Neurology India
menu-bar5 Open access journal indexed with Index Medicus
  Users online: 276  
 Home | Login 
About Editorial board Articlesmenu-bullet NSI Publicationsmenu-bullet Search Instructions Online Submission Subscribe Videos Etcetera Contact
  Navigate Here 
 »   Next article
 »   Previous article
 »   Table of Contents

 Resource Links
 »   Similar in PUBMED
 »  Search Pubmed for
 »  Search in Google Scholar for
 »Related articles
 »   Citation Manager
 »   Access Statistics
 »   Reader Comments
 »   Email Alert *
 »   Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded46    
    Comments [Add]    

Recommend this journal


Year : 2020  |  Volume : 68  |  Issue : 8  |  Page : 213--217

Surgical Technique and Patient Selection for Spinal Cord Stimulation for Chronic Pain

1 Department of Neurosurgery, Allegheny Health Network, Pittsburgh, PA, USA
2 Department of Neurosurgery, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, USA

Correspondence Address:
Nicholas J Brandmeir
Department of Neurosurgery, Rockefeller Neuroscience Institute, West Virginia University, PO Box 9183, 1 Medical Center Drive, Morgantown, WV - 26506
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.302462

Rights and Permissions

Spinal cord stimulation (SCS) is a neuromodulation surgical technique that allows the treatment of various causes of chronic pain. SCS is effective in the treatment of chronic low back pain, neuropathic pain, chronic regional pain syndrome, and failed back surgery syndrome, among others. The mechanisms underlying the efficacy are still under investigation and different mechanisms are likely responsible for the effects of different waveforms used in the therapy. Successful application of SCS to individual patients depends on patient selection and meticulous surgical technique. Important factors in patient selection depend on preoperative imaging, maximizing noninvasive therapy, and neuropsychological evaluation. Percutaneous and open techniques exist for placing both paddle-shaped epidural leads as well as typical cylindrical leads. Benefits and risks exist for both techniques and the exact technique that is optimal depends on surgeon experience and surgeon and patient preference. Complications are rare and can be minimized and managed with appropriate preoperative mitigation.


Print this article     Email this article

Online since 20th March '04
Published by Wolters Kluwer - Medknow