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

Treatment 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 c...

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Autores principales: Motov, Stefan, Aftahy, Kaywan, Jörger, Ann-Kathrin, Wagner, Arthur, Meyer, Bernhard, Shiban, Ehab
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8490248/
https://www.ncbi.nlm.nih.gov/pubmed/33454835
http://dx.doi.org/10.1007/s10143-020-01462-5
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author Motov, Stefan
Aftahy, Kaywan
Jörger, Ann-Kathrin
Wagner, Arthur
Meyer, Bernhard
Shiban, Ehab
author_facet Motov, Stefan
Aftahy, Kaywan
Jörger, Ann-Kathrin
Wagner, Arthur
Meyer, Bernhard
Shiban, Ehab
author_sort Motov, Stefan
collection PubMed
description Treatment 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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spelling pubmed-84902482021-10-15 High-frequency spinal cord stimulation in failed back surgery syndrome patients with predominant low back pain—single-center experience Motov, Stefan Aftahy, Kaywan Jörger, Ann-Kathrin Wagner, Arthur Meyer, Bernhard Shiban, Ehab Neurosurg Rev Original Article Treatment 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. Springer Berlin Heidelberg 2021-01-17 2021 /pmc/articles/PMC8490248/ /pubmed/33454835 http://dx.doi.org/10.1007/s10143-020-01462-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Motov, Stefan
Aftahy, Kaywan
Jörger, Ann-Kathrin
Wagner, Arthur
Meyer, Bernhard
Shiban, Ehab
High-frequency spinal cord stimulation in failed back surgery syndrome patients with predominant low back pain—single-center experience
title High-frequency spinal cord stimulation in failed back surgery syndrome patients with predominant low back pain—single-center experience
title_full High-frequency spinal cord stimulation in failed back surgery syndrome patients with predominant low back pain—single-center experience
title_fullStr High-frequency spinal cord stimulation in failed back surgery syndrome patients with predominant low back pain—single-center experience
title_full_unstemmed High-frequency spinal cord stimulation in failed back surgery syndrome patients with predominant low back pain—single-center experience
title_short High-frequency spinal cord stimulation in failed back surgery syndrome patients with predominant low back pain—single-center experience
title_sort high-frequency spinal cord stimulation in failed back surgery syndrome patients with predominant low back pain—single-center experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8490248/
https://www.ncbi.nlm.nih.gov/pubmed/33454835
http://dx.doi.org/10.1007/s10143-020-01462-5
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