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Biplane fluoroscopy-guided percutaneous spinal cord stimulation.

I Miura1, S Horisawa1, T Kawamata1

  • 1Department of Neurosurgery, Tokyo Women's Medical University, Tokyo, Japan.

Neuro-Chirurgie
|July 13, 2023
PubMed
Summary
This summary is machine-generated.

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Biplane fluoroscopy significantly reduces surgical duration for placing two spinal cord stimulation (SCS) leads. This method offers a safe and practical enhancement for SCS lead implantation procedures.

Area of Science:

  • Neurosurgery
  • Medical Imaging

Background:

  • Fluoroscopy is a key imaging technique for spinal cord stimulation (SCS) lead placement.
  • Biplane fluoroscopy offers potential advantages over traditional monoplane imaging.

Purpose of the Study:

  • To validate the use of biplane fluoroscopy for SCS lead placement.
  • To determine if biplane fluoroscopy can safely decrease surgical time.

Main Methods:

  • Retrospective analysis of clinical data from 2015-2022 for patients undergoing SCS lead placement.
  • Recording surgical phase duration and total radiation exposure time.

Main Results:

  • Biplane fluoroscopy significantly reduced surgical duration for two-lead SCS placements (P=0.002).
  • No significant difference in radiation exposure was noted between monoplane and biplane fluoroscopy for one or two lead placements.
Keywords:
Biplane fluoroscopyLead replacementSpinal cord stimulation

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  • Study included 41 patients with 13 receiving one lead and 28 receiving two leads.

    • Conclusions:

    • Biplane fluoroscopy is a practical and safe advancement for SCS lead implantation.
    • The technique effectively shortens operative time, particularly for complex cases involving multiple leads.