Skip to main content
SpringerLink
Log in
SpringerLink
Log in

Selective Nerve Root Stimulation: Facilitating the Cephalocaudal “Retrograde” Method of Electrode Insertion

  • Chapter
  • First Online:
Atlas of Implantable Therapies for Pain Management

Abstract

Selective nerve root stimulation (SNRS) as a method was first presented in 1998 1–3 and was published in 1999.4, 5 Despite advances at that time in dual electrode technology and patient controlled programming, “anterograde” spinal cord stimulators (SCSs) were unable to consistently produce and maintain paresthesia in the neck, pelvic, and foot dermatomes.6, 7 As well, some individual lower extremity dermatomes lacked SCS paresthesia coverage. Thus, selective, cephalocaudal, “retrograde” electrode placement was developed to improve capture in these targets.4 Safety concerns limited cervical in vivo application;3, 5 however, lumbosacral placement gained interest in the evaluation of many difficult-to-treat conditions.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Alo’ KM, Yland MJ, Redko V. Retrograde intraspinal peripheral neurostimulation: a novel anatomic approach. In: Proceedings of the International Neuromodulation Society, Lucerne, Switzerland, Number 87; 1998.

    Google Scholar 

  2. Alo’ KM, Yland MJ, Redko V. Selective lumbar and sacral nerve root stimulation in the treatment of chronic pain. In: Proceedings of the International Neuromodulation Society, Lucerne, Switzerland, Number 89; 1998.

    Google Scholar 

  3. Alo’ KM, Feler CA, Oakley J, Yland MJ. An in vitro study of electrode placement at the cervical nerve roots using a trans-spinal approach. In: Proceedings of the International Neuromodulation Society, Lucerne, Switzerland, Number 90; 1998.

    Google Scholar 

  4. Alo’ KM, Yland MJ, Redko V, Feler C, Naumann C. Lumbar and sacral nerve root stimulation (NRS) in the treatment of chronic pain: a novel anatomic approach and neuro stimulation technique. Neuromodulation. 1999;2:23–31.

    Article  Google Scholar 

  5. Alo’ KM, Oakley J, Feler C, Yland MJ. A study of electrode placement at the cervical and upper thoracic nerve roots using an anatomic trans-spinal approach. Neuromodulation. 1999;2(3):222–227.

    Article  Google Scholar 

  6. Alo’ KM, Holsheimer J. New trends in neuromodulation for the management of neuropathic pain. Neurosurgery. 2002;50(4):690–704.

    Article  Google Scholar 

  7. Alo` KM. New techniques in neurostimulation analgesia. In: Oscar DeLeon Casasola, ed. Techniques in Regional Anesthesia and Pain Management: Special Issue on Emerging Therapies in Chronic Pain Management; 2001:30–36.

    Google Scholar 

  8. Alo’ KM, Feler CA, Whitworth L. Long-term follow-up of selective nerve root stimulation for interstitial cystitis: review of results. Abstracts of the World Pain Meeting 2000. SanFrancisco, CA; July 2000.

    Google Scholar 

  9. McDonald JS, Alo’ KM. Bonica’s management of pain, 3rd Edition. In: Loeser J, ed. Section E: Pain in Pelvis, Perineum, and Genitalia: Chapter 73, Pain of Urogenital Origin. Philadelphia, PA: Lippinncott, Williams & Wilkins; 2001:1448–1461.

    Google Scholar 

  10. Alo’ K, Yland M, Redko V, Feler C, Naumann C. Selective nerve root stimulation in the treatment of chronic pain. Fortschritte in Anaesthesie, Intensive, Notfall, Und Schmerztherapie. 1999;(1):38.

    Google Scholar 

  11. Alo’ KM, Yland MJ, Redko V, Feler C, Naumann C. Selective lumbar and sacral nerve root stimulation in the treatment of chronic pain: an anatomic approach. Abstract Book: St. Antoni Arlberg Austrian Annal Anesthesiology and Pain Management Meeting (German); February 4, 1999.

    Google Scholar 

  12. Alo’ KM, McKay E. Selective nerve root stimulation (SNRS) for the treatment of intractable pelvic pain and motor dysfunction: a case report. Neuromodulation. 2001;4(1):19–23.

    Article  Google Scholar 

  13. Alo’ KM, Zidan AM. Selective nerve root simulation (SNRS) in the treatment of end-stage, diabetic, peripheral neuropathy: a case report. Neuromodulation. 2000;3(4):201–208.

    Article  Google Scholar 

  14. Alo’ KM, Gohel R, Corey CL. Sacral nerve root stimulation for the treatment of urge incontinence and detrusor dysfunction utilizing a cephalocaudal intraspinal method of lead insertion: a case report. Neuromodulation. 2001;4(2):53–58.

    Article  Google Scholar 

  15. Alo’ KM, McKay E. Sacral nerve root stimulation for the treatment of intractable pelvic pain: clinical experience. In: Jose De Andres, ed. Bound Version Proceedings Puesta Al Dia En Anestesia Regional Y Tratamiento Del Dolor. 2003;Volumen VI:247–251.

    Google Scholar 

  16. Alo’ KM, McKay E. Sacral nerve root stimulation for the treatment of urge incontinence and detrusor dysfunction utilizing a cephalocaudal intraspinal method of lead insertion: a case report. In: Jose De Andres, ed. Bound Version Proceedings Puesta Al Dia En Anestesia Regional Y Tratamiento Del Dolor. 2003; Volumen VI:251–256.

    Google Scholar 

  17. Feler CA, Whitworth LA, Brookoff D, Powell R. Recent advances: sacral nerve root stimulation using a retrograde method of lead insertion for the treatment of pelvic pain due to interstitial cystitis. Neuromodulation. 1999;2:211–216.

    Article  PubMed  CAS  Google Scholar 

  18. Alo’ KM, Bennett D, Oakley JC, Kamson S, Wright RE, Brandt SA, Feler CA, et al. Fluoroscopy manual for pain management: chapter: radiologic considerations for neurostimulation lead placement: lumbar/sacral placement. In: Tina McKay Best, ed. Pain Management Innovations, Evergreen, CO, March 2000:31–37, 38–44.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Houston Texas Pain Management, PA, Houston, Texas, USA

    Kenneth M. Alò (President and CEO, Director)

  2. Section of Neuro-Cardiology, Institute of Cardiology and Vascular Medicine, Monterrey Technical University, Monterrey, Mexico

    Kenneth M. Alò (President and CEO, Director)

Authors
  1. Kenneth M. Alò
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kenneth M. Alò .

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Alò, K.M. (2011). Selective Nerve Root Stimulation: Facilitating the Cephalocaudal “Retrograde” Method of Electrode Insertion. In: Atlas of Implantable Therapies for Pain Management. Springer, New York, NY. https://doi.org/10.1007/978-0-387-88567-4_16

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-88567-4_16

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-88566-7

  • Online ISBN: 978-0-387-88567-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation