An Algorithmic Programming Approach for Back Pain Symptoms in Failed Back Surgery Syndrome Using Spinal Cord Stimulation with a Multicolumn Surgically Implanted Epidural Lead: A Multicenter International Prospective Study

Pain Practice ◽  
2014 ◽  
Vol 15 (3) ◽  
pp. 195-207 ◽  
Author(s):  
Philippe Rigoard ◽  
Line Jacques ◽  
Alexandre Delmotte ◽  
Katherine Poon ◽  
Russell Munson ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Back Pain ◽  
Prospective Study ◽  
Spinal Cord Stimulation ◽  
Failed Back Surgery Syndrome ◽  
Programming Approach ◽  
Failed Back Surgery ◽  
Back Surgery ◽  
Pain Symptoms

scholarly journals Multicolumn spinal cord stimulation for predominant back pain in failed back surgery syndrome patients

Pain ◽  
2019 ◽  
Vol 160 (6) ◽  
pp. 1410-1420 ◽  
Author(s):  
Philippe Rigoard ◽  
Surajit Basu ◽  
Mehul Desai ◽  
Rod Taylor ◽  
Lieven Annemans ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Back Pain ◽  
Spinal Cord Stimulation ◽  
Failed Back Surgery Syndrome ◽  
Failed Back Surgery ◽  
Back Surgery

scholarly journals High-frequency spinal cord stimulation in failed back surgery syndrome patients with predominant low back pain—single-center experience

2021 ◽  
Author(s):  
Stefan Motov ◽  
Kaywan Aftahy ◽  
Ann-Kathrin Jörger ◽  
Arthur Wagner ◽  
Bernhard Meyer ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Low Back Pain ◽  
Back Pain ◽  
Spinal Cord Stimulation ◽  
High Frequency ◽  
Failed Back Surgery Syndrome ◽  
Low Back ◽  
Vas Score ◽  
Failed Back Surgery ◽  
Back Surgery

AbstractTreatment of patients with failed back surgery syndrome (FBSS) with predominant low back pain (LBP) remains challenging. High-frequency spinal cord stimulation (HF10 SCS) is believed to achieve significant pain reduction. We aimed to evaluate the real-life efficacy of HF-10 SCS in a tertiary spine center. A prospective observational study of all patients with FBSS and predominant LBP who underwent HF-10 SCS surgery was performed between 2016 and 2018. Patients > 18 years with Visual Analogue Scale (VAS) scores of ≥ 5 for LBP and pain duration > 6 months under stable medication were implanted percutaneous under general anesthesia and a trial phase of 7–14 days was accomplished. Primary end point was a successful trial defined as ≥ 50% VAS score reduction for LBP. Thirty-four of 39 (85%) subjects had a successful trial. Fifty-three percent were female and the mean age was 69 years. Median follow-up lasted for 10 months. Devices were removed after a median of 10 months in 5 cases. Remaining 29 patients stated significant VAS score reduction for LBP from 8.1 to 2.9 and VAS for leg pain from 4.9 to 2.2. Twenty-four percent of all patients were able to discontinue their opioids. Eight of 9 patients (89%) with signs of adjacent disc disease and 7 of 10 (70%) patients with hardware failure were successfully implanted with significant VAS reduction for LBP. HF-10 SCS achieves significant pain reduction in most patients with FBSS and predominant LBP. It might be an efficient alternative to revision surgery.

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