Peri-procedural Management of Implanted Spinal Cord Stimulators in Patients Undergoing Radiofrequency Ablation: A Case Report and Manufacturer-Specific Recommendations

Introduction Radiofrequency ablation (RFA) and spinal cord stimulation (SCS) are 2 common modalities used in management of various pain conditions. RFA generates heat and an electromagnetic field that can theoretically interfere with the functionality and longevity of the SCS device. This is problematic for patients who need RFA and have previously undergone implantation of an SCS device. Case Description We present a case highlighting the safe use of bipolar RFA in a patient who had previously undergone implantation of a cervical SCS device. Discussion We also present device-specific industry guidelines and recommendations for performing RFA in patients following SCS device implantation.