Multi-column Spinal Cord Stimulation Lead Implantation Using an Optic Transligamentar Minimally Invasive Technique.
Neurosurgery. 2013 Jun 10;
Authors: Rigoard P, Luong AT, Delmotte A, Raaholt M, Roulaud M, Monlezun O, Triphose A, Guetarni F, Brugière B, Misbert L, Diallo B, Bataille B
BACKGROUND:: A new generation of neurostimulation surgical leads is used to increase the success of spinal cord stimulation (SCS) in difficult-to-treat indications such as Failed Back Surgery Syndrome (FBSS). Minimal access spinal technologies (MAST) have previously been used for surgical lead implantation. However, only a unilateral approach was possible, causing difficulties for median lead placement, and not always preventing laminectomy. A recent MAST technique was used to implant SCS leads without these limitations. OBJECTIVE:: To describe the MAST technique used in a pilot study. METHODS:: Twenty-four consecutive patients were implanted with a multi-column surgical lead for refractory chronic back and leg pain using the optic transligamentar MAST technique. RESULTS:: The MAST technique allowed median lead placement, facilitated visualization of the spine, and permitted transligamentar insertion that minimized scarring and muscle damage. No technique-related adverse events or lead revisions were reported. CONCLUSION:: Use of a MAST approach could be useful in safe implantation of multicolumn surgical leads in difficult-to-treat, refractory lower back pain conditions such as FBSS.
PMID: 23756742 [PubMed – as supplied by publisher]