Spinal Cord Stimulation Surgical Paddle Placement

Spinal cord stimulation (SCS) is a neuromodulatory procedure for the management of neuropathic pain. The most common indications include post-laminectomy syndrome and complex regional pain syndrome (CRPS). The procedures are most commonly performed by neurosurgeons or anesthesiologists specializing in pain management, although other specialties such as rehabilitation medicine and orthopedic surgery have also demonstrated interest in the procedure. Published literature describes the advantages with laminectomy electrode placement, although being more invasive than percutaneous placement. The advent of newer paddle electrodes and technology has expanded treatment options and has earned an established and firm role in contemporary chronic pain management.