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Thoracolumbar Spinal Cord Stimulator Trial: Procedural Technique
David Stolzenberg1, Junyoung J Ahn2, Mayan Lendner3
1Departments of Physical Medicine and Rehabilitation.
Spinal cord stimulator (SCS) trials offer a treatment option for persistent back and limb pain after laminectomy, and for complex regional pain syndrome. This guide details the SCS procedure, management, and potential challenges.
Area of Science:
- Neurosurgery
- Pain Management
- Medical Devices
Background:
- Persistent post-laminectomy syndrome and refractory complex regional pain syndrome present significant treatment challenges.
- Conservative treatments and further surgical interventions may be unsuitable for some patients.
Purpose of the Study:
- To provide a comprehensive guide for spinal cord stimulator (SCS) trials.
- To detail patient preparation, procedural steps, and postoperative care for SCS implantation.
Main Methods:
- The article outlines patient positioning and setup for SCS trials.
- Step-by-step procedural instructions are provided.
- Postoperative management protocols are discussed.
Main Results:
- The article serves as an instructional resource for performing SCS trials.
- It highlights pearls and pitfalls to optimize procedural success and patient outcomes.
Conclusions:
- Spinal cord stimulator trials are a viable option for specific chronic pain conditions.
- Proper patient selection, procedural technique, and management are crucial for effective pain relief.
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