Section 2: Spinal Cord Stimulation

Question 1

What does IPG stand for?

Answer 1

Implantable pulse generator

Question 2

Where are the leads placed during surgery? Where is the IPG placed?

Answer 2

Leads= percutaneously through epidural space
IPG= subcutaneously

Question 3

What type of pain is SCS not effective for?

Answer 3

Nociceptive pain (ex. An error pain, arthritis, wound pain, etc)

Question 4

“Indicated as an aid in the management of chronic intractable pain of the trunk and/or limbs, including unilateral and bilateral pain associated with the following: failed back surgery syndrome, intractable low back pain, and leg pain.”

1. Neuropathic Pain
2. Epidural lead placement
3. Pain located in the lower trunk or extremities

Answer 4

Boston Scientific SCS indications for use

Question 5

Trauma due to recurrent or persistent disc hernia Timon but not herniation itself, or due to spinal or foraminal stenosis but not stenosis itself = ?

Answer 5

Nerve Injury

Question 6

Name 6 potential etiologies

Answer 6

1. Nerve injury
2. Epidural fibrosis & scarring
3. Arachnoiditis
4. Radicukitis of lower back and lower extremities (sciatica)
5. Painful peripheral Neuropathy
6. Neuropathic Pain Syndrome

Question 7

Scarring, hardware malposition, inadequate decompression and biomechanics, injuries such as altered joint mobility, are indications for what?

Answer 7

Post Laminectomy Syndrome and Failed Back Surgery Syndrome