Cylindrical Lead Spinal Cord Stimulators: Common Device-Related Issues

Area of Science:

• Neurology
• Biomedical Engineering
• Pain Management

Background:

• Spinal cord stimulator (SCS) implantation is a minimally invasive treatment for neuropathic pain.
• Device-related complications are frequently reported with SCS implants.
• Hardware issues often occur more frequently than biologic complications.

Purpose of the Study:

• To review device-related complications associated with cylindrical lead spinal cord stimulator (SCS) implants.
• To provide a clear and accessible visual summary of key findings on SCS complications.
• To inform clinicians on managing SCS hardware issues for better patient outcomes.

Main Methods:

• Comprehensive literature review of device-related complications from cylindrical lead SCS.
• Analysis of reported hardware problems including lead migration, fracture, disconnection, and generator issues.
• Compilation of clinical presentations, diagnostic evaluations, and management strategies.

Main Results:

• Hardware complications are more prevalent than biologic complications in SCS implants.
• Common device issues include lead migration, lead fracture, lead disconnection, and generator malfunction.
• Other reported issues include loss of charge, generator flipping, pocket pain, and paresthesia intolerance.

Conclusions:

• Understanding SCS device-related complications is critical for successful long-term pain management.
• Effective diagnosis and management strategies are essential to mitigate hardware problems.
• This review and accompanying infographic aim to improve awareness and handling of SCS complications.