Chapter

Advances in Dorsal Column Stimulation

Chirag D. Shah and Maunak V. Rana

in Perioperative Pain Management for Orthopedic and Spine Surgery

Published on behalf of Oxford University Press

Published in print September 2018 | ISBN: 9780190626761
Published online October 2018 | e-ISBN: 9780190626792 | DOI: https://dx.doi.org/10.1093/med/9780190626761.003.0017
Advances in Dorsal Column Stimulation

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Spinal cord stimulation (SCS) has been a long established therapy for various pain conditions including low back pain, failed back surgery syndrome, complex regional pain syndrome, and other neuropathic and nociceptive pain states. Since the first report of SCS in 1967 by Shealy, advances have occurred in the technology used to achieve clinical analgesia. Developments in both the hardware and software involved have led to significant improvements in functional specificity, as seen in dorsal root ganglion stimulation, along with increasing breadth and depth of the field of neuromodulation. The patient experience during the implantation of the systems, as well as post-procedurally has been enhanced with improvements in programming. These technological improvements have been validated in quality evidenced-based medicine: what was a static area now is a dynamic field, with neuromodulation poised to allow physicians and patients more viable options for better pain control for chronic painful conditions.

Chapter.  9489 words.  Illustrated.

Subjects: Trauma and Orthopaedic Surgery

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