Skip to main content
SpringerLink
Log in

Stimulation of the Spinal Cord by the Placement of Surgical Based Paddle Leads

  • Chapter
  • First Online:
Atlas of Implantable Therapies for Pain Management

Abstract

Spinal cord stimulation can be achieved by placing a needle into the epidural space and then passing a cylindrical lead into the proper place in the posterior section of that space to modulate the neurological function of the neuroaxis. This percutaneous method is favored by the majority of implanters and is the common method of doing trials and most permanent implants. The alternative method of placing a spinal cord stimulation lead is by an open surgical technique in which a small laminectomy is performed to allow a ribbon-type surgical or paddle lead to be placed in an antegrade or retrograde fashion. The paddle or plate lead allows for a more efficient, unidirectional, stable lead that has a different characteristic of stimulation than the percutaneous lead. Paddle leads are indicated based on surgeon preference or other clinical factors detailed in Table 10.1.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  • Falowski S, Celii A, Sharan A. Spinal cord stimulation: an update. Neurotherapeutics. 2008;5:86–99.

    Article  PubMed  Google Scholar 

  • North R, Olin KD, Sieracki J. Spinal cord stimulation electrode design: prospective, randomized, controlled trial comparing percutaneous and laminectomy electrodes-part i: technical outcomes. Neurosurgery. 2002;51(2):381–390.

    PubMed  Google Scholar 

  • Buvanendran A, Lubenow T. Efficacy of transverse tripolar spinal cord stimulator for the relief of chronic low back pain from failed back surgery. Pain Phys. 2008;11(3):333–338.

    Google Scholar 

  • Oakley J, Prager J. Spinal cord stimulation: mechanisms of action. Spine. 2002;27(22):2574–2583.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Center for Pain Relief, Court St. 400, 25301, Charleston, West Virginia, USA

    Timothy R. Deer

Authors
  1. Timothy R. Deer
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Robert M. Levy
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Claudio A. Feler
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Timothy R. Deer .

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Deer, T.R., Levy, R.M., Feler, C.A. (2011). Stimulation of the Spinal Cord by the Placement of Surgical Based Paddle Leads. In: Atlas of Implantable Therapies for Pain Management. Springer, New York, NY. https://doi.org/10.1007/978-0-387-88567-4_10

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-88567-4_10

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-88566-7

  • Online ISBN: 978-0-387-88567-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation