Prevention of Mechanical Failures in Implanted Spinal Cord Stimulation Systems

Introduction.  Spinal cord stimulation (SCS) is an effective procedure for the treatment of neuropathic extremity pain, with success rates approaching 70%. However, mechanical failures, including breakage and migration, can significantly limit the long‐term effectiveness of SCS. A systematic analysis of surgical techniques was undertaken by a consensus group, coupled with extensive in vivo and in vitro biomechanical testing of system components.

[1]  Shealy Cn,et al.  Electrical inhibition of pain by stimulation of the dorsal columns: preliminary clinical report. , 1967 .

[2]  J. Mortimer,et al.  Electrical Inhibition of Pain by Stimulation of the Dorsal Columns: Preliminary Clinical Report , 1967, Anesthesia and analgesia.

[3]  Professor Dr. med. Josef Rickenbacher,et al.  Applied Anatomy of the Back , 1985, Springer Berlin Heidelberg.

[4]  J. Moran,et al.  A Morphometric Study of Human Lumbar and Selected Thoracic Vertebrae , 1987, Spine.

[5]  S. Piantadosi,et al.  Failed back surgery syndrome: 5-year follow-up after spinal cord stimulator implantation. , 1991, Neurosurgery.

[6]  K Kumar,et al.  Treatment of chronic pain by epidural spinal cord stimulation: a 10-year experience. , 1991, Journal of neurosurgery.

[7]  R. North,et al.  Spinal cord stimulation for chronic, intractable pain. , 1995 .

[8]  E Van de Kelft,et al.  Spinal cord stimulation for chronic, intractable pain: experience over two decades. , 1993, Neurosurgery.

[9]  Spinal Cord Stimulation for the Failed Back Syndrome , 1993, Spine.

[10]  D. Ohnmeiss,et al.  Prospective Outcome Evaluation of Spinal Cord Stimulation in Patients With Intractable Leg Pain , 1996, Spine.

[11]  K J Burchiel,et al.  Prospective, Multicenter Study of Spinal Cord Stimulation for Relief of Chronic Back and Extremity Pain , 1996, Spine.

[12]  T. Rudy,et al.  Spinal cord stimulation revisited. , 1998, Neurological research.

[13]  J. Zundert,et al.  Efficacy of spinal cord stimulation: 10 years of experience in a pain centre in Belgium , 2001, European journal of pain.

[14]  J. M. Cox Biomechanics of the central nervous system: spinal canal deformations and changes in posture. , 2001, Journal of manipulative and physiological therapeutics.

[15]  K. Bulsara,et al.  Spinal Cord Stimulation for Failed Back Surgery Syndrome , 2001, Neuromodulation : journal of the International Neuromodulation Society.

[16]  T. Varma,et al.  Long-Term Outcome of Spinal Cord Stimulation and Hardware Complications , 2004, Stereotactic and Functional Neurosurgery.

[17]  T. Cameron,et al.  Safety and efficacy of spinal cord stimulation for the treatment of chronic pain: a 20-year literature review. , 2004, Journal of neurosurgery.

[18]  R. Deyo,et al.  Spinal cord stimulation for patients with failed back surgery syndrome or complex regional pain syndrome: a systematic review of effectiveness and complications , 2004, Pain.

[19]  J. Henderson,et al.  Failure modes of spinal cord stimulation hardware. , 2006, Journal of neurosurgery. Spine.