Implantable Pulse Generator Site May Be Associated With Spinal Cord Stimulation Revision Surgeries.
Publication/Presentation Date
12-1-2021
Abstract
BACKGROUND: The use of implantable pulse generators (IPG) for spinal cord stimulation (SCS) in patients with chronic pain has been well established. Although IPG-related complications have been reported on, the association between IPG site and SCS complications has not been well studied.
OBJECTIVE: To investigate whether IPG placement site in buttock or flank is associated with SCS complications and, hence, revision surgeries.
METHOD: A retrospective cohort study was performed that included 330 patients (52% female) treated at a single institution who underwent permanent implantation of an SCS system between 2014 and 2018. Patients ranged between 20 and 94 years of age (mean: 57.54 ± 13.25). Statistical analyses were conducted using IBM SPSS Statistics. Tests included independent samples t test, chi-square test, Mann-Whitney U test, Spearman's rank correlation coefficient, and logistic regression.
RESULTS: There was a total of 93 revision surgeries (rate of 28%), where 71 out of 330 patients (rate of 21.5%) had had at least one revision surgery. Univariate tests demonstrated a significant association between IPG site and revision surgeries (p = 0.028 [chi-square test] and p = 0.031 [Mann-Whitney U test]); however, multivariate logistic regression demonstrated that neither IPG site was more likely than the other to require revision surgeries (p = 0.286).
CONCLUSION: Although this study found a significant association between IPG site and revision surgeries, the effect of IPG site was not found to be predictive. The IPG site likely influences whether a patient will require revision surgery, but further investigation is required to establish this association.
Volume
24
Issue
8
First Page
1336
Last Page
1340
ISSN
1525-1403
Published In/Presented At
Mehta, S. H., Hoelscher, C. M., Sharan, A. D., Thalheimer, S., & Wu, C. (2021). Implantable Pulse Generator Site May Be Associated With Spinal Cord Stimulation Revision Surgeries. Neuromodulation : journal of the International Neuromodulation Society, 24(8), 1336–1340. https://doi.org/10.1111/ner.12976
Disciplines
Medicine and Health Sciences
PubMedID
31215711
Department(s)
Department of Surgery
Document Type
Article
