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Clinical study| Volume 62, P80-82, April 2019

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Timing and prevalence of revision and removal surgeries after spinal cord stimulator implantation

  • Author Footnotes
    1 Present address: University of Maryland School of Medicine, Baltimore, MD, USA.
    ,
    Author Footnotes
    2 Equal Contributions.
    Serban Negoita
    Correspondence
    Corresponding authors at: University of Maryland School of Medicine, 620 W Lexington St, Baltimore, MD 21201, USA (S. Negoita), Yale University School of Medicine, 367 Cedar Street, Room 316 ESH, New Haven, CT 06510, USA, (P.Q. Duy).
    Footnotes
    1 Present address: University of Maryland School of Medicine, Baltimore, MD, USA.
    2 Equal Contributions.
    Affiliations
    Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA
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  • Author Footnotes
    2 Equal Contributions.
    Phan Q. Duy
    Correspondence
    Corresponding authors at: University of Maryland School of Medicine, 620 W Lexington St, Baltimore, MD 21201, USA (S. Negoita), Yale University School of Medicine, 367 Cedar Street, Room 316 ESH, New Haven, CT 06510, USA, (P.Q. Duy).
    Footnotes
    2 Equal Contributions.
    Affiliations
    Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Medical Scientist Training Program, Yale University School of Medicine, New Haven, CT, USA
    Search for articles by this author
  • Uma V. Mahajan
    Affiliations
    Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Case Western Reserve University, Cleveland, OH, USA
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  • William S. Anderson
    Affiliations
    Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA
    Search for articles by this author
  • Author Footnotes
    1 Present address: University of Maryland School of Medicine, Baltimore, MD, USA.
    2 Equal Contributions.
Published:January 14, 2019DOI:https://doi.org/10.1016/j.jocn.2018.12.028

      Highlights

      • 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.

      Abstract

      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.

      Keywords

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