Stimulation of the Spinal Cord by the Placement of Surgical Based Paddle Leads
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.
KeywordsEpidural Space Spinal Cord Stimulation Epidural Abscess Lead Placement Posterior Section
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