Safety Profile of Spinal Cord Stimulator Paddle Lead Revision and Replacement

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Authors

Saini Kethireddy, Oakland University William Beaumont School of Medicine Medical Student
Michael Staudt, Corewell Health East

Description

• Spinal cord stimulation (SCS) is a neuromodulatory treatment for patients experiencing chronic pain resistant to conservative therapies. It is often used for postlaminectomy syndrome, complex regional pain syndrome, and neuropathic pain.
• SCS leads can be categorized into percutaneous leads and paddle leads, the latter requiring a laminectomy for implantation.
• The advantages of paddle leads include lower migration rates and more efficient energy delivery.
• Revision surgery may be required in instances of lead failure, migration or misplacement. Paddle lead replacement can be challenging due to extensive scar tissue formation, often requiring additional dissection.
• Reoperation for paddle leads has raised concerns about morbidity specific to paddle lead reoperation.

Publication Date

5-2025

Keywords

Spinal cord stimulation

Disciplines

Neurosurgery

Recommended Citation

Kethireddy S, Staudt M. Safety profile of spinal cord stimulator paddle lead revision and replacement. Poster presented at: Oakland University William Beaumont School of Medicine Embark Capstone Colloquium; 2025 May; Rochester Hills, MI.

Comments

The Embark Capstone Colloquium at the Oakland University William Beaumont School of Medicine, Rochester Hills, MI, May, 2025.