Journal
NEUROMODULATION
Volume 11, Issue 2, Pages 112-115Publisher
WILEY
DOI: 10.1111/j.1525-1403.2008.00151.x
Keywords
axial back pain; postlaminectomy syndrome; peripheral nerve stimulation
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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.
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