Retrograde Placement of High Cervical Electrodes: A Technical Refinement and Case Series. Issue 8 (22nd March 2018)

• Record Type: Journal Article
• Authors: Oosterbos, Christophe; Vanvolsem, Steven; Duyvendak, Wim; Donkersloot, Peter; Wissels, Maarten; Put, Eric; Roosen, Gert; Plazier, Mark
• Is Part Of: Neuromodulaton. Volume 21:Issue 8(2018)
• Page Start: 755
• Page End: 761
• Publication Date: 2018-03-22
• Subjects: Cervical cord stimulation -- cervical pain -- chronic pain -- complications -- technical report -- upper limb pain; Central nervous system -- Physiology -- Periodicals; Central nervous system -- Diseases -- Periodicals; 616.8
• DOI: 10.1111/ner.12770
• Languages: English
• ISSNs: 1094-7159

Abstract

Abstract : Introduction: Cervical cord stimulation is used in the treatment of chronic (neuropathic) pain syndromes refractory to conservative treatments. Several authors describe different techniques for the placement of cervical electrodes. Electrodes can be placed retrogade [Correction added on 03 April 2018 after first online publication: the word "plased" has been changed to "placed".]. In this article, we describe a refinement on how to dissect the dorsal meningo‐vertebral ligaments to decrease the risk of complications. Patients and Methods: Twenty‐eight patients received a permanent cervical spinal cord stimulator. A C0‐C1 retrograde insertion was performed with careful dissection of the meningo‐vertebral ligaments. Complications were registered during the follow‐up (mean 44.6 months [SD = 43, range 1–162 months]). Results: Six complications were observed 93% of the patients reported a significant reduction in pain. Conclusions: We describe an additional surgical detail for the known procedure for retrograde placement of high cervical plate electrodes. This surgical detail might result in a lower risk of complications. We present a case series of 28 patients to support this hypothesis.