• Jason P Krutsch, Michael H McCeney, Giancarlo Barolat, Mazin Al Tamimi, and Andrew Smolenski.
• Interventional Pain Management Center, University of Colorado Health Sciences Center, Denver, CO, USA; The Pain Center of the Rockies, Fort Collins, CO, USA; The Barolat Institute, Lone Tree, CO, USA; and The Center for Spine Disorders, Thornton, CO, USA.
• Neuromodulation. 2008 Apr 1;11(2):112-5.

AbstractObjective.  This article aims to present a case of the use of an alternative form of neuromodulation for the treatment of axial back pain associated with postlaminectomy syndrome. Materials and Methods.  An elderly patient with long-standing axial back pain in the setting of a prior decompressive laminectomy presented for evaluation and treatment. After failing to obtain significant benefit from more conservative measures, a trial of peripheral nerve stimulation (PNS) was performed. Results.  The patient reported > 75% relief of his pain during the seven-day trial period, and accordingly a permanent PNS system was implanted. The permanent system consisted of four Medtronic Quad Plus leads, two on each side of midline oriented horizontally over the L4-5 paraspinous muscles. Our patient was ultimately weaned off of all narcotic medications and, at one year follow-up, continues to report > 90% reduction of pain.© 2008 International Neuromodulation Society.

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