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Cylindrical Lead Spinal Cord Stimulators: Common Device-Related Issues.

Jamal Hasoon1, Omar Viswanath2,3, Thomas T Simopoulos4

  • 11. Department of Anesthesiology, Critical Care, and Pain Medicine University of Texas Health Science Center at Houston.

Orthopedic Reviews
|October 30, 2025
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Summary

Spinal cord stimulator (SCS) hardware complications, including lead issues and device malfunctions, are more common than biologic problems. Understanding and managing these device-related issues is crucial for effective neuropathic pain treatment.

Keywords:
Spinal cord stimulationcylindrical leaddevice-related complicationslead migrationneuromodulation

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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.