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Papers of the Week

2019 Oct

Arthrosc Tech



High-Frequency Spinal Cord Stimulation for the Treatment of Chronic Low Back and Leg Pain: Implantation Technique of Percutaneous Leads and Implantable Pulse Generator.


Kasapovic A, Rommelspacher Y, Gathen M, Cucchi D, Bornemann R, Pflugmacher R, Walter SG
Arthrosc Tech. 2019 Oct; 8(10):e1125-e1129.
PMID: 31921585.


Spinal cord stimulation (SCS) is an evidence-based, reversible but invasive procedure for the treatment of chronic pain syndromes: for example, in patients with failed-back-surgery syndrome or complex regional pain syndrome. A more recent, similar technique uses high-frequency stimulation for SCS and follows a different mechanism of action that does not result in paresthesia. This Technical Note and video present surgical instructions of a "2-way cut-down" technique for a high-frequency SCS trial period and permanent implantation of an implantable pulse generator.