Abstract
Burst spinal cord stimulation (SCS) has demonstrated superior relief from overall pain and a reduction in back and leg pain compared to traditional tonic neurostimulation therapies. However, nearly 80% of patients have 2 or more non-contiguous pain areas. This can affect the ability to effectively program stimulation and the long-term efficacy of therapy. Multiple BurstDR region programming is a new option to treat multi-site pain by interleaving stimulation at multiple areas along the spinal cord. Prior intraoperative studies have shown that BurstDR stimulation provides broader myotomal coverage at a lower recruitment threshold. The overall goal of this study is to use changes in intraoperative EMG threshold and post-operative paresthesia thresholds to optimize burst stimulation programming.
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