Background: We focus on interventional diagnostics and treatment by spinal cord stimulation (SCS) taking place in our workplace.
SCS is a financially demanding therapy, so patient selection is considered important. Methods: We present a brief summary of the
diagnostic interventions used on spinal cord structures that confirm or exclude pain generators in patients with complicated back
pain. The indication process also includes psychological, psychiatric, neurological and neurosurgical examinations. Results: Our
current algorithm is presented, which includes the use of current procedures in the diagnosis and treatment of back pain. In
connection with positive diagnostic results, however, spinal therapeutic interventions are included. Conclusions: Our evaluation of
data focused on patients with failed back surgery syndrome with implanted wireless spinal cord stimulator showed significant
improvement of clinical state measured by numerical rating scale after 3, 6, and 9 months.
Keywords: failed back surgery syndrome, spinal cord stimulation, neuromodulatory therapy