Implantable Pulse Generator Site May Be Associated With Spinal Cord Stimulation Revision Surgeries.

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Tytuł:: Implantable Pulse Generator Site May Be Associated With Spinal Cord Stimulation Revision Surgeries.
Autorzy:: Mehta SH; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Hoelscher CM; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Sharan AD; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Thalheimer S; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Wu C; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Źródło:: Neuromodulation : journal of the International Neuromodulation Society [Neuromodulation] 2021 Dec; Vol. 24 (8), pp. 1336-1340. Date of Electronic Publication: 2019 Jun 19.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: 2022- : [New York] : Elsevier
Original Publication: Malden, MA : Blackwell Science, c1998-
MeSH Terms:: Spinal Cord Stimulation*/adverse effects
Female ; Humans ; Male ; Prostheses and Implants ; Reoperation ; Retrospective Studies ; Spinal Cord ; Statistics, Nonparametric
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Contributed Indexing:: Keywords: Complications; SCS; implantable pulse generator; revision surgery; spinal cord stimulation
Entry Date(s):: Date Created: 20190620 Date Completed: 20211217 Latest Revision: 20220210
Update Code:: 20240104
DOI:: 10.1111/ner.12976
PMID:: 31215711
: Czasopismo naukowe

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Background: The use of implantable pulse generators (IPG) for spinal cord stimulation (SCS) in patients with chronic pain has been well established. Although IPG-related complications have been reported on, the association between IPG site and SCS complications has not been well studied.
Objective: To investigate whether IPG placement site in buttock or flank is associated with SCS complications and, hence, revision surgeries.
Method: A retrospective cohort study was performed that included 330 patients (52% female) treated at a single institution who underwent permanent implantation of an SCS system between 2014 and 2018. Patients ranged between 20 and 94 years of age (mean: 57.54 ± 13.25). Statistical analyses were conducted using IBM SPSS Statistics. Tests included independent samples t test, chi-square test, Mann-Whitney U test, Spearman's rank correlation coefficient, and logistic regression.
Results: There was a total of 93 revision surgeries (rate of 28%), where 71 out of 330 patients (rate of 21.5%) had had at least one revision surgery. Univariate tests demonstrated a significant association between IPG site and revision surgeries (p = 0.028 [chi-square test] and p = 0.031 [Mann-Whitney U test]); however, multivariate logistic regression demonstrated that neither IPG site was more likely than the other to require revision surgeries (p = 0.286).
Conclusion: Although this study found a significant association between IPG site and revision surgeries, the effect of IPG site was not found to be predictive. The IPG site likely influences whether a patient will require revision surgery, but further investigation is required to establish this association.
(© 2019 International Neuromodulation Society.)

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