Prevention of percutaneous electrode migration in spinal cord stimulation by a modification of the standard implantation technique

Journal of Neurosurgery. Spine
Violette M Renard, R B North

Abstract

Percutaneous spinal cord stimulation (SCS) electrodes are prone to migration even after scar tissue encapsulation. The authors devised a simple technique to eliminate longitudinal migration. In 99 patients who received implanted percutaneous electrodes, less than 0.1 cm3 of silicone elastomer adhesive was injected between the anchoring sleeve and the electrode. As a result, no patient required revision surgery due to longitudinal electrode migration over a mean follow-up period of 20.2 +/- 12.3 months (range 1.8-39.7 months). Postimplant SCS-related surgical procedures were required in 15 patients (15%) for the following indications: infection in three patients, expanded area of pain in four patients, lateral migration after the sutures eroded through the supraspinous ligament in one patient, postural changes in stimulation in one patient, receiver-site pain in two patients, technical failure in three patients, and inadequate pain relief in one patient. With modification of the standard technique for implantation of percutaneous SCS electrodes, no longitudinal migration of electrodes was noted in this series of 99 patients.

References

Jan 1, 2004·Neuromodulation : Journal of the International Neuromodulation Society·Y Eugene MironerSteve Grumman
Jan 1, 2000·Neuromodulation : Journal of the International Neuromodulation Society·V HeideckeW Burkert

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Citations

Oct 14, 2011·Neuromodulation : Journal of the International Neuromodulation Society·Richard B NorthKristen N Jaax
Oct 5, 2011·Neuromodulation : Journal of the International Neuromodulation Society·Robert LevyRichard North
Jul 12, 2012·Neuromodulation : Journal of the International Neuromodulation Society·Richard G BowmanIshmael Bentley
Jul 21, 2010·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Michael Colvin
Mar 4, 2009·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Paul G KreisKatherine Chau
Oct 4, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Sameer SolimanGary Pang
Feb 12, 2014·Neuromodulation : Journal of the International Neuromodulation Society·Richard B NorthDonlin M Long
Sep 25, 2014·Neuromodulation : Journal of the International Neuromodulation Society·Peter A Pahapill
Mar 27, 2015·Neuromodulation : Journal of the International Neuromodulation Society·Peter A Pahapill
Aug 26, 2014·Neuromodulation : Journal of the International Neuromodulation Society·Jeffery KramerFrank Huygen
Jul 16, 2013·World Neurosurgery·Damián Bendersky, Claudio Yampolsky
Aug 24, 2017·Neuromodulation : Journal of the International Neuromodulation Society·Andres L Maldonado-NaranjoSean J Nagel
Jan 12, 2020·Pain Practice : the Official Journal of World Institute of Pain·Byeong Ho OhYoung Seok Park
May 29, 2018·Advanced Functional Materials·Steven M WellmanTakashi D Y Kozai
Jun 11, 2019·Physiological Research·V MasopustK Janoušková
Jul 10, 2019·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·N ShaparinA Kaufman

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