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Real‐world analysis: long‐term effect of spinal cord stimulation with different waveforms for patients with failed back surgery syndrome

Pain Practice Oct 25, 2020

Do TT, Smet I, Jerjir A, et al. - Researchers conducted a real‐world analysis of patients with failed back surgery syndrome (FBSS) who were treated with spinal cord stimulation (SCS) using stimulators with either tonic, burst, high‐density, or 10‐kHz high‐frequency (HF10) waveforms. A total of 208 treated patients were assessed for pain as measured by the VAS, functional disability as measured by the Oswestry Disability Index, and health‐related quality of life as measured by the 3‐level EuroQol 5‐Dimension questionnaire at baseline and for outcomes. Findings support the effectiveness of SCS in providing significant long‐term improvement in pain, disability, and quality of life in the present large dataset of patients with FBSS. The high success rate and low unanticipated explantation rate were correlated with strict selection procedures and a strong opioid policy. Tonic and HF10 stimulation did not differ in pain reduction.

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