Implantation of surgical electrodes for spinal cord stimulation: classical midline laminotomy technique versus minimal invasive unilateral technique combined with spinal anaesthesia

2007 ◽  
pp. 111-114 ◽  
Author(s):  
Johan Vangeneugden
Keyword(s):  
Spinal Cord ◽  
Spinal Anaesthesia ◽  
Spinal Cord Stimulation ◽  
Minimal Invasive

scholarly journals Spinal Anesthesia and Minimal Invasive Laminotomy for Paddle Electrode Placement in Spinal Cord Stimulation: Technical Report and Clinical Results at Long-Term Followup

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
S. Sarubbo ◽  
F. Latini ◽  
V. Tugnoli ◽  
R. Quatrale ◽  
E. Granieri ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Anesthesia ◽  
Spinal Cord Stimulation ◽  
Clinical Results ◽  
Minimal Invasive ◽  
Electrode Placement ◽  
Test Stimulation ◽  
Score Improvement ◽  
Postoperative Control ◽  
Electrode Positioning

Object. We arranged a mini-invasive surgical approach for implantation of paddle electrodes for SCS under spinal anesthesia obtaining the best paddle electrode placement and minimizing patients’ discomfort. We describe our technique supported by neurophysiological intraoperative monitoring and clinical results.Methods. 16 patients, affected by neuropathic pain underwent the implantation of paddle electrodes for spinal cord stimulation in lateral decubitus under spinal anesthesia. The paddle was introduced after flavectomy and each patient confirmed the correct distribution of paresthesias induced by intraoperative test stimulation. VAS and patients’ satisfaction rate were recorded during the followup and compared to preoperative values.Results. No patients reported discomfort during the procedure. In all cases, paresthesias coverage of the total painful region was achieved, allowing the best final electrode positioning. At the last followup (mean 36.7 months), 87.5% of the implanted patients had a good rate of satisfaction with a mean VAS score improvement of 70.5%.Conclusions. Spinal cord stimulation under spinal anesthesia allows an optimal positioning of the paddle electrodes without any discomfort for patients or neurosurgeons. The best intraoperative positioning allows a better postoperative control of pain, avoiding the risk of blind placements of the paddle or further surgery for their replacement.

Spinal Cord Stimulation im orthopädischen Setting: Infektionsdiagnostik bei zweizeitigem Implantationsverfahren

2020 ◽  
Author(s):  
A Kasapovic ◽  
D Schwetje ◽  
D Cucchi ◽  
M Gathen ◽  
M Jaenisch ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Stimulation
Sign in / Sign up

Export Citation Format

Share Document