Spinal Cord Stimulation in Low Back and Leg Pain

1994 ◽  
Vol 62 (1-4) ◽  
pp. 263-266 ◽  
Author(s):  
M. Meglio ◽  
B. Cioni ◽  
M. Visocchi ◽  
A. Tancredi ◽  
L. Pentimalli
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Stimulation ◽  
Leg Pain ◽  
Low Back

scholarly journals Spinal Cord Stimulation vs Conventional Therapies for the Treatment of Chronic Low Back and Leg Pain: A Systematic Review of Health Care Resource Utilization and Outcomes in the Last Decade

Pain Medicine ◽  
2019 ◽  
Vol 20 (12) ◽  
pp. 2479-2494 ◽  
Author(s):  
Charles A Odonkor ◽  
Sebastian Orman ◽  
Vwaire Orhurhu ◽  
Martha E Stone ◽  
Shihab Ahmed
Keyword(s):  
Health Care ◽  
Spinal Cord ◽  
Resource Utilization ◽  
Spinal Cord Stimulation ◽  
Cost Effective ◽  
Health Care Resource ◽  
Leg Pain ◽  
Complication Rates ◽  
Low Back ◽  
Health Care Resource Utilization

Abstract Objective The purpose of this review is to critically appraise the literature for evidence supporting the health care resource utilization and cost-effectiveness of spinal cord stimulation (SCS) compared with conventional therapies (CTs) for chronic low back and leg pain. Methods The PubMed, MEDLINE, Embase, CINAHL, and Rehabilitation & Sports Medicine databases were searched for studies published from January 2008 through October 2018, using the following MeSH terms: “spinal cord stimulation,” “chronic pain,” “back pain,” “patient readmission,” “economics,” and “costs and cost analysis.” Additional sources were added based on bibliographies and consultation with experts. The following data were extracted and analyzed: demographic information, study design, objectives, sample sizes, outcome measures, SCS indications, complications, costs, readmissions, and resource utilization data. Results Of 204 studies screened, 11 studies met inclusion criteria, representing 31,439 SCS patients and 299,182 CT patients. The mean age was 53.5 years for SCS and 55.6 years for CT. In eight of 11 studies, SCS was associated with favorable outcomes and found to be more cost-effective than CT for chronic low back pain. Compared with CT, SCS resulted in shorter hospital stays and lower complication rates and health care costs at 90 days. SCS was associated with significant improvement in health-related quality of life, health status, and quality-adjusted life-years. Conclusions For the treatment of chronic low back and leg pain, the majority of studies are of fair quality, with level 3 or 4 evidence in support of SCS as potentially more cost-effective than CT, with less resource expenditure but higher complication rates. SCS therapy may yet play a role in mitigating the financial burden associated with chronic low back and leg pain.

Waves of Pain Relief: A Systematic Review of Clinical Trials in Spinal Cord Stimulation Waveforms for the Treatment of Chronic Neuropathic Low Back and Leg Pain

2019 ◽  
Vol 131 ◽  
pp. 264-274.e3 ◽  
Author(s):  
Jeffery Head ◽  
Jacob Mazza ◽  
Victor Sabourin ◽  
Justin Turpin ◽  
Christian Hoelscher ◽  
...  
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Clinical Trials ◽  
Pain Relief ◽  
Spinal Cord Stimulation ◽  
Leg Pain ◽  
Low Back
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