Displacement of implanted electronic neurostimulator of spinal cord electrode (lead) Save

Displacement of implanted electronic neurostimulator of spinal cord electrode (lead)

Spinal cord stimulation is a popular treatment for chronic pain conditions such as failed back surgery syndrome, complex regional pain syndrome, and neuropathic pain. The procedure involves implanting a small electronic device, known as a neurostimulator, under the skin to send electrical impulses to the spinal cord to block pain signals from reaching the brain. The neurostimulator is connected to an electrode (lead) that is placed on the spinal cord.

While spinal cord stimulation is generally safe and effective, there is a risk of displacement of the electrode (lead) after implantation. Displacement occurs when the lead moves from its intended position, causing a loss of stimulation or a change in the stimulation pattern. This can result in a decrease in pain relief and may require repositioning or replacement of the lead.

The causes of electrode displacement can vary and include poor lead placement, trauma, movement, or migration of the neurostimulator or lead. Symptoms of displacement may include a change in the location or intensity of pain, a decrease in stimulation, or a sensation of stimulation in a different part of the body.

1. To prevent electrode displacement, it is important to choose an experienced and skilled surgeon who has performed numerous spinal cord stimulator implantations.
2. Patients should also follow post-operative instructions carefully, including avoiding activities that may cause trauma or movement of the lead.
3. Regular follow-up appointments with a healthcare provider are also important to monitor the effectiveness and positioning of the lead.

If a patient experiences symptoms of electrode displacement, they should contact their healthcare provider immediately. Treatment options may include repositioning or replacing the lead or adjusting the neurostimulator settings to provide optimal pain relief.

In conclusion, while displacement of the implanted electronic neurostimulator of spinal cord electrode (lead) is a potential complication of spinal cord stimulation, it can be prevented by choosing an experienced surgeon, following post-operative instructions, and attending regular follow-up appointments. Early detection and prompt treatment of electrode displacement can help ensure optimal pain relief and improve quality of life for patients with chronic pain conditions.