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Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation

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MR-conditionality failure modes: a comparison across various spinal cord stimulators.

Kristy A Fisher¹, Terrance C Jenkins², Vinita Singh¹

¹Chronic Interventional Pain Medicine department of Anesthesiology, Emory University, Atlanta, GA, 30322, USA.

Pain Management

|September 13, 2024

Summary

Spinal cord stimulation (SCS) devices require magnetic resonance imaging (MRI)-conditional labeling for safe chronic pain management. This review details SCS device MRI-conditional status, considering common complications like lead migration.

Keywords:

MR-conditionality battery IPG detachment breakage fracture lead migration spinal cord stimulator (SCS)

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Area of Science:

Biomedical Engineering
Medical Devices
Pain Management

Background:

Spinal cord stimulation (SCS) is a key therapy for chronic pain management.
Magnetic resonance imaging (MRI)-conditional labeling is crucial for SCS device selection.
Device complications, such as lead migration, can impact MRI-conditional safety.

Purpose of the Study:

To compile and analyze the MRI-conditional specifications of current SCS devices.
To evaluate how common SCS device failures affect MRI-conditional status.
To provide a comprehensive reference for clinicians and patients regarding SCS device safety during MRI.

Main Methods:

Systematic literature review of studies published between 2015 and 2024 in PubMed and Google Scholar.
Analysis of US FDA labels for MRI compatibility.
Extraction of technical data from SCS device manufacturers and local representatives.

Main Results:

MRI-conditional status varies among SCS devices.
Lead migration, lead fracture, and battery detachment can compromise MRI-conditional safety.
Specific conditions and limitations for MRI use are detailed for each device.

Conclusions:

Understanding SCS device MRI-conditional limitations is vital for patient safety.
This review offers a consolidated resource on SCS device MRI compatibility under normal and failure conditions.
Further research may be needed to standardize MRI-conditional testing and reporting for SCS devices.