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Thoracic and Lumbar Dorsal Root Ganglion Spinal Stimulation

  • Denis G. Patterson
  • Pankaj Mehta
  • Javid Baksh
  • Mathew Roberts
  • Maged Guirguis
  • Corey W. Hunter
  • Jason E. Pope
  • Jeffery Rowe
  • Dawood Sayed
  • Jonathan D. Carlson
Chapter

Abstract

Spinal cord stimulation (SCS) has been used to treat a variety of neuropathic pain syndromes with strong evidence for its value in treating complex regional pain syndrome (CRPS) and failed back surgery syndrome (FBSS). Commonly when was used for focal neuropathic pain syndromes such as in CRPS I and II, SCS missed coverage for the most distal part of extremity or produced bothering extraneous paresthesia outside the painful areas. This leads to poor satisfaction scores and possibly leading to explant of the therapy. Recent advances in the space of implantable therapies have shown that dorsal root ganglion (DRG), a spinal structure located in the spinal foramen, can be modulated for such focal neuropathic pain syndromes with highly specific pain relief to the painful area and no extraneous paresthesia, thus leading to better outcomes and higher patient satisfaction scores.

Keywords

Neuropathic pain Complex regional pain syndrome (CRPS) I and II Spinal cord stimulation Dorsal root ganglion (DRG) ACCURATE Transforaminal ligaments 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Denis G. Patterson
    • 1
  • Pankaj Mehta
    • 2
  • Javid Baksh
    • 3
  • Mathew Roberts
    • 4
  • Maged Guirguis
    • 5
    • 6
    • 7
  • Corey W. Hunter
    • 8
    • 9
  • Jason E. Pope
    • 10
  • Jeffery Rowe
    • 11
  • Dawood Sayed
    • 12
  • Jonathan D. Carlson
    • 13
    • 14
    • 15
  1. 1.Nevada Advanced Pain SpecialistsRenoUSA
  2. 2.Pain Specialists of AustinKilleenUSA
  3. 3.Premier Pain SolutionsAshevilleUSA
  4. 4.Medical University of South CarolinaCharlestonUSA
  5. 5.Interventional Pain Management, Department of Anesthesiology & Critical Care MedicineOchsner Health SystemNew OrleansUSA
  6. 6.University of Queensland Ochsner Medical SchoolBrisbaneAustralia
  7. 7.Louisiana State University School of MedicineNew OrleansUSA
  8. 8.Department of Rehabilitation MedicineIcahn School of Medicine at Mount SinaiNew YorkUSA
  9. 9.Ainsworth Institute of Pain ManagementNew YorkUSA
  10. 10.Evolve Restorative CenterSanta RosaUSA
  11. 11.Main Line Spine & Main Line Spine Surgery CenterKing of PrussiaUSA
  12. 12.The University of Kansas Health SystemKansas CityUSA
  13. 13.Hawaii Pain & SpineKailuaUSA
  14. 14.Midwestern Medical SchoolGlendaleUSA
  15. 15.Hawaii Pain & Spine, Arizona PainKailuaUSA

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