Spinal Cord Stimulation as an Alternative to Opioid for Axial Neck and Back Pain: A Case Series

Graeme Sampson Mullins; Joanna Jane Burns; Andre Perillier Schneider; Antonios El Helou

doi:10.3389/fpain.2022.847504

Spinal Cord Stimulation as an Alternative to Opioid for Axial Neck and Back Pain: A Case Series

Front Pain Res (Lausanne). 2022 Mar 8:3:847504. doi: 10.3389/fpain.2022.847504. eCollection 2022.

Authors

Graeme Sampson Mullins^{1

2}, Joanna Jane Burns³, Andre Perillier Schneider^{4

5}, Antonios El Helou^{1

4

6}

Affiliations

¹ Faculty of Medicine, Dalhousie University, Halifax Regional Municipality, Halifax, NS, Canada.
² Department of Family Medicine, The Moncton Hospital, Moncton, NB, Canada.
³ Department of Pharmacy, The Moncton Hospital, Moncton, NB, Canada.
⁴ Université de Sherbrooke, Sherbrooke, QC, Canada.
⁵ Department of Anesthesia and Pain Medicine, Vitalité Health Network, Bathurst Hospital, Bathurst, NB, Canada.
⁶ Department of Neurosurgery, The Moncton Hospital, Moncton, NB, Canada.

Abstract

Introduction: Spinal cord stimulation is emerging as a minimally invasive technique for treatment of persistent spinal pain syndrome (PSPS).

Methods: We describe a case series of 25 individuals with PSPS who underwent implantation of a spinal cord stimulator device between 2017 and 2021.

Results: There was a significant reduction in mean visual analog scale pain scores in the immediate postoperative phase, (8.61 vs. 2.3, p < 0.001). There were twelve patients who consumed pre-operative opioid, and 75% showed reduction of use with a significantly lower average daily dose (66.8 vs. 26.9 meq/D, p < 0.05). There was a significant reduction in the Oswestry Disability Index during postoperative follow-up visits (p < 0.001). There were no major perioperative or long-term complications from the procedure in follow-up.

Conclusion: The analysis of this cohort suggests successful long-term treatment of a diverse set of patients with PSPS who underwent spinal cord stimulation (SCS) and had meaningful improvement in quality of life and reduction in opioid consumption.

Keywords: improved quality of life; opioid reduction; pain control; persistent spinal pain syndrome; spinal cord stimulation (SCS).