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Spinal Cord Stimulation

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Treatment of Chronic Pain by Interventional Approaches

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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.

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Authors and Affiliations

  1. Department of Interventional Spine and Pain Medicine, Holy Cross Hospital, 4725 North Federal Highway, Fort Lauderdale, FL, 33308, USA

    W. Porter McRoberts M.D.

  2. Pain and Rehabilitation Institute, 2270 Valley Road S-100, Birmingham, AL, 35244, USA

    Daniel M. Doleys Ph.D.

  3. Department of Interventional Spine and Pain Medicine, Florida Spine Specialists, 6000 North Federal Highway, Fort Lauderdale, FL, 33308, USA

    Kevin D. Cairns M.D., MPH

  4. Division of PM&R, Nova Southeastern University, 3301 College Avenue, Fort Lauderdale, FL, 33314, USA

    Kevin D. Cairns M.D., MPH

Authors
  1. W. Porter McRoberts M.D.
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  2. Daniel M. Doleys Ph.D.
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  3. Kevin D. Cairns M.D., MPH
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Corresponding author

Correspondence to W. Porter McRoberts M.D. .

Editor information

Editors and Affiliations

  1. President and CEO, Clinical Professor of Anesthesiology, The Center for Pain Relief, West Virginia University School of Medicine, Charleston, West Virginia, USA

    Timothy R. Deer

  2. Clinic Chief, Clinical Associate Professor, Department of Anesthesiology, Stanford Pain Medicine Center, Redwood City, CA, USA, and Stanford University School of Medicine, Stanford, California, USA

    Michael S. Leong

  3. Department of Anesthesiology, Orthopedic Anesthesia, Rush Medical College, Rush University Medical Center, Chicago, Illinois, USA

    Asokumar Buvanendran

  4. Center for Interventional Pain & Spine, DE and Bryn Mawr, Newark, Pennsylvania, USA

    Philip S. Kim

  5. President, National Institute of Pain, Tampa, Florida, USA

    Sunil J. Panchal

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© 2015 American Academy of Pain Medicine

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McRoberts, W.P., Doleys, D.M., Cairns, K.D. (2015). Spinal Cord Stimulation. In: Deer, T., Leong, M., Buvanendran, A., Kim, P., Panchal, S. (eds) Treatment of Chronic Pain by Interventional Approaches. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1824-9_39

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  • DOI: https://doi.org/10.1007/978-1-4939-1824-9_39

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