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Epidural spinal cord stimulation has been used to decrease spasticity and spasms in spinal cord injury patients. However, the long-term bene®ts of this procedure have not been determined. We therefore conducted a retrospective study of the possible long-term ecacy of the epidural spinal cord stimulator for the relief of symptoms. Seventeen patients were identi®ed who had undergone implantation of an epidural spinal stimulator. The total number of implantations in these seventeen patients was 24, (seven patients had undergone a second implantation) costing a total of $566 400. In only one of the patients was the epidural stimulator providing symptomatic relief. The epidural spinal cord stimulator lacks long-term ecacy for the relief of spasticity and pain and is not cost eective.

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