Transverse Tripolar Spinal Cord Stimulation: Results of an International Multicenter Study

Oakley, John C.; Espinosa, Francisco Javier; Bothe, H. W.; McKean, J. P.; Allen, Peter J.; Burchiel, Kim J.; Quartey, Gilbert; Spincemaille, G.H.; Nuttin, Bart; Gielen, F.L.H.; King, Gary W.; Holsheimer, J.

doi:10.1111/j.1525-1403.2006.00060.x

Cited by 67 publications

(44 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This result certainly differs from the observation by Oakley et al. (57) that, when using a transverse tripolar lead positioned at T10–T11, they were not getting coverage of the low back.…”

Section: Discussioncontrasting

confidence: 99%

“…This current study, using an 8‐contact lead, shows a further improvement in the revision rate to 4%. This result, as well as our observation in a larger group of patients reported earlier (31), shows levels of migration comparable to those after laminotomy placement of the lead (31,54,57). Another indirect indicator of lead stability, in our study, is the fact that only 20% of patients required any subsequent adjustment of their stimulator function.…”

Section: Discussionsupporting

confidence: 90%

See 1 more Smart Citation

Efficacy of a Single, Percutaneous, Across Midline, Octrode® Lead Using a “Midline Anchoring” Technique in the Treatment of Chronic Low Back and/or Lower Extremity Pain: A Retrospective Study

Mironer

Satterthwaite

Lewis

et al. 2008

Neuromodulation: Technology at the Neural Interface

View full text Add to dashboard Cite

Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 90%

Efficacy of a Single, Percutaneous, Across Midline, Octrode® Lead Using a “Midline Anchoring” Technique in the Treatment of Chronic Low Back and/or Lower Extremity Pain: A Retrospective Study

Mironer

Satterthwaite

Lewis

et al. 2008

Neuromodulation: Technology at the Neural Interface

View full text Add to dashboard Cite

“…Recently, the development of a transverse tripole array (+, -, +) system introduced the concept of electrical field steering through selective recruitment of axonal nerve fiber tracts in the dorsal columns. This technique simplifies steering the paresthesia electrically through the axial back region, while minimizing the stimulation of the nerve roots [21]. …”

Section: Mechanism Of Actionmentioning

confidence: 99%

Spinal Cord Stimulation in Pain Management: A Review

Jeon

2012

Korean J Pain

View full text Add to dashboard Cite

Spinal cord stimulation has become a widely used and efficient alternative for the management of refractory chronic pain that is unresponsive to conservative therapies. Technological improvements have been considerable and the current neuromodulation devices are both extremely sophisticated and reliable in obtaining good results for various clinical situations of chronic pain, such as failed back surgery syndrome, complex regional pain syndrome, ischemic and coronary artery disease. This technique is likely to possess a savings in costs compared with alternative therapy strategies despite its high initial cost. Spinal cord stimulation continues to be a valuable tool in the treatment of chronic disabling pain.

show abstract

“…Tripolar stimulation seems to be useful in reducing axial back pain, which is more difficult to treat than the radicular one. [475198116117126] A five-column paddle electrode has recently been developed and approved by the Food and Drug Administration. This lead is thought to have more precise field control, allowing for modulation of a greater lateral area of the spinal cord, which is useful for treating low back pain.…”

Section: Hardware and Programming Parametersmentioning

confidence: 99%

Dorsal column stimulator applications

Yampolsky¹,

Hem²,

Bendersky³

2012

Surg Neurol Int

View full text Add to dashboard Cite

Background:Spinal cord stimulation (SCS) has been used to treat neuropathic pain since 1967. Following that, technological progress, among other advances, helped SCS become an effective tool to reduce pain.Methods:This article is a non-systematic review of the mechanism of action, indications, results, programming parameters, complications, and cost-effectiveness of SCS.Results:In spite of the existence of several studies that try to prove the mechanism of action of SCS, it still remains unknown. The mechanism of action of SCS would be based on the antidromic activation of the dorsal column fibers, which activate the inhibitory interneurons within the dorsal horn. At present, the indications of SCS are being revised constantly, while new applications are being proposed and researched worldwide. Failed back surgery syndrome (FBSS) is the most common indication for SCS, whereas, the complex regional pain syndrome (CRPS) is the second one. Also, this technique is useful in patients with refractory angina and critical limb ischemia, in whom surgical or endovascular treatment cannot be performed. Further indications may be phantom limb pain, chronic intractable pain located in the head, face, neck, or upper extremities, spinal lumbar stenosis in patients who are not surgical candidates, and others.Conclusion:Spinal cord stimulation is a useful tool for neuromodulation, if an accurate patient selection is carried out prior, which should include a trial period. Undoubtedly, this proper selection and a better knowledge of its underlying mechanisms of action, will allow this cutting edge technique to be more acceptable among pain physicians.

show abstract

Transverse Tripolar Spinal Cord Stimulation: Results of an International Multicenter Study

Cited by 67 publications

References 18 publications

Efficacy of a Single, Percutaneous, Across Midline, Octrode® Lead Using a “Midline Anchoring” Technique in the Treatment of Chronic Low Back and/or Lower Extremity Pain: A Retrospective Study

Efficacy of a Single, Percutaneous, Across Midline, Octrode® Lead Using a “Midline Anchoring” Technique in the Treatment of Chronic Low Back and/or Lower Extremity Pain: A Retrospective Study

Spinal Cord Stimulation in Pain Management: A Review

Dorsal column stimulator applications

Contact Info

Product

Resources

About