• A&A practice · Aug 2020

    Lumbar Dorsal Root Ganglion Stimulation Lead Placement Using an Outside-In Technique in 4 Patients With Failed Back Surgery Syndrome: A Case Series.

    • Kenneth B Chapman, Sohan Nagrani, Kiran V Patel, Tariq Yousef, and Noud van Helmond.
    • From the The Spine & Pain Institute of New York, New York City, New York.
    • A A Pract. 2020 Aug 1; 14 (10): e01300.

    AbstractDorsal root ganglion stimulation (DRG-S) has shown promise as a treatment for low back pain. The traditional anterograde placement of DRG-S leads can be challenging in patients with anatomical changes from prior back surgery. We describe an "outside-in" placement technique of DRG-S leads in 4 patients with histories of multiple lumbar surgeries, which made the traditional anterograde placement not feasible. At long-term follow-up, the patients experienced substantial pain relief and improvement in quality of life, with no complications. The outside-in lead placement technique may be an efficacious alternative to the traditional techniques in patients with anomalous anatomy from prior surgery.

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