Long-Term Outcomes of Spinal Cord Stimulation With Paddle Leads in the Treatment of Complex Regional Pain Syndrome and Failed Back Surgery Syndrome

Sears, Nathaniel C.; Machado, André G.; Nagel, Sean J.; Deogaonkar, Milind; Stanton‐Hicks, Michael; Rezai, Ali R.; Henderson, Jaimie M.

doi:10.1111/j.1525-1403.2011.00372.x

Cited by 114 publications

(114 citation statements)

References 40 publications

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“…The causal factor of hardware-related complications is not well established in the literature, and further investigation is needed on the long-term efficacy of SCS implantation. 6 In this series, 40% of revisions were among patients with FBSS, and this is consistent with the previous report by Sears et al 20 There were 30 patients (21%) with axial back pain and 111 patients (79%) with neuropathic pain. Among patients with axial back pain, 50% of cases required revision.…”

Section: Revision Timelinesupporting

confidence: 81%

“…6,20 Because we performed paddle lead SCS implantation after confirming the efficacy with percutaneous SCS implantation, it is difficult to compare the efficacy and complications of these 2 types of hardware. However, an earlier report 1 showed that the overall (> 5 years) reoperation rate was approximately 3 times higher in percutaneous lead SCS implantation (22.9% vs 8.5%).…”

Section: Revision Timelinementioning

confidence: 99%

See 1 more Smart Citation

Neuromodulation in intractable pain management: outcomes and predictors of revisions of spinal cord stimulators

Bir¹,

Konar²,

Maiti³

et al. 2016

FOC

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OBJECTIVE Spinal cord stimulators (SCSs) appear to be safe and efficacious for chronic intractable back pain. Although there are many reports on percutaneous SCSs, there are very few studies on outcomes of paddle lead SCSs. In addition, the predictors of requirement for SCS revision have not been well established. Here, the authors review the outcome of a case series and attempt to identify the predictors of SCS revisions. METHODS The clinical and radiological information of 141 patients with intractable chronic pain who underwent SCS implantation within the past 20 years was retrospectively reviewed. Paddle lead SCSs were used in this series. Statistical analysis was conducted using Kaplan-Meier curves and Cox proportional-hazards regression. RESULTS Among 141 cases, 90 (64%) did not require any revision after SCS implantations. Removal of the SCS was required in 14 patients. The average pain score was significantly reduced (preimplantation score of 8 vs postimplantation score of 1.38; p < 0.0001). Younger age, male sex, obesity, a preimplantation pain score ≥ 8, and the presence of neuromuscular pain were identified as predictors of the overall requirement for SCS revision. However, only a preimplantation pain score ≥ 8 was identified as a predictor of early failure of the SCS. CONCLUSIONS Implantation of a paddle lead SCS is a relatively less invasive, safe, and effective procedure for patients with intractable back pain. Revision of the procedure depends on many factors, including younger age, male sex, associated neuromuscular pain, and severity of the pain. Therefore, patients with these factors, for whom implantation of an SCS is planned, should be closely followed for the possible requirement for revision.

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Section: Revision Timelinesupporting

confidence: 81%

Section: Revision Timelinementioning

confidence: 99%

Neuromodulation in intractable pain management: outcomes and predictors of revisions of spinal cord stimulators

Bir¹,

Konar²,

Maiti³

et al. 2016

FOC

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show abstract

“…Se seleccionaron 22 estudios (Figura 1), de los cuales 11 fueron ensayos clínicos (8 ensayos clínicos aleatorizados y 3 ensayos clínicos no controlados) y 11 informes de casos (5,10,14,15,(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34).…”

Section: Resultados Y Discusiónunclassified

Eficacia de la Estimulación Eléctrica Medular en el Síndrome de Dolor Regional Complejo Tipo I: revisión bibliográfica.

Ruiz-López

Martínez-Fuentes

2016

Rev. Soc. Esp. Dolor.

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“…In terms of the neuropathic pain etiology, SCS has been applied in the treatment of deafferentation pain, central pain, phantom limb pain (PLP), causalgia, myelopathy, oncologic pain, lumbosacral fibrosis, postherpetic neuralgia (PHN), FBSS, CRPS, reflex sympathetic dystrophy (RSD), spinal cord, brainstem or brain injury, and others (3,(13)(14)(15)22,32,33,38,42,43,(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57).…”

Section: Results In Pain Managementmentioning

confidence: 99%

“…During the selection, different factors have been considered, such as the etiology of pain, type and localization of pain, age of the patient, and the radiological and neurological findings summarized in Table 1 (20)(21)(22)28,30,31,(37)(38)(39)(40)(41)(42)(43)(44).…”

Section: Selection Of Patientsmentioning

confidence: 99%

Spinal cord stimulation in the treatment of neuropathic pain: Current perspectives of indications, cost-effectiveness, complications and results

Camporeze

Simm

Estevão

et al. 2017

JHSCI

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Introduction:The spinal cord stimulation (SCS) has been described as a valuable neuromodulating procedure in the management of chronic and medically untreated neuropathic pain. Although many studies have discussed the use of this technique, a question still remains regarding its efficacy in different medical conditions with different etiology in the long term. The aim of this paper is to discuss the risks, complications, cost-effectiveness, and results of SCS in patients affected by chronic neuropathic pain based on the comprehensive literature review.

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Long-Term Outcomes of Spinal Cord Stimulation With Paddle Leads in the Treatment of Complex Regional Pain Syndrome and Failed Back Surgery Syndrome

Cited by 114 publications

References 40 publications

Neuromodulation in intractable pain management: outcomes and predictors of revisions of spinal cord stimulators

Neuromodulation in intractable pain management: outcomes and predictors of revisions of spinal cord stimulators

Eficacia de la Estimulación Eléctrica Medular en el Síndrome de Dolor Regional Complejo Tipo I: revisión bibliográfica.

Spinal cord stimulation in the treatment of neuropathic pain: Current perspectives of indications, cost-effectiveness, complications and results

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