A case report of subcutaneous peripheral nerve stimulation for the treatment of axial back pain associated with postlaminectomy syndrome

Jason P. Krutsch, Michael H. McCeney, Giancarlo Barolat, Mazin Al Tamimi, Andrew Smolenski

Research output: Contribution to journalArticle

45 Scopus citations

Abstract

Objective. This article aims to present a case of the use of an alternative form of neuromodulation for the treatment of axial back pain associated with postlaminectomy syndrome. Materials and Methods. An elderly patient with long-standing axial back pain in the setting of a prior decompressive laminectomy presented for evaluation and treatment. After failing to obtain significant benefit from more conservative measures, a trial of peripheral nerve stimulation (PNS) was performed. Results. The patient reported > 75% relief of his pain during the seven-day trial period, and accordingly a permanent PNS system was implanted. The permanent system consisted of four Medtronic Quad Plus leads, two on each side of midline oriented horizontally over the L4-5 paraspinous muscles. Our patient was ultimately weaned off of all narcotic medications and, at one year follow-up, continues to report > 90% reduction of pain.

Original languageEnglish (US)
Pages (from-to)112-115
Number of pages4
JournalNeuromodulation
Volume11
Issue number2
DOIs
Publication statusPublished - Apr 1 2008

    Fingerprint

Keywords

  • Axial back pain
  • Peripheral nerve stimulation
  • Postlaminectomy syndrome

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Neuroscience(all)

Cite this