A new technique of 'midline anchoring' in spinal cord stimulation dramatically reduces lead migration
Autor: | Steve Grumman, Y. Eugene Mironer, Mary Cohen, Lisa Tonder, Christopher Brown, John R. Satterthwaite |
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Rok vydání: | 2011 |
Předmět: |
medicine.medical_specialty
Percutaneous integumentary system business.industry Chronic pain Anchoring Retrospective cohort study General Medicine Spinal cord stimulation medicine.disease Surgery Anesthesiology and Pain Medicine Neurology Anesthesia Medicine Neurology (clinical) business Lead Placement Lead (electronics) Conventional technique |
Zdroj: | Neuromodulation : journal of the International Neuromodulation Society. 7(1) |
ISSN: | 1094-7159 |
Popis: | Spinal cord stimulation (SCS) is a popular method of treatment of chronic pain. Unfortunately, migration of the lead continues to be a serious complication of this therapy. In an attempt to reduce lateral migration of the SCS lead, we performed a retrospective assessment of a new technique of percutaneous lead placement. This new method of "midline anchoring" of the lead using the plica mediana dorsalis was tested against conventional technique in a retrospective study involving 122 trials and 91 implants of SCS over a period of five years. The use of "midline anchoring" resulted in a decrease in lead migration from 23% to 6% after trial insertion and from 24% to 7% after implantation. We conclude that "midline anchoring" of the SCS lead is an effective method of preventing lead migration. |
Databáze: | OpenAIRE |
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