Spinal Cord Stimulation: Indications and Selection



The selection of proper candidates for implantable spinal cord stimulation is a critical factor for producing acceptable outcomes for patients suffering from severe pain. A device in the proper location with the appropriate programming will not be helpful if the patient is a poor candidate for the therapy or if the disease process does not respond to the application of spinal cord stimulation. This chapter examines important factors for selecting patients who may need a device for the treatment of pain. The selection process can be narrowed into two specific areas – patient-specific characteristics and disease-specific characteristics – and each will be covered in detail in this chapter.


Spinal Cord Injury Personality Disorder Complex Regional Pain Syndrome Spinal Cord Stimulation Antisocial Personality Disorder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Suggested Reading

  1. Cameron T. Safety and efficacy of spinal cord stimulation for the treatment of chronic pain: a 20-year literature review. J Neurosurg. 2004;100(3 suppl Spine):254–267.PubMedGoogle Scholar
  2. Deer T, Raso L. Spinal cord stimulation for refractory angina pectoris and peripheral vascular disease. Pain Physician. 2006;9(4):347–352.PubMedGoogle Scholar
  3. Kumar K, Hunter G, Demeria D. Spinal cord stimulation in treatment of chronic benign pain: challenges in treatment planning and present status, a 22-year experience. Neurosurgery. 2006;58(3):481–496.PubMedGoogle Scholar
  4. North R, Kidd D, Wimberly R, Edwin D. Prognostic value of psychological testing in patients undergoing spinal cord stimulation: a prospective study. Neurosurgery. 1996;39(2):301–310.PubMedCrossRefGoogle Scholar
  5. Oakley J. Spinal cord stimulation: patient selection, technique, and outcomes. Neurosurg Clin N Am. 2003;14(3):365–380.PubMedCrossRefGoogle Scholar
  6. Ohnmeiss D. Patient satisfaction with spinal cord stimulation for predominant complaints of chronic, intractable low back pain. Spine J. 2001;1(5):358–363.PubMedCrossRefGoogle Scholar
  7. Shealy C, Mortimer J, et al. Electrical inhibition of pain by stimulation of the dorsal columns: preliminary clinical report. Anesth Analg. 1967;46:489–491.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Center for Pain ReliefCharlestonUSA

Personalised recommendations