• Neuromodulation · Mar 2011

    Case Reports

    The use of laminectomy for the placement of a percutaneous spinal cord stimulation electrode.

    • Tjemme Beems, Jeroen P Beekwilder, and Robert T M van Dongen.
    • Department of Neurosurgery, Radboud University Medical Centre, Nijmegen The Netherlands.
    • Neuromodulation. 2011 Mar 1;14(2):142-5; discussion 145.

    ObjectiveThe placement of a percutaneous electrode for trial stimulation to evaluate the effectiveness of spinal cord stimulation can be impossible because of epidural adhesions from previous spinal surgeries. The authors would like to describe a combination of techniques in order to place a percutaneous lead for a test phase.Materials And MethodsTechnical report of an illustrative case where a partial laminectomy was used to assist a percutaneous lead placement.ResultsAdequate trial spinal cord stimulation with a single lead electrode at the right target area was possible.ConclusionThis case demonstrates the possibility to use a combination of an open and percutaneous technique for trial spinal cord stimulation in patients with prior operations in the target area of stimulation.© 2010 International Neuromodulation Society.

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