pain management and reduced potential for medication dependence.
