• Noud van Helmond, Caroline N Kardaszewski, and Kenneth B Chapman.
• From the *Spine and Pain Institute of New York, New York City, New York; †Department of Research, Staten Island University Hospital, Staten Island, New York; and ‡Department of Anesthesiology, New York University Langone Medical Center, New York City, New York.
• A A Case Rep. 2017 Jun 15; 8 (12): 334-336.

AbstractSpinal cord stimulation is an effective treatment modality for refractory neuropathic pain conditions, but the placement of leads can be challenging due to unforeseen anatomical variations. We used a retrograde C7-T1 approach to place a lead at the bottom of T8 in a patient suffering from failed back surgery syndrome. We were able to achieve adequate stimulation in her lower back and legs, which resulted in significant reduction in pain intensity during the spinal cord stimulation trial. Cervical retrograde placement of leads may represent an alternative method for successful placement of percutaneous leads in patients with abnormal anatomy due to thoracic postsurgical changes.

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