Journal article
Percutaneous to Paddle Lead Revision in Spinal Cord Stimulation: A Case Series
Pain medicine case reports, v 9(4), pp 205-209
Aug 2025
PMID: 40900453
Abstract
Spinal cord stimulation (SCS) involves the placement of percutaneously placed cylindrical leads or surgically placed paddle leads to deliver electrical stimulation for pain relief. Although more invasive, paddle leads have been associated with less lead migration and revision. We performed a retrospective review of a prospective database of SCS paddle lead implants performed by a single neurosurgeon.
Patients were contacted to complete a telephone questionnaire assessing postoperative outcomes. We identified n = 10 patients who underwent replacement of percutaneous SCS with paddle lead SCS. Six patients responded to the questionnaire after an average follow-up period of 37.67 ± 12.72 months. At long-term follow-up, 3/6 respondents reported significant pain relief, and 5/6 respondents reported a decreased need for pain medication.
Comparative outcome data on percutaneous vs paddle lead SCS is limited. Our experience has been that patients who fail percutaneous SCS may be salvaged with conversion to paddle leads with good outcomes.
Metrics
1 Record Views
Details
- Title
- Percutaneous to Paddle Lead Revision in Spinal Cord Stimulation: A Case Series
- Creators
- Nisha L Busch - Drexel UniversityPauline R Hoffman - College of Medicine, Drexel University, Philadelphia, PADorian M Kusyk - Allegheny Health NetworkMichael Patterson - Allegheny Health NetworkNestor D Tomycz - Allegheny Health Network
- Publication Details
- Pain medicine case reports, v 9(4), pp 205-209
- Publisher
- American Society of Interventional Pain Physicians
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Neurology
- Other Identifier
- 991022172859204721