Skip to main content

Technical Considerations in Percutaneous Placement of Spinal Cord Stimulation Devices

  • Chapter
  • First Online:
Spinal Canal Stenosis

Abstract

The last several decades have witnessed exponential advances in the technology and use of spinal cord neuromodulation for the treatment of chronic refractory pain syndromes in patients whom medical and surgical management have been exhausted. This chapter focuses on the technical aspects of percutaneous placement of SCN devices, emphasizing patient selection, technique, and complications.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Linderoth B, Foreman RD. Physiology of spinal cord stimulation: review and update. Neuromodulation: J Int Neuromodulation Soc. 1999;2(3):150–64.

    Article  CAS  Google Scholar 

  2. Oakley JC, Prager JP. Spinal cord stimulation: mechanisms of action. Spine. 2002;27(22):2574–83.

    Article  PubMed  Google Scholar 

  3. North RB, Kidd DH, Farrokhi F, Piantadosi SA. Spinal cord stimulation versus repeated lumbosacral spine surgery for chronic pain: a randomized, controlled trial. Neurosurgery. 2005;56(1):98–106; discussion −7.

    PubMed  Google Scholar 

  4. Kumar K, North R, Taylor R, Sculpher M, Van den Abeele C, Gehring M, et al. Spinal cord stimulation vs. conventional medical management: a prospective, randomized, controlled, multicenter study of patients with failed back surgery syndrome (PROCESS Study). Neuromodulation: J Int Neuromodulation Soc. 2005;8(4):213–8.

    Article  Google Scholar 

  5. Kumar K, Taylor RS, Jacques L, Eldabe S, Meglio M, Molet J, et al. Spinal cord stimulation versus conventional medical management for neuropathic pain: a multicentre randomised controlled trial in patients with failed back surgery syndrome. Pain. 2007;132(1–2):179–88.

    Article  PubMed  Google Scholar 

  6. Kumar K, Taylor RS, Jacques L, Eldabe S, Meglio M, Molet J, et al. The effects of spinal cord stimulation in neuropathic pain are sustained: a 24-month follow-up of the prospective randomized controlled multicenter trial of the effectiveness of spinal cord stimulation. Neurosurgery. 2008;63(4):762–70; discussion 70.

    Article  PubMed  Google Scholar 

  7. Day M. Neuromodulation: spinal cord and peripheral nerve stimulation. Curr Rev Pain. 2000;4(5):374–82.

    Article  CAS  PubMed  Google Scholar 

  8. Brook AL, Georgy BA, Olan WJ. Spinal cord stimulation: a basic approach. Tech Vasc Interv Radiol. 2009;12(1):64–70.

    Article  PubMed  Google Scholar 

  9. Deer TR, Mekhail N, Provenzano D, Pope J, Krames E, Leong M, et al. The appropriate use of neurostimulation of the spinal cord and peripheral nervous system for the treatment of chronic pain and ischemic diseases: the neuromodulation appropriateness consensus committee. Neuromodulation : J Int Neuromodulation Soc. 2014;17(6):515–50; discussion 50.

    Article  Google Scholar 

  10. Deer TR, Mekhail N, Provenzano D, Pope J, Krames E, Thomson S, et al. The appropriate use of neurostimulation: avoidance and treatment of complications of neurostimulation therapies for the treatment of chronic pain. Neuromodulation : J Int Neuromodulation Soc. 2014;17(6):571–97; discussion 97–8.

    Article  Google Scholar 

  11. Alo KM. Lead positioning and programming strategies in the treatment of complex pain. Neuromodulation : J Int Neuromodulation Soc. 1999;2(3):165–70.

    Article  CAS  Google Scholar 

  12. Kumar K, Caraway DL, Rizvi S, Bishop S. Current challenges in spinal cord stimulation. Neuromodulation: J Int Neuromodulation Soc. 2014;17 Suppl 1:22–35.

    Article  Google Scholar 

  13. Levy RM. Anatomic considerations for spinal cord stimulation. Neuromodulation: J Int Neuromodulation Soc. 2014;17 Suppl 1:2–11.

    Article  Google Scholar 

  14. Holsheimer J, den Boer JA, Struijk JJ, Rozeboom AR. MR assessment of the normal position of the spinal cord in the spinal canal. AJNR Am J Neuroradiol. 1994;15(5):951–9.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Todd Miller M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Gulko, E., Miller, T., Brook, A. (2016). Technical Considerations in Percutaneous Placement of Spinal Cord Stimulation Devices. In: Manfrè, L. (eds) Spinal Canal Stenosis. New Procedures in Spinal Interventional Neuroradiology. Springer, Cham. https://doi.org/10.1007/978-3-319-26270-3_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-26270-3_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-26268-0

  • Online ISBN: 978-3-319-26270-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics