- •We characterized revisions and removal surgeries after spinal cord stimulator implantation.
- •34% of patients underwent revision surgery and 53% of patients had their implant removed.
- •The majority of patients who required revisions eventually opted for removal of their SCS system.
- •The median time to the first revision surgery was 16 months post implantation.
- •The median time to removal was 39 months post implantation.
We performed a retrospective study to characterize the timing and prevalence of revision and removal surgeries after spinal cord stimulator (SCS) implantation in patients with chronic pain. In our analysis of 100 patients who had SCS implants, we found that 34% of patients underwent revision surgery and 53% of patients had their implant removed. Of the patients who required revision surgeries, the majority (56%) eventually opted for removal of their SCS system. The median time to the first revision surgery was 16 months post implantation and the median time to removal was 39 months post implantation. Our findings demonstrate that most SCS systems are removed within a few years post implantation, highlighting the clinical need for a more complete understanding of SCS technology in order to refine patient selection criteria.
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- A review of spinal cord stimulation systems for chronic pain.J Pain Res. 2016; 9: 481-492
- Spinal cord stimulation for failed back surgery syndrome: outcomes in a workers' compensation setting.Pain. 2010; 148: 14-25
- Analgesic efficacy of high-frequency spinal cord stimulation: a randomized double-blind placebo-controlled study.Neuromodulation. 2013; 16 (pp. 363–9; discussion 369)
- Spinal cord stimulation versus conventional medical management for neuropathic pain: a multicentre randomised controlled trial in patients with failed back surgery syndrome.Pain. 2007; 132: 179-188
- The effects of spinal cord stimulation in neuropathic pain are sustained: a 24-month follow-up of the prospective randomized controlled multicenter trial of the effectiveness of spinal cord stimulation.Neurosurgery. 2008; 63 (pp. 762–70; discussion 770)
- Two surgeries do not always make a right: spinal cord stimulation for failed back surgery syndrome.Yale J Biol Med. 2018; 91: 323-331
- Complications related to the use of spinal cord stimulation for managing persistent postoperative neuropathic pain after lumbar spinal surgery.Neurosurg Focus. 2015; 39: E15
Published online: January 14, 2019
Accepted: December 22, 2018
Received: November 15, 2018
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