Thoracic and Lumbar Dorsal Root Ganglion Spinal Stimulation
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.
KeywordsNeuropathic pain Complex regional pain syndrome (CRPS) I and II Spinal cord stimulation Dorsal root ganglion (DRG) ACCURATE Transforaminal ligaments
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