Spinal Cord Stimulation

  • W. Porter McRoberts
  • Daniel M. Doleys
  • Kevin D. Cairns
Chapter

Abstract

Great innovation in patient selection, expertise, and technology has yielded spinal cord stimulation as a treatment which when skillfully applied offers significant and reliable chronic pain relief at the patient’s own direction. This chapter presents an overview of the practical application of spinal cord stimulation, focusing on patient selection, mechanism of action, outcomes and effectiveness data, psychological assessment and screening, as well as future directions. Lastly, the chapter reviews potential complications and presents considerations for virtually every step in neuromodulation but especially for surgical methodology to mitigate risk and increase chances of success. Along with traditional thoracic lead placement, cervical and retrograde approaches are additionally explained and detailed.

Keywords

Migration Depression Bacillus Staphylococcus Dura 

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Copyright information

© American Academy of Pain Medicine 2015

Authors and Affiliations

  • W. Porter McRoberts
    • 1
  • Daniel M. Doleys
    • 2
  • Kevin D. Cairns
    • 3
    • 4
  1. 1.Department of Interventional Spine and Pain MedicineHoly Cross HospitalFort LauderdaleUSA
  2. 2.Pain and Rehabilitation InstituteBirminghamUSA
  3. 3.Department of Interventional Spine and Pain MedicineFlorida Spine SpecialistsFort LauderdaleUSA
  4. 4.Division of PM&RNova Southeastern UniversityFort LauderdaleUSA

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