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26-12-2023 | Spinal Cord Stimulation | Chronic Pain Medicine (O Viswanath, Section Editor)

Cervical Spinal Cord Stimulation: A Review

Authors: Lucky Krog, Jillian Maloney, Scott Pew, Olufunmilola Adeleye, Brooks Johnson, Brett Glenn, Benjamin Gill, Vinicius Tieppo Francio, Robert Pagan-Rosado, Madeline Whitney, Neil Sinha, Natalie Strand

Published in: Current Pain and Headache Reports | Issue 4/2024

Abstract

Purpose of Review

This literature review critically examines existing studies on cervical spinal cord stimulation (cSCS) for the treatment of chronic pain. The objective is to evaluate the current evidence, identify knowledge gaps, and collate data to inform clinical decision-making and suggest future research avenues. The review covers indications, contraindications, surgical and anesthetic approaches, trials, efficacy, and complications of cSCS.

Recent Findings

Recent advancements highlight the evolving role of cSCS in chronic pain management. New neuromodulation techniques involve optimal placement of leads based on the pain’s innervation level, maximizing therapeutic outcomes. Contemporary studies underscore the broadening benefits of cSCS, including enhanced functional abilities and sleep quality. However, alongside these innovations come challenges; emerging data bring attention to complications such as hardware issues and infections. Significantly, modern research emphasizes the crucial role of accurate patient selection, factoring in prior therapy responses and comprehensive evaluations.

Summary

cSCS emerges as a promising tool for chronic pain management, with benefits beyond mere pain relief. As surgical techniques, patient selection criteria, and postoperative care refine, the potential of cSCS expands to benefit a broader patient demographic. However, further comprehensive research is necessary to enhance its application, validate its role earlier in treatment, and ultimately ameliorate the lives of those with chronic pain.

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Title: Cervical Spinal Cord Stimulation: A Review
Authors: Lucky Krog
Jillian Maloney
Scott Pew
Olufunmilola Adeleye
Brooks Johnson
Brett Glenn
Benjamin Gill
Vinicius Tieppo Francio
Robert Pagan-Rosado
Madeline Whitney
Neil Sinha
Natalie Strand
Publication date: 26-12-2023
Publisher: Springer US
Keywords: Spinal Cord Stimulation
Nerve Stimulation
General Anesthesia
Published in: Current Pain and Headache Reports / Issue 4/2024
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI: https://doi.org/10.1007/s11916-023-01200-8

At a glance: The STEP trials

Springer Medicine

Cervical Spinal Cord Stimulation: A Review

Abstract

Purpose of Review

Recent Findings

Summary

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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