Spinal Cord Stimulation versus Reoperation for Failed Back Surgery Syndrome

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Spinal cord stimulation in pregnancy with failed back surgery syndrome.

Women of child-bearing age who are candidates for trial and possible implantation of a spinal cord stimulator (SCS) may express concerns regarding its effect on their ability to become pregnant, to maintain a pregnancy and to breastfeed. Despite the large number of SCS implanted worldwide there is a paucity of data regarding its effect on fertility and the course of the pregnancy. We describe a...

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Spinal cord stimulation for treatment of failed back surgery syndrome--two case reports.

Severe, persistent back pain following back surgery is often referred to as Failed Back Surgery Syndrome (FBSS). Conservative measures such as physiotherapy, back strengthening exercises, transcutaneous electrical nerve stimulation and epidural steroids may be inadequate to alleviate pain. Spinal Cord Stimulators were implanted into two patients suffering from FBSS. Both patients responded succ...

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Spinal cord stimulation for patients with failed back surgery syndrome: a systematic review.

BACKGROUND Failed back surgery syndrome is common in the United States. Management of post lumbar surgery syndrome with multiple modalities includes interventional techniques, resulting in moderate improvement, leaving a proportion of patients in intractable pain. The systematic reviews of long-term benefits and risks of spinal cord stimulation (SCS) for patients with failed back surgery syndro...

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Spinal cord stimulation versus reoperation for failed back surgery syndrome: a cost effectiveness and cost utility analysis based on a randomized, controlled trial.

OBJECTIVE We analyzed the cost-effectiveness and cost-utility of treating failed back-surgery syndrome using spinal cord stimulation (SCS) versus reoperation. MATERIALS AND METHODS A disinterested third party collected charge data for the first 42 patients in a randomized controlled crossover trial. We computed the difference in cost with regard to success (cost-effectiveness) and mean qualit...

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Rechargeable spinal cord stimulation versus non-rechargeable system for patients with failed back surgery syndrome: a cost-consequences analysis.

OBJECTIVES Spinal cord stimulation (SCS) has been used for almost 40 years to treat refractory neuropathic pain after failed back surgery. Fully implantable non-rechargeable pulse generators have a battery life of between 2 and 5 years. A new SCS system with a rechargeable power source may last 10 to 25 years, or longer. The potential economic implications of longer battery life with a new SCS ...

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ژورنال

عنوان ژورنال: Neurosurgery

سال: 2008

ISSN: 0148-396X,1524-4040

DOI: 10.1227/01.neu.0000335802.66922.49