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Spinal cord stimulation in failed back surgery syndrome
Christian De La Porte1, Erik Van de Keift
1Department of Neurosurgery, Universitair Ziekenhuis Antwerpen, EdegemBelgium.
Pain
|January 1, 1993
Summary
Spinal cord stimulation effectively manages failed back surgery syndrome pain, with over half of patients experiencing significant long-term relief and improved daily function. This treatment also facilitates medication reduction and continued device use.
Area of Science:
- Neurosurgery
- Pain Management
- Neuromodulation
Background:
- Failed back surgery syndrome (FBSS) presents a significant challenge in pain management.
- Identifying predictors for successful long-term outcomes in FBSS patients is crucial.
Purpose of the Study:
- To evaluate the effectiveness of spinal cord stimulation (SCS) for FBSS.
- To assess patient and selection characteristics influencing SCS long-term outcomes.
Main Methods:
- Retrospective review of 78 FBSS patients undergoing SCS trial.
- Selection criteria included excellent pain relief during trial and absence of major psychiatric issues.
- Neuroradiological and electromyogram assessments were performed.
- Mean follow-up of 4 years for 64 patients with implanted systems.
Main Results:
- 18% of patients did not achieve adequate pain relief during SCS trial.
- 55% of patients experienced at least 50% pain relief at long-term follow-up.
- 90% reduced medication, 61% improved daily activities, and 83% continued SCS use.
Conclusions:
- Spinal cord stimulation is an effective treatment option for select FBSS patients.
- Successful SCS trial and appropriate patient selection are key predictors of positive long-term outcomes.
- SCS significantly improves quality of life, reduces medication dependency, and is well-tolerated long-term.