Volume 24, Issue 104, July - August, 2020

Wireless spinal cord stimulation - proposed algorithm before implantation

Griger Martin¹, Rapčan Róbert², Burianek Miroslav³, Kočan Ladislav^4♦, Rapčanová Simona³, Kočanová Hana⁵, Török Pavol⁴, Vašková Janka⁶

¹Europain clinics, Kominárska 21/5, 831 04 Bratislava, Slovak Republic
²Europain clinics, Na hradbách 94/3, 085 01 Bardejov, Slovak Republic
³Europain clinics, Starochodovská 1750, 149 00 Prague 4, Czech Republic
⁴Clinic of Anaesthesiology and Intensive Care Medicine, East Slovak Institute of Cardiovascular Disease, Ondavská 8, 040 11 Košice, Slovak Republic
⁵Clinic of Anaesthesiology and Intensive Care Medicine, Railway Hospital and Clinic Košice, Slovak Republic
⁶Department of Medical and Clinical Biochemistry, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Trieda SNP 1, 040 22 Košice, Slovak Republic

^♦Corresponding author
Ladislav Kočan, MD, PhD., Clinic of Anaesthesiology and Intensive Care Medicine East Slovak Institute of Cardiovascular Disease, Ondavská 8, 040 11 Košice, Slovak Republic; E-mail: kocanladislav@gmail.com

ABSTRACT

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

Medical Science, 2020, 24(104), 2452-2459

PDF