Electrode implant for Spinal Cord Stimulation

Spinal cord stimulation is a well-established technique for the treatment of refractory pain with specific indications. Studies, including randomized controlled trials, have demonstrated superior results with the use of spinal cord stimulation compared to conservative medical management and repeated lumbar surgery for the treatment of chronic pain syndromes, such as failed back surgery syndrome.Spinal cord stimulation systems can use percutaneous or paddle electrodes. Percutaneous electrodes have the advantage of being implantable by interventional physicians or anesthesiologists, which is why they are more commonly used, while paddle electrodes require surgical implantation by laminotomy or laminectomy performed by a surgeon. Both types of electrodes have advantages and disadvantages.In this article, we'll discuss preoperative considerations and the implantation technique for paddle electrodes for spinal cord stimulation, as well as the risks, benefits, and surgical considerations that must be taken into account to achieve a successful outcome, following the NACC recommendations.