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Papers of the Week

Papers: 12 Mar 2022 - 18 Mar 2022

2022 Mar 09


Subcutaneous Stimulation as Add-on Therapy to Spinal Cord Stimulation in Patients With Failed Back Surgery Syndrome Significantly Increases the Total Electrical Charge per Second: Aspects on Stimulation Parameters and Energy Requirements of the Implanted


van Roosendaal B-KWP, van Heteren EPZ, van Gorp E-J, Bronkhorst EM, Kallewaard J W, Wegener JT, Burger K, Teernstra O P, Buschman HPJ, Hamm-Faber T, Vissers KCP
Neuromodulation. 2022 Mar 09.
PMID: 35279384.


In our previous multicenter randomized controlled trial, we demonstrated the clinical effectiveness of peripheral nerve field stimulation (PNFS) as add-on therapy to spinal cord stimulation (SCS) for the treatment of chronic back pain in patients with failed back surgery syndrome. To our knowledge, no previous study has investigated the effect of PNFS as an add-on to SCS on the energy consumption of the implanted neurostimulators. Therefore, in this study, we compared the specific stimulation parameters and energy requirements of a previously unreported group of patients with only SCS with those of a group of patients with SCS and add-on PNFS. We also investigated differences that might explain the need for PNFS in the treatment of chronic low back pain.