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Percutaneous Thoracic Spinal Cord Stimulator Placement.

Alison M Westrup1, Andrew K Conner1

  • 1Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, USA.

Cureus
|April 21, 2021
PubMed
Summary

Spinal cord stimulation (SCS) offers a safe, effective, and reversible treatment for chronic neuropathic pain, outperforming traditional methods. This guide details the percutaneous technique for thoracic SCS placement, enhancing patient access and outcomes.

Keywords:
adultoperative reportpain managementpercutaneousprone positionspinal cord stimulationtechnical report

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Area of Science:

  • Neurosurgery
  • Pain Management
  • Medical Devices

Background:

  • Chronic neuropathic pain affects millions, often inadequately managed by conservative treatments.
  • Spinal cord stimulation (SCS) is an established, reversible therapy for refractory pain.
  • Percutaneous SCS placement offers advantages over traditional laminotomy techniques.

Purpose of the Study:

  • To provide a detailed technical guide for percutaneous thoracic spinal cord stimulator placement.
  • To document a minimally invasive surgical technique for SCS lead insertion.
  • To address the lack of indexed procedural descriptions for percutaneous SCS.

Main Methods:

  • Documentation of the percutaneous technique for spinal cord stimulator placement at an author's institution.
  • Inclusion of intraoperative images and detailed procedural descriptions.
  • Focus on the percutaneous lead insertion method as an alternative to laminotomy.

Main Results:

  • The percutaneous technique demonstrates reduced operative time and anesthesia requirements.
  • Less tissue dissection leads to decreased post-operative pain.
  • Smaller lead footprint accommodates patients with mild spinal stenosis, expanding SCS candidacy.

Conclusions:

  • Percutaneous SCS placement is a safe, effective, and reversible treatment for chronic neuropathic pain.
  • This technique offers advantages including shorter procedures, reduced pain, and broader patient applicability.
  • The provided guide serves as a valuable resource for clinicians performing percutaneous SCS procedures.