• Jamal Hasoon, Peter D Vu, Bakir Mousa, Anush Rita Markaryan, Zohal B Sarwary, Dorina Pinkhasova, Grant H Chen, Farah Gul, Christopher L Robinson, Thomas T Simopoulos, Jatinder Gill, and Omar Viswanath.
• Department of Anesthesiology, Critical Care and Pain Medicine, McGovern Medical School, The University of Texas Health Science Center at Houston, TX, USA. Jamal.J.Hasoon@uth.tmc.edu.
• Curr Pain Headache Rep. 2024 Sep 1; 28 (9): 941947941-947.

Purpose Of ReviewSpinal cord stimulation (SCS) is an increasingly utilized therapy for the treatment of neuropathic pain conditions. Though minimally invasive and reversable, there are several important device-related complications that physicians should be aware of before offering this therapy to patients. The aim of this review is to synthesize recent studies in device-related SCS complications pertaining to cylindrical lead implantation and to discuss etiologies, symptoms and presentations, diagnostic evaluation, clinical implications, and treatment options.Recent FindingsDevice-related complications are more common than biologic complications. Device-related complications covered in this review include lead migration, lead fracture, lead disconnection, generator failure, loss of charge, generator flipping, hardware related pain, and paresthesia intolerance. The use of SCS continues to be an effective option for neuropathic pain conditions. Consideration of complications prior to moving forward with SCS trials and implantation is a vital part of patient management and device selection. Knowledge of these complications can provide physicians and other healthcare professionals the ability to maximize patient outcomes.© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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