Lumbar Dorsal Root Ganglion Stimulation Lead Placement Using an Outside-In Technique in 4 Patients With Failed Back Surgery Syndrome: A Case Series

2020 ◽  
Vol 14 (10) ◽  
pp. e01300
Author(s):  
Kenneth B. Chapman ◽  
Sohan Nagrani ◽  
Kiran V. Patel ◽  
Tariq Yousef ◽  
Noud van Helmond
Keyword(s):  
Dorsal Root Ganglion ◽  
Dorsal Root ◽  
Case Series ◽  
Failed Back Surgery Syndrome ◽  
Lead Placement ◽  
Failed Back Surgery ◽  
Back Surgery ◽  
Lumbar Dorsal Root Ganglion

scholarly journals Sensor driven-position adaptive versus conventional spinal cord stimulation in failed back surgery syndrome: a retrospective case series

2019 ◽  
Vol 55 (1) ◽  
Author(s):  
Mert Akbas ◽  
Haitham Hamdy Salem ◽  
Tamer Hussien Emara ◽  
Bora Dinc ◽  
Bilge Karsli
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Stimulation ◽  
Case Series ◽  
Failed Back Surgery Syndrome ◽  
Retrospective Case ◽  
Treatment Groups ◽  
Failed Back Surgery ◽  
Back Surgery ◽  
Group 2 ◽  
Group 1

Abstract Background Failed back surgery syndrome (FBSS) is a common problem affecting 20–40% of cases undergoing spine surgeries. Spinal cord stimulation (SCS) has been shown to be an efficient and relatively safe treatment in managing many intractable chronic pain syndromes. Objectives This study compares the efficacy and safety of MR-compatible sensor driven-position adaptive SCS and conventional SCS in treating FBSS. Methods This is a retrospective case series of 120 consecutive FBSS patients who underwent SCS between February 2011 and March 2018. Pain levels, analgesic/opioid use, and sleep problems were assessed before and 3 months after the procedure in patients who received either conventional SCS (group 1; n = 62) or sensor-driven position adaptive SCS (group 2; n = 34). The degree of patient satisfaction, the change in the activities of daily living (ADLs) together with the rate of complications were compared in both treatment groups. Results The two treatment groups were homogenous at baseline. Patients in both groups improved significantly regarding pain, opioid consumption, sleep, and ADLs. The magnitude of improvement was statistically higher in group 2. An absolute reduction of 6 points on the VAS in patients who received position adaptive SCS vs a 3.3 point reduction in conventional SCS cases (p < 0.0001). Half of the patients in group 2 (n = 17) showed excellent satisfaction after the procedure versus 14.5% of cases in group 1 (n = 9). Conclusion SCS is an efficient and reliable treatment in FBSS. MR-compatible sensor driven-position adaptive SCS can be a more effective treatment in this patient group.

Dextrose injections for failed back surgery syndrome: a consecutive case series

2019 ◽  
Vol 28 (7) ◽  
pp. 1610-1617
Author(s):  
İlker Solmaz ◽  
Serkan Akpancar ◽  
Aydan Örsçelik ◽  
Özlem Yener-Karasimav ◽  
Deniz Gül
Keyword(s):  
Case Series ◽  
Failed Back Surgery Syndrome ◽  
Consecutive Case ◽  
Failed Back Surgery ◽  
Back Surgery

scholarly journals Korean Medicinal Combination Treatments for Failed Back Surgery Syndrome: A Retrospective Case Series

2015 ◽  
Vol 32 (2) ◽  
pp. 217-227 ◽  
Author(s):  
Young Woo Seo ◽  
Han Sol Park ◽  
Min Chul Kim ◽  
Seh Young Kim ◽  
Young Hoon Seo ◽  
...  
Keyword(s):  
Case Series ◽  
Failed Back Surgery Syndrome ◽  
Retrospective Case ◽  
Combination Treatments ◽  
Retrospective Case Series ◽  
Failed Back Surgery ◽  
Back Surgery

Multicolumn Spinal Cord Stimulation Lead Implantation Using an Optic Transligamentar Minimally Invasive Technique

Neurosurgery ◽  
2013 ◽  
Vol 73 (3) ◽  
pp. 550-553 ◽  
Author(s):  
Philippe Rigoard ◽  
Anh Tran Luong ◽  
Alexandre Delmotte ◽  
Mille Raaholt ◽  
Manuel Roulaud ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Stimulation ◽  
Failed Back Surgery Syndrome ◽  
Leg Pain ◽  
Invasive Technique ◽  
Lower Back ◽  
Lead Placement ◽  
Failed Back Surgery ◽  
Back Surgery ◽  
New Generation

Abstract BACKGROUND: A new generation of neurostimulation surgical leads is used to increase the success of spinal cord stimulation in difficult-to-treat indications such as failed back surgery syndrome. Minimal access spinal technologies (MASTs) have previously been used for surgical lead implantation. However, only a unilateral approach was possible, causing difficulties for median lead placement, and not always preventing laminectomy. A recent MAST technique was used to implant spinal cord stimulation leads without these limitations. OBJECTIVE: To describe the MAST technique used in a pilot study. METHODS: Twenty-four consecutive patients were implanted with a multicolumn surgical lead for refractory chronic back and leg pain by using the optic transligamentar MAST technique. RESULTS: The MAST technique allowed median lead placement, facilitated visualization of the spine, and permitted transligamentar insertion that minimized scarring and muscle damage. No technique-related adverse events or lead revisions were reported. CONCLUSION: Use of a MAST approach could be useful in safe implantation of multicolumn surgical leads in difficult-to-treat, refractory lower back pain conditions such as failed back surgery syndrome.

Intrathecal Bleed Following Percutaneous Spinal Cord Stimulator Trial Lead Placement

2017 ◽  
pp. 105-111
Author(s):  
Ryan Nobles
Keyword(s):  
Spinal Cord ◽  
Failed Back Surgery Syndrome ◽  
Spinal Epidural Hematoma ◽  
Postanesthesia Care Unit ◽  
Spinal Cord Stimulator ◽  
Blood Products ◽  
Lead Placement ◽  
Patient Reported ◽  
Failed Back Surgery ◽  
Back Surgery

An intrathecal bleed is an exceedingly rare, yet potentially devastating consequence of accessing the epidural space for lead placement during a spinal cord stimulator trial. We present a case of radiologic evidence of intrathecal blood products and the neurologic consequences thereof following a percutaneous spinal cord stimulator trial. A 34-year-old man with a primary diagnosis of failed back surgery syndrome underwent percutaneous spinal cord stimulator lead placement. During the trial, the patient experienced paresthesia with initial right-side lead placement at T12-L1. The lead and needle were removed and placed at L1-2 where the patient did not report any problems. The patient reported right calf pain in the postanesthesia care unit following the trial that improved with intravenous hydromorphone. However, following discharge the patient experienced worsening dysesthesia with edema of the right lower extremity to the calf. Magnetic resonance imaging of the lumbar spine confirmed the presence of blood products within the intrathecal space. Spinal cord stimulator placement may be viewed as a safe and effective treatment modality despite the incidence of several neurologic, mechanical, and biologic complications. A few case reports discuss the occurrence of spinal epidural hematoma formation but none present a case of an intrathecal bleed following percutaneous spinal cord stimulator lead placement. This case report highlights the need to further elucidate the incidence of neurologic sequelae after spinal cord stimulator placement. Key words: Spinal cord stimulation, antiplatelets, anticoagulation, intrathecal bleed, complications, failed back surgery syndrome

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