Abstract
Spinal cord stimulation (SCS) has undergone a variety of technical modifications and advances and has been applied to a variety of pain conditions. The group of patients in which SCS has been most commonly applied is those with chronic back and leg pain, failed back surgery syndrome (FBSS), complex regional pain syndrome or other ischemic pain syndromes. Goal of its treatment is palliative treatment and suppression of severity of pain intensity and frequency, although the mechanism of action of SCS has not been well known. The author reviews indications, surgical techniques, mechanism of action of SCS and management of the patient.
References
1. Barolat G, Oakley JC, Law JD, North RB, Ketcik B, Sharan A. Epidural spinal cord stimulation with a multiple electrode paddle lead Is effective in treating intractable low back pain. Neuromudulation. 2001. 4:59–66.
2. Bennett DS, Aló KM, Oakley J, Feler CA. Spinal cord stimulation for complex regional pain syndrome I [RSD]: a retrospective multicenter experience from 1995 to 1998 of 101 patients. Neuromudulation. 1999. 2:202–210.
3. Feirabend HK, Choufoer H, Ploeger S, Holsheimer J, van Gool JD. Morphometry of human superficial dorsal and dorsolateral column fibres: significance to spinal cord stimulation. Brain. 2002. 125:1137–1149.
5. Meyerson BA, Linderoth B. Mode of action of spinal cord stimulation in neuropathic pain. J Pain Symptom Manage. 2006. 31:4 Suppl. S6–S12.
6. Oakley JC, Weiner RL. Spinal cord stimulation for complex regional pain syndrome: a prospective study of 19 patients at two centers. Neuromudulation. 1999. 2:47–50.
7. Shealy CN, Mortimer JT, Reswick JB. Electrical inhibition of pain by stimulation of the dorsal columns: preliminary clinical report. Anesth Analg. 1967. 46:489–491.