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08-06-2024 | Neuropathic Pain (A Abd-Elsayed, Section Editor)

Device-Related Complications Associated with Cylindrical Lead Spinal Cord Stimulator Implants: A Comprehensive Review

Authors: Jamal Hasoon, Peter D. Vu, Bakir Mousa, Anush Rita Markaryan, Zohal B. Sarwary, Dorina Pinkhasova, Grant H. Chen, Farah Gul, Christopher L. Robinson, Thomas T. Simopoulos, Jatinder Gill, Omar Viswanath

Published in: Current Pain and Headache Reports

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Abstract

Purpose of Review

Spinal cord stimulation (SCS) is an increasingly utilized therapy for the treatment of neuropathic pain conditions. Though minimally invasive and reversable, there are several important device-related complications that physicians should be aware of before offering this therapy to patients. The aim of this review is to synthesize recent studies in device-related SCS complications pertaining to cylindrical lead implantation and to discuss etiologies, symptoms and presentations, diagnostic evaluation, clinical implications, and treatment options.

Recent Findings

Device-related complications are more common than biologic complications. Device-related complications covered in this review include lead migration, lead fracture, lead disconnection, generator failure, loss of charge, generator flipping, hardware related pain, and paresthesia intolerance.

Summary

The use of SCS continues to be an effective option for neuropathic pain conditions. Consideration of complications prior to moving forward with SCS trials and implantation is a vital part of patient management and device selection. Knowledge of these complications can provide physicians and other healthcare professionals the ability to maximize patient outcomes.
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Metadata
Title
Device-Related Complications Associated with Cylindrical Lead Spinal Cord Stimulator Implants: A Comprehensive Review
Authors
Jamal Hasoon
Peter D. Vu
Bakir Mousa
Anush Rita Markaryan
Zohal B. Sarwary
Dorina Pinkhasova
Grant H. Chen
Farah Gul
Christopher L. Robinson
Thomas T. Simopoulos
Jatinder Gill
Omar Viswanath
Publication date
08-06-2024
Publisher
Springer US
Published in
Current Pain and Headache Reports
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-024-01280-0