• Christophe Oosterbos, Steven Vanvolsem, Wim Duyvendak, Peter Donkersloot, Maarten Wissels, Eric Put, Gert Roosen, and Mark Plazier.
• Department of Neurosurgery, University Hospital of Leuven, Leuven, Belgium.
• Neuromodulation. 2018 Dec 1; 21 (8): 755-761.

IntroductionCervical cord stimulation is used in the treatment of chronic (neuropathic) pain syndromes refractory to conservative treatments. Several authors describe different techniques for the placement of cervical electrodes. Electrodes can be placed retrogade [Correction added on 03 April 2018 after first online publication: the word "plased" has been changed to "placed".]. In this article, we describe a refinement on how to dissect the dorsal meningo-vertebral ligaments to decrease the risk of complications.Patients And MethodsTwenty-eight patients received a permanent cervical spinal cord stimulator. A C0-C1 retrograde insertion was performed with careful dissection of the meningo-vertebral ligaments. Complications were registered during the follow-up (mean 44.6 months [SD = 43, range 1-162 months]).ResultsSix complications were observed 93% of the patients reported a significant reduction in pain.ConclusionsWe describe an additional surgical detail for the known procedure for retrograde placement of high cervical plate electrodes. This surgical detail might result in a lower risk of complications. We present a case series of 28 patients to support this hypothesis.© 2018 International Neuromodulation Society.

23 keywords...

hide…