Epidural anesthesia for laminectomy lead placement in spinal cord stimulation

Anesth Analg. 2007 Nov;105(5):1458-61, table of contents. doi: 10.1213/01.ane.0000281153.02634.96.

Abstract

Background: Spinal cord stimulation (SCS) is used to treat chronic pain and requires an awake patient for optimized lead positioning to locate paresthesias. Epidural anesthesia may be a suitable anesthetic but has not been evaluated.

Methods: We performed an open-label, prospective, observational, single-center study to evaluate the safety and efficacy of laminectomy lead placement under epidural anesthesia for the treatment of neuropathic chronic pain.

Results: The results in our study demonstrate that epidural anesthesia is a suitable technique for SCS lead implant.

Conclusions: This is the first study using epidural anesthesia for SCS lead implants by laminectomy. The technique seems to be safe and effective.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Anesthesia, Epidural / instrumentation*
  • Anesthesia, Epidural / methods
  • Electric Stimulation Therapy / instrumentation*
  • Electric Stimulation Therapy / methods
  • Female
  • Humans
  • Laminectomy / instrumentation*
  • Laminectomy / methods
  • Male
  • Middle Aged
  • Pain, Intractable / pathology
  • Pain, Intractable / surgery*
  • Prospective Studies
  • Spinal Cord / pathology
  • Spinal Cord / surgery*