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Novel Spinal Cord Stimulation Parameters in Patients with Predominant Back Pain

Authors


  • Conflict of Interest: Drs. Tiede, Vallejo and Brown are consultants and speakers for Nevro Corporation and have received compensation in the form of consultant fees and/or stock options. Drs. Tiede, Brown, Gekht, Vallejo, Morgan, and Yearwood are/were sponsored investigators of Nevro Corporation.
  • For more information on author guidelines, an explanation of our peer review process, and conflict of interest informed consent policies, please go to http://www.wiley.com/bw/submit.asp?ref=1094-7159&site=1
  • The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Army or the U.S. Government.

Address correspondence to: Jeffrey Tiede, MD, Department of Pain Management, DDEAMC, 300 Hospital Road Ft., Gordon, GA 30905, USA. Email: jeffrey.m.tiede@us.army.mil

Abstract

Objectives

To examine the feasibility of novel high-frequency spinal cord stimulation therapy in a cohort of patients with chronic predominant back pain during a four day, percutaneous trial.

Design

Prospective, multicenter open label pilot trial. Setting and Patients: Twenty-four patients with back pain greater than leg pain who were candidates for spinal cord stimulation were trialed at five U.S. centers.

Interventions

Patients completed a percutaneous trial with a commercially available spinal cord stimulator. The implanted leads were then connected to the novel external stimulation device and patients were trialed for an additional four days.

Outcome Measures

Pain intensity ratings, subjective descriptions, and patients' preference.

Results

There was significant improvement from baseline in overall pain scores (8.68 to 2.03, [p < 0.001]) and back pain scores (8.12 to 1.88, [p < 0.001]) with the investigational stimulation. The investigational stimulation was preferred to the commercially available systems in 21 of 24 patients (88%).

Conclusions

Patients with predominant back pain reported a substantial reduction in overall pain and back pain when trialed with high-frequency spinal cord stimulation therapy.

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