Successful Reimplantation of Spinal Cord Stimulator One Year after Device Removal Due to Infection

Spinal cord stimulation is an effective treatment modality for patients with numerous pain conditions. Although proven to be highly successful, device implantation does come with some inherent risks. One of the most challenging complications is perioperative infection. For most patients, a simple tr...

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Autores principales: Schwartz, Ruben H., Southerland, Warren, Urits, Ivan, Kaye, Alan D., Viswanath, Omar, Yazdi, Cyrus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers, Inc. 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7850884/
https://www.ncbi.nlm.nih.gov/pubmed/33542950
http://dx.doi.org/10.1055/s-0040-1722179
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author Schwartz, Ruben H.
Southerland, Warren
Urits, Ivan
Kaye, Alan D.
Viswanath, Omar
Yazdi, Cyrus
author_facet Schwartz, Ruben H.
Southerland, Warren
Urits, Ivan
Kaye, Alan D.
Viswanath, Omar
Yazdi, Cyrus
author_sort Schwartz, Ruben H.
collection PubMed
description Spinal cord stimulation is an effective treatment modality for patients with numerous pain conditions. Although proven to be highly successful, device implantation does come with some inherent risks. One of the most challenging complications is perioperative infection. For most patients, a simple trial of oral antibiotics and in-office drainage of any superficial infectious material may be sufficient. Deeper infections with wound dehiscence necessitate device removal and intravenous antibiotic therapy. The question remains, if the device was previously providing pain relief for the patient, when is the appropriate time to reimplant the device after the infection has cleared? We describe the case of explantation of an infected device and successful reimplantation after 1 year.
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spelling pubmed-78508842021-02-03 Successful Reimplantation of Spinal Cord Stimulator One Year after Device Removal Due to Infection Schwartz, Ruben H. Southerland, Warren Urits, Ivan Kaye, Alan D. Viswanath, Omar Yazdi, Cyrus Surg J (N Y) Spinal cord stimulation is an effective treatment modality for patients with numerous pain conditions. Although proven to be highly successful, device implantation does come with some inherent risks. One of the most challenging complications is perioperative infection. For most patients, a simple trial of oral antibiotics and in-office drainage of any superficial infectious material may be sufficient. Deeper infections with wound dehiscence necessitate device removal and intravenous antibiotic therapy. The question remains, if the device was previously providing pain relief for the patient, when is the appropriate time to reimplant the device after the infection has cleared? We describe the case of explantation of an infected device and successful reimplantation after 1 year. Thieme Medical Publishers, Inc. 2021-02-01 /pmc/articles/PMC7850884/ /pubmed/33542950 http://dx.doi.org/10.1055/s-0040-1722179 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Schwartz, Ruben H.
Southerland, Warren
Urits, Ivan
Kaye, Alan D.
Viswanath, Omar
Yazdi, Cyrus
Successful Reimplantation of Spinal Cord Stimulator One Year after Device Removal Due to Infection
title Successful Reimplantation of Spinal Cord Stimulator One Year after Device Removal Due to Infection
title_full Successful Reimplantation of Spinal Cord Stimulator One Year after Device Removal Due to Infection
title_fullStr Successful Reimplantation of Spinal Cord Stimulator One Year after Device Removal Due to Infection
title_full_unstemmed Successful Reimplantation of Spinal Cord Stimulator One Year after Device Removal Due to Infection
title_short Successful Reimplantation of Spinal Cord Stimulator One Year after Device Removal Due to Infection
title_sort successful reimplantation of spinal cord stimulator one year after device removal due to infection
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7850884/
https://www.ncbi.nlm.nih.gov/pubmed/33542950
http://dx.doi.org/10.1055/s-0040-1722179
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