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64th Annual Meeting of the German Society of Neurosurgery (DGNC)

German Society of Neurosurgery (DGNC)

26 - 29 May 2013, Düsseldorf

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First results of burst high frequency stimulation in failed FBSS stimulation patients

Meeting Abstract

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  • Stefan Schu - Neurochirurgische Klink, Universitätsklinikum Düsseldorf
  • Gregor Bara - Neurochirurgische Klink, Universitätsklinikum Düsseldorf
  • Jan Vesper - Neurochirurgische Klink, Universitätsklinikum Düsseldorf

Deutsche Gesellschaft für Neurochirurgie. 64. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC). Düsseldorf, 26.-29.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. DocDI.07.04

doi: 10.3205/13dgnc218, urn:nbn:de:0183-13dgnc2187

Published: May 21, 2013

© 2013 Schu et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Objective: Spinal cord stimulation (SCS) is an established method for treatment of chronic pain. Nearly 15% (29 out of 214 implanted patients) of these treated patients lost pain relief after more than 12 month of stimulation. The study demonstrates promising first results by changing to burst high frequency stimulation

Method: Data was collected prospectively. All patients were implanted with paddle lead and a implantable pulse generator (Eon mini™, St. Jude Medical Neuromodulation Division, Plano, TX), After more than one year they all lost completely pain relief although they examined the same paresthesia in the painfull area. The follow-up after reprogramming was 3 and 6 months.

Results: 29 patients who failled long-term pain relief with konventional SCS have been reprogrammed with burst stimulation so far. All patients suffered from failed back surgery syndromes with a combined leg and lower back pain. 20 patients(66%) examined again a pain relief (median VAS reduction 9 to 3) under paraesthesia free stimulation. There were no complications.

Conclusions: Our data shows this burst stimulation to be effective and safe. First results are very promising for the treatment of long-term non responder of konventional tonic SCS.