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Spinal cord stimulation for the failed back syndrome

M S LeDoux1, K H Langford

  • 1Division of Neurosurgery, University of Alabama, School of Medicine, Birmingham.

Spine
|February 1, 1993
PubMed
Summary

Spinal cord stimulation offers significant pain relief for carefully selected failed back syndrome patients. Long-term studies show over 70% achieved substantial pain reduction, despite common electrode migration complications.

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Area of Science:

  • Neurosurgery
  • Pain Management
  • Neuromodulation

Background:

  • Failed back syndrome (FBS) presents a significant challenge in pain management.
  • Current treatment options for FBS often yield suboptimal outcomes.
  • Spinal cord stimulation (SCS) is an emerging therapeutic option for refractory neuropathic pain.

Purpose of the Study:

  • To evaluate the long-term efficacy and safety of spinal cord stimulation (SCS) in patients with failed back syndrome (FBS).
  • To determine the proportion of patients achieving significant pain relief with SCS.
  • To identify common complications associated with SCS in this patient population.

Main Methods:

  • A cohort of 32 patients with FBS underwent a trial of SCS.
  • Stimulators were internalized in 26 patients, with long-term follow-up for 23.

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  • Pain relief was assessed at 1 and 2 years post-implantation.

    • Main Results:

    • At 1 year, 76% of patients (22/29) with implanted stimulators reported >=50% pain relief.
    • At 2 years, 74% of patients (19/26) with implanted stimulators reported >=50% pain relief.
    • Electrode migration was the most frequent complication.

    Conclusions:

    • Spinal cord stimulation is an effective treatment for carefully selected FBS patients.
    • SCS provides durable pain relief for a majority of patients.
    • Careful patient selection and management of complications are crucial for successful SCS outcomes.