This video demonstrates the method of using multicolumn paddle lead spinal cord stimulation to manage chronic lower back pain in Failed back surgery syndrome (FBSS) patients. The pre-implanted lead delivers targeted electrical pulses that activate non-painful sensory pathways, interrupting pain signals and reducing pain perception.
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Method Article
Modulation of Chronic Pain Using Multicolumn Paddle Lead Spinal Cord Stimulation
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August 29th, 2025
In This Article
Abstract
Protocol
All procedures involving human participants have been performed in compliance with the institutional, national, and international guidelines for human welfare and have been reviewed by the local institutional review board.
1. Implantation of the Multicolumn Lead
- Obtain the patient's informed consent after explaining the details of the surgical procedure, including the complications (infection 3–6%; serious neurological complications 0.54–1.71%; epidural hematoma 0.19–0.63%; spinal cord injury 0.022–0.067%; and cerebrospinal fluid leakage 0.05–0.001%).
NOTE: The long testing period required in Belgium is presumed to be th....
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Materials
| Name | Company | Catalog Number | Comments |
|---|---|---|---|
| 16-20 GA needle | BD Insyte- W | ||
| NaCl 0.9% 1 L | Baxter | AKE1324 | |
| Iso-betadine Dermic (500mL) | MEDA | 9461.16 | |
| Iso-betadine Soap (500mL) | MEDA | 9462.1 | |
| Iso-betadine hydroalcoolic (125 mL) | MEDA | 41534.1 | |
| Marcain 0.5% + adrenaline 1/200.000 20 mL | Astrazenca | PA 970/46/2 | 0.5% Bupivacaine/1:200,000 adrenaline solution |
| External Neurostimulator (eNs) | Medtronic Inc., MN, USA | 37022 | |
| Trousse de colonne lombaire CHR Citadelle (Procedure pack) | Mölnlycke | 97061425-01 | |
| OR Table | Maquet | 1150.30D0 | |
| OR Lights | Trumpf | 1929278 | |
| Specify SureScan MRI | Medtronic Inc., MN, USA | 977C165 | Multicolumn lead |
| Primeadvanced surescan mri neurostimulator | Medtronic Inc., MN, USA | 97702 | Internal Pulse Generator |
| Monocryl 3/0 | Ethicon | Y423 | |
| Polysorb 2/0 | Covidien | GL123 | |
| Polysorb 1 | Covidien | CL535 | |
| Polysorb 2 | Covidien | CL055 | |
| Cutiplast Steril 20x10 cm | Smith&Nephew | 66001475 | Bandage |
| MyStim Programmer | Medtronic Inc., MN, USA | 97740 | |
| FixoCath | Pajunk | 001151-37Z | |
| N'Vision Programmer | Medtronic Inc., MN, USA | 8840 | |
| 3M Tegaderm Film 10x12cm | 3M Deutschland GmbH | 1626W | |
| Extension Kit | Medtronic Inc., MN, USA | 37081-40 | |
| Paracetamol | Fresenius Kabi | ||
| Tradonal | Meda Pharma | ||
| Sufentanil | Janssen- Cilag | ||
| Propolipid 1% | Fresenius Kabi | ||
| Ketalar (Ketamine Hydrochloride) | Pfizer | ||
| Rocuronium Bromide | Bbraun | ||
| Cefazolin | Milan |
