Spinal Cord Neurostimulator
Pain Management via Spinal Cord Stimulation
Spinal cord stimulation can be an effective alternative or adjunct treatment to other therapies to manage chronic back and/or leg pain, that’s why the International Institute of Advanced Therapies uses Medtronic devices because it offers a portfolio of spinal cord neurostimulators that deliver targeted chronic pain relief.
Medtronic has been innovating in neurostimulator technology for more than 30 years. Since then, over 250,000 patients have benefited from spinal cord stimulation.
A Neurostimulation System implant is completed in 2 stages. The first stage consists in a 3- to 7-day screening test to evaluate whether or not the patient is a candidate for the second stage,which consists in the implantation of the spinal cord stimulator.
During the neurostimulation screening test, the patient receives a temporary, external neurostimulation system for 3 to 7 days and percutaneous leads are used for the screening test. During the screening test, the patient uses the external neurostimulation trialing system while completing daily activities. In some cases, the patient can use a patient control device to change some stimulation settings within physician-programmed limits. Throughout the screening test, the external neurostimulator collects patient-use data and the patient records activities, neurostimulation settings, and degree of pain relief in a diary.
After the screening test, percutaneous trial leads are removed. Results are evaluated to determine if the patient is a candidate for the spinal cord stimulation implant. After the screening test, clinicians review input from the pain management team and from the patient, to evaluate if the goals of a neurostimulation trial have been met and to determine if a neurostimulator will be implanted.
Implanting the spinal cord neurostimulator requires a short surgery, typically done on as an outpatient procedure. The neurostimulator is inserted under the skin through a small incision in the upper buttock. The long-term lead is implanted in the epidural space of the spinal cord.
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L’implantation du neurostimulateur de la moelle épinière exige une chirurgie courte, effectuée typiquement comme une procédure ambulatoire en consultation externe. Le neurostimulateur est inséré sous la peau par une petite incision dans la fesse supérieure. Le fil métallique est implanté dans l’espace épidural de la moelle épinière.