Treatment of Thoracic Spine Pain with Spinal Cord Stimulation
A. Yakovlev, MD; L. Fields, APNP; and, A. Parmentier, APNP
Comprehensive Pain Management of The Fox Valley, Appleton, WI, USA
Introduction: Spinal cord stimulation (SCS) has been used in treating different pain conditions but may be challenging for predominant back
pain. Control for axial back pain is difficult to achieve during the trial or maintain after placement of spinal cord stimulation. SCS was effectively
used to treat intractable thoracic spine pain.
Methods: The patient is a 36-year-old female with 15 years history of intractable mid back who was diagnosed
with thoracic disc displacement, facet arthropathy and failed conservative therapy. She had no benefit from
epidural steroid injections and facet injections and was not considered to be a surgical candidate. Decision was
made to proceed with SCS trial with placement of two 8-electrode leads placed at T5, T6, T7, and T7, T8, T9 was
performed. Patient reported well controlled pain during trail of SCS and was implanted with permanent device.
Results: The patient underwent a successful SCS placement with convincing results (VAS reduction from 7-8/10
to 1-2/10, as well as the ability to discontinue her opioid pain medication. Since permanent placement of SCS,
patient is reporting sustained pain relief in mid back. Patient uses both device for SCS twenty-four hours a day.
Conclusions: SCS delivered substantial benefit to patient with intractable thoracic spine pain and can be used as feasible option for patients with
axial mid back pain that failed conservative management and are not candidates for spinal reconstructive surgery.
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