Evidence Gaps in the Use of Spinal Cord Stimulation for Treating Chronic Spine Conditions.

摘要: STUDY DESIGN A review of literature. OBJECTIVE The aim this study was to define and explore the current evidence gaps in use spinal cord stimulation (SCS) for treating chronic spine conditions. SUMMARY OF BACKGROUND DATA Although over last 40 years SCS therapy has undergone significant technological advancements, still exist. METHODS literature conducted SCS. Areas focus included 1) treatment cervical conditions, 2) lumbar 3) advancement device selection, 4) appropriate patient 5) ability curb pharmacological treatment, 6) methods prolong efficacy time. New strategies using advanced waveforms are explored. RESULTS efficacy, safety, cost-effectiveness traditional pain conditions well-established. Evidence do Recently, programming parameters have allowed paresthesia-reduced/free that specific clinical areas may improve outcomes. such as 10-kHz high-frequency resulted an improvement back coverage. To date, data more prevalent painful originating from comparison spine. CONCLUSION exist require designs with long-term follow-up better both regions. LEVEL EVIDENCE N/A.