Physician Guided Lead Placement: Making the Lead go to the Target

  • Timothy R. Deer
  • Louis J. Raso
  • Stanley Golovac


The successful placement of a lead has several components. The physician must choose a patient with acceptable anatomy for placement, properly insert a needle, and pick a target for desired lead location for proper stimulation. In many patients, the most difficult component of the procedure is guiding the lead from the needle to the end location. Multiple factors will influence the ease in which this task is completed. By modifying the technique, the physician can maximize the ease in which the lead is guided to the target.


Epidural Space Ligamentum Flavum Target Zone Lead Placement Root Entry Zone 
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Suggested Reading

  1. Bradley K. The technology: the anatomy of a spinal cord and nerve root stimulator: the lead and the power source. Pain Med. 2006;7(s1):S27–S34.CrossRefGoogle Scholar
  2. North RB, Kidd DH, Olin JC, Sieracki JM. Spinal cord stimulation electrode design: prospective randomized, controlled trial comparing percutaneous and laminectomy electrodes-part I: technical outcomes. Neurosurgery. 2002;51(2):381–390.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Timothy R. Deer
    • 1
  • Louis J. Raso
  • Stanley Golovac
  1. 1.Center for Pain ReliefCharlestonUSA

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