Abstract

Spinal cord stimulation (SCS) has been used to treat intractable pain syndromes for over 30 years ( 1. Shealy CN Mortimer JT Reswick JB. Electrical inhibition of pain by stimulation of the dorsal columns: Preliminary clinical report. Anesth Analg. 1967; 46: 489-491 Crossref PubMed Google Scholar ). For many years this technique was used and reported as case series, without supporting prospective studies for the most common indication, the failed back surgery syndrome ( 2. North RB Ewend MG Lawton MT Kidd DH Piantadosi S. Failed back surgery syndrome: Five-year follow-up after spinal cord stimulator implantation A prospective, randomized study design. Neurosurgery. 1991; 28: 692-699 Crossref PubMed Scopus (242) Google Scholar ). In the last several years there have been several prospective studies ( 3. North RB Kidd DH Lee MS Piantadosi S. Spinal cord stimulation versus reoperation for the failed back surgery syndrome: a prospective, randomized study design. Sterotact Funct Neurosurg. 1994; 62: 267-272 Crossref PubMed Scopus (116) Google Scholar , 4. Burchiel KJ Anderson VC Brown FD et al. Prospective, multicenter study of spinal cord stimulation for relief of chronic back and extremity pain. Spine. 1996; 21: 2786-2794 Crossref PubMed Scopus (267) Google Scholar , 5. Ohnmeiss DD Rashbaum RF Bogdanffy GM. Prospective outcome evaluation of spinal cord stimulation in patients with intractable leg pain. Spine. 1996; 21: 1344-1351 Crossref PubMed Scopus (111) Google Scholar ) which have helped to clarify the overall role of SCS.

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