Spinal Cord Stimulation Paddle-to-Percutaneous Revision: Case Series and Technical Description.

Document Type

Article

Publication Date

2-2024

Publication Title

World neurosurgery

Abstract

OBJECTIVE: Spinal cord stimulators (SCSs) can be implanted via a percutaneous or paddle approach, the latter technique requiring a laminotomy or laminectomy. Revision surgery may be necessary in instances of migrated, misplaced, or failed stimulators. When revision of a percutaneous system is necessary, it is common to replace the electrodes with a paddle SCS. This study aims to describe a case series of patients with failed paddle SCS electrodes who underwent revision with percutaneous SCS hardware.

METHODS: A series of 5 patients were retrospectively analyzed. Medical records were reviewed for demographic data, operative technique, postoperative follow-up, and complications.

RESULTS: Five patients were included in this series. The median age was 63 (range 51-84), and the median duration from initial implantation to revision surgery was 19 months (range 5-60). The median operative duration was 92 minutes (mean 99 ± 19.6 minutes). The median length of follow-up after surgery was 24 months (mean 21.8 ± 6.0 months). All patients had improved pain relief and therapeutic coverage with no complications.

CONCLUSIONS: Paddle-to-percutaneous SCS surgery is a feasible and durable revision option in appropriately selected patients.

Volume

182

First Page

e891

Last Page

e898

DOI

10.1016/j.wneu.2023.12.080

ISSN

1878-8769

PubMed ID

38128757

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