• Y Eugene Mironer, Christopher Brown, John R Satterthwaite, Mary Cohen, Lisa M Tonder, and Steve Grumman.
• Carolinas Center for Advanced Management of Pain, Asheville, North Carolina-Greenville, South Carolina, Spartanburg, South Carolina; Medtronic, Inc., Minneapolis, Minnesota; and Medtronic, Inc., Atlanta, Georgia.
• Neuromodulation. 2004 Jan 1;7(1):32-7.

AbstractSpinal cord stimulation (SCS) is a popular method of treatment of chronic pain. Unfortunately, migration of the lead continues to be a serious complication of this therapy. In an attempt to reduce lateral migration of the SCS lead, we performed a retrospective assessment of a new technique of percutaneous lead placement. This new method of "midline anchoring" of the lead using the plica mediana dorsalis was tested against conventional technique in a retrospective study involving 122 trials and 91 implants of SCS over a period of five years. The use of "midline anchoring" resulted in a decrease in lead migration from 23% to 6% after trial insertion and from 24% to 7% after implantation. We conclude that "midline anchoring" of the SCS lead is an effective method of preventing lead migration.

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