Mitigating Spinal Cord Stimulator Lead Migration Complications in Minimally Invasive Spine Surgery: Technical Note

Spinal Cord Stimulators (SCS) are a nonpharmacologic chronic pain management treatment modality that is well-validated and cost-effective within the surgeon’s armamentarium. The reported complication rates are between 5.3% to 40%, most commonly secondary to mechanical hardware failure. The most comm...

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Detalles Bibliográficos
Autores principales: Walsh, John P, Jimenez, Juan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Pain Management
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9018457/
https://www.ncbi.nlm.nih.gov/pubmed/35475048
http://dx.doi.org/10.7759/cureus.23343
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author Walsh, John P
Jimenez, Juan
author_facet Walsh, John P
Jimenez, Juan
author_sort Walsh, John P
collection PubMed
description Spinal Cord Stimulators (SCS) are a nonpharmacologic chronic pain management treatment modality that is well-validated and cost-effective within the surgeon’s armamentarium. The reported complication rates are between 5.3% to 40%, most commonly secondary to mechanical hardware failure. The most common mechanical complication is lead migration, which necessitates second surgery. The purpose of this technical note is to describe a minimally invasive spine surgery (MISS) implantation technique we believe to be more resilient to lead migration. We present a stepwise technique for SCS implantation with a maxillofacial screw and washer failsafe.
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spelling pubmed-90184572022-04-25 Mitigating Spinal Cord Stimulator Lead Migration Complications in Minimally Invasive Spine Surgery: Technical Note Walsh, John P Jimenez, Juan Cureus Pain Management Spinal Cord Stimulators (SCS) are a nonpharmacologic chronic pain management treatment modality that is well-validated and cost-effective within the surgeon’s armamentarium. The reported complication rates are between 5.3% to 40%, most commonly secondary to mechanical hardware failure. The most common mechanical complication is lead migration, which necessitates second surgery. The purpose of this technical note is to describe a minimally invasive spine surgery (MISS) implantation technique we believe to be more resilient to lead migration. We present a stepwise technique for SCS implantation with a maxillofacial screw and washer failsafe. Cureus 2022-03-20 /pmc/articles/PMC9018457/ /pubmed/35475048 http://dx.doi.org/10.7759/cureus.23343 Text en Copyright © 2022, Walsh et al. https://creativecommons.org/licenses/by/3.0/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 author and source are credited.
spellingShingle Pain Management
Walsh, John P
Jimenez, Juan
Mitigating Spinal Cord Stimulator Lead Migration Complications in Minimally Invasive Spine Surgery: Technical Note
title Mitigating Spinal Cord Stimulator Lead Migration Complications in Minimally Invasive Spine Surgery: Technical Note
title_full Mitigating Spinal Cord Stimulator Lead Migration Complications in Minimally Invasive Spine Surgery: Technical Note
title_fullStr Mitigating Spinal Cord Stimulator Lead Migration Complications in Minimally Invasive Spine Surgery: Technical Note
title_full_unstemmed Mitigating Spinal Cord Stimulator Lead Migration Complications in Minimally Invasive Spine Surgery: Technical Note
title_short Mitigating Spinal Cord Stimulator Lead Migration Complications in Minimally Invasive Spine Surgery: Technical Note
title_sort mitigating spinal cord stimulator lead migration complications in minimally invasive spine surgery: technical note
topic Pain Management
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9018457/
https://www.ncbi.nlm.nih.gov/pubmed/35475048
http://dx.doi.org/10.7759/cureus.23343
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