Academic Journal

A Survey on the Choice of Spinal Cord Stimulation Parameters and Implantable Pulse Generators and on Reasons for Explantation

التفاصيل البيبلوغرافية
العنوان: A Survey on the Choice of Spinal Cord Stimulation Parameters and Implantable Pulse Generators and on Reasons for Explantation
المؤلفون: Gill, Jatinder S, Kohan, Lynn R, Hasoon, Jamal, Urits, Ivan, Viswanath, Omar, Cai, Viet L, Yazdi, Cyrus, Aner, Musa M, Kaye, Alan D, Simopoulos, Thomas T
المصدر: Orthop Rev (Pavia) ; ftpubmed
بيانات النشر: Open Medical Publishing
سنة النشر: 2022
مصطلحات موضوعية: General, socio, psy
الوصف: OBJECTIVE: Spinal Cord Stimulation (SCS) is a vital treatment for chronic intractable pain. In the last few years, the field has undergone dramatic changes in new waveform and frequency introduction as well as device miniaturization. It is important to understand contemporary practice patterns regarding these parameters. METHODS: We surveyed the active membership of Spine Intervention Society (SIS), and American Society of Regional Anesthesia (ASRA) on their practices regarding various aspects of Spinal Cord Stimulation therapy. Here we report on SCS waveform usage, battery types, and causes of explant in this cohort of providers. RESULTS: There was similar degree of usage of tonic, burst, and 10 kHz usage at 71.5%, 74.1% and 61.7% respectively. Dorsal root ganglion stimulation was used by 32.6% and other modes of stimulation by 13.5%. Rechargeable systems were often or always used by 67.2% whereas 10% never used a rechargeable system. Most common cause of explant was loss of effectiveness, reported by 53.7%. CONCLUSION: There has been significant adoption of new waveforms in daily practice of spinal cord stimulation therapy and there is robust mixed usage of new waveforms and frequencies. Rechargeable systems are the most commonly used but primary cell is also used in significant numbers. Loss of efficacy remains the most common cause of explant for the majority of practitioners. This survey establishes practice patterns of SCS usage regarding these important variables against which future changes can be gauged.
نوع الوثيقة: text
اللغة: English
Relation: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9662606/
الاتاحة: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9662606/
Rights: undefined
رقم الانضمام: edsbas.342B8224
قاعدة البيانات: BASE