Chapter

Intrathecal Pumps

Richard L. Boortz-Marx, Daniel Moyse and Yawar J. Qadri

in The Spine Handbook

Published on behalf of Oxford University Press

Published in print May 2018 | ISBN: 9780199350940
Published online June 2018 | e-ISBN: 9780199390793 | DOI: https://dx.doi.org/10.1093/med/9780199350940.003.0031
Intrathecal Pumps

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  • Pain Medicine
  • Rehabilitation Medicine
  • Spinal Surgery

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Neuromodulation options that exist for chronic pain treatment include targeted intrathecal drug delivery, spinal cord stimulation, deep brain stimulation, cortical stimulation, and peripheral field stimulation. This chapter focuses on the neuromodulation technique of targeted intrathecal drug delivery. The chapter provides a brief overview of the history and focuses on clinically relevant discussion of patient selection, trialing, surgical technique, and other important topics for establishing a high-quality targeted intrathecal drug delivery program in this evolving age. The key to success with neuromodulation and targeted intrathecal drug delivery is patient selection. Appropriate pre-implantation screening and behavioral health assessment are critical. The choice of agent and route of delivery may play key roles in therapy success.

Chapter.  7578 words.  Illustrated.

Subjects: Pain Medicine ; Rehabilitation Medicine ; Spinal Surgery

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