Preoperative Thoracic Spine Magnetic Resonance Imaging for Spinal Cord Stimulation: Should Such a Recommendation Be an Absolute Requirement?

Best, Benjamin; Porwal, Mokshal H; Pahapill, Peter A.

doi:10.1111/ner.13518

Cited by 6 publications

(2 citation statements)

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“…A recent retrospective study of 160 patients identified that findings on the preoperative MRI influenced surgical decision-making in 22% of cases and 3% required additional surgical decompression, emphasizing the importance of pre-operative MRI. 2 In the mid-thoracic region, space available for electrode implantation is larger compared to the cervical spine. When this distance is narrowed, gastrointestinal (GI) symptoms can arise and range from abdominal pain that responds to steroids and conservative pain treatment to persisting pain that requires invasive exploration or surgical treatment.…”

Section: Introduction a N D Li T Er At U R E Su M M A Rymentioning

confidence: 99%

“…Although preoperative thoracic magnetic resonance imaging (MRI) has been recommended by consensus committees and publishing guidelines, it is not routinely obtained. A recent retrospective study of 160 patients identified that findings on the preoperative MRI influenced surgical decision‐making in 22% of cases and 3% required additional surgical decompression, emphasizing the importance of pre‐operative MRI 2 . In the mid‐thoracic region, space available for electrode implantation is larger compared to the cervical spine.…”

Section: Introduction and Literature Summarymentioning

confidence: 99%

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Ogilvie's syndrome after paddle spinal cord stimulator implantation: An experience report

Zemmar

Sinofsky²,

Sheng

et al. 2023

Pain Practice

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Spinal cord stimulation (SCS) is an emerging technology to treat chronic pain from complex regional pain syndrome (CPRS) neuropathy and post‐laminectomy syndrome. A rarely reported postoperative complication of SCS paddle implantation is abdominal pain that can result from thoracic radiculopathy. Ogilvie's syndrome (OS) is a disorder characterized by acute dilatation of the colon in the absence of an anatomic lesion that obstructs the flow of intestinal contents, which has seldom been observed after spine surgery. Here, we describe the case of a 70‐year‐old male who developed OS after SCS paddle implantation resulting in cecal perforation and multi‐system organ failure with lethal outcome. We discuss the pathophysiology, present a method measuring the spinal canal to cord ratio (CCR) to prevent the risk of thoracic radiculopathy and OS after paddle SCS implantation, and propose suggestions for management and treatment of this condition.

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Section: Introduction a N D Li T Er At U R E Su M M A Rymentioning

confidence: 99%

Section: Introduction and Literature Summarymentioning

confidence: 99%