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Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation
Published on: June 26, 2018
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[Spinal anesthesia for patients harboring a neurostimulator]
Marco Reining1, Katharina Voigt2, Falk Gonnert2
1Klinik für Schmerz- und Palliativmedizin, SRH Wald-Klinikum Gera GmbH, Straße des Friedens 122, 07549, Gera, Deutschland. marco.reining@srh.de.
Die Anaesthesiologie
|August 4, 2022
Summary
This case study details spinal anesthesia for knee replacement in an 82-year-old patient with a spinal cord stimulation system. The procedure was successful, with the system functioning normally post-surgery.
Area of Science:
- Anesthesiology
- Neurosurgery
- Pain Management
Background:
- An 82-year-old male patient with a spinal cord stimulation (SCS) system required knee joint replacement surgery.
- Spinal anesthesia was chosen due to the patient's pre-existing medical conditions.
- The patient consulted a pain physician for recommendations regarding the anesthesia puncture site.
Observation:
- The patient presented for a premedication consultation prior to elective knee replacement.
- A spinal cord stimulation system was already implanted in the patient.
- The surgical team followed the pain physician's advice for the puncture site selection.
Findings:
- An uncomplicated lumbar puncture at the L4/5 level was successfully performed.
- Adequate spinal anesthesia was achieved for the knee joint replacement surgery.
- Postoperative assessment confirmed the spinal cord stimulation system was functioning as expected.
Implications:
- This case demonstrates the feasibility and safety of using spinal anesthesia in patients with implanted spinal cord stimulation systems for orthopedic surgery.
- Careful planning and interdisciplinary consultation (anesthesiology, pain management, surgery) are crucial for managing patients with complex medical histories and implanted devices.
- Further research may explore optimal anesthetic techniques and monitoring strategies for patients with SCS undergoing major surgery.
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