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Spinal Cord Stimulator

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Interventional Pain

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Abstract

Spinal cord stimulation is commonly performed for chronic low back, neck, leg, and arm pain. This chapter provides a step-by-step guide on how place a thoracic lead safely and shows all the relevant C-arm and needle positions that need to be demonstrated during the Fellow of Interventional Pain Practice (FIPP) exam administered by the World Institute of Pain (WIP). Both native and edited high-quality images are included, so the fluoroscopy anatomy is more easily understood.

Possible complications of the procedures and common reasons for failure at the FIPP exam are also outlined. Evidence for the procedure is provided based on the available literature reviewed by the Benelux section of WIP and also by the American Society of Interventional Pain Physicians (ASIPP).

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Suggested Reading

  • Jang H-D, Kim M-S, Chang C-H, Kim S-W, Kim O-L, Kim S-H. Analysis of failed spinal cord stimulation trials in the treatment of intractable chronic pain. J Korean Neurosurg Soc. 2008;43(2):85–9.

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  • Levy RM. Anatomic considerations for spinal cord stimulation. Neuromodulation: Technology at the Neural Interface. 2014;17:2–11.

    Article  Google Scholar 

  • Lee RA, van Zundert AAJ, Botha CP, Lataster LMA, van Zundert TCRV, van der Ham WGJM, Wieringa PA. The anatomy of the thoracic spinal canal in different postures. Reg Anesth Pain Med. 35(4):364–9.

    Google Scholar 

  • Sitzman BT, Provenzano DA. Best practices in spinal cord stimulation. Spine. 42:S67–71.

    Google Scholar 

  • Yampolsky C, Hem S, Bendersky D. Dorsal column stimulator applications. Surg Neurol Int. 2012;3:275.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Chair, Board of Sections, World Institute of Pain , Akdeniz University Faculty of Medicine, Department of Anesthesiology, Division of Algology, Antalya, Turkey

    Mert Akbas

  2. Member, Education Committee, World Institute of Pain , Vice Chair, Hungarian Section, World Institute of Pain St Magdolna Private Hospital, Budapest, Hungary

    Agnes R. Stogicza

Authors
  1. Mert Akbas
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  2. Agnes R. Stogicza
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Corresponding author

Correspondence to Mert Akbas .

Editor information

Editors and Affiliations

  1. Member, Education Committee, World Institute of Pain, Vice Chair, Hungarian Section, World Institute of Pain, St Magdolna Private Hospital, Budapest, Hungary

    Agnes R. Stogicza

  2. Member, Education Committee, World Institute of Pain, Hospital Israelita Albert Einstein, Sao Paolo, São Paulo, Brazil

    André M. Mansano

  3. Past Chair, Education Committee, World Institute of Pain, Pain and Headache Center, Eagle River, AK, USA

    Andrea M. Trescot

  4. President-Elect, Past Chair, Examination Board, World Institute of Pain, National Spine and Pain Centers, Shrewsburry, NJ, USA

    Peter S. Staats

Additional information

This chapter was reviewed by Alan Berkman; Fabricio D. Assis; Andrea M. Trescot; Milan Stojanovic; Peter S. Staats; Agnes R. Stogicza; Andre M. Mansano.

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Akbas, M., Stogicza, A.R. (2020). Spinal Cord Stimulator. In: Stogicza, A.R., Mansano, A.M., Trescot, A.M., Staats, P.S. (eds) Interventional Pain . Springer, Cham. https://doi.org/10.1007/978-3-030-31741-6_14

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  • DOI: https://doi.org/10.1007/978-3-030-31741-6_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-31740-9

  • Online ISBN: 978-3-030-31741-6

  • eBook Packages: MedicineMedicine (R0)

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