Brian Maxfield*, Joseph Holtman, Troy Buck and Douglas Anderson
Department of Anesthesiology, Loyola University Medical Center, USAFulltext PDF
Spinal cord stimulation has been investigated in the past for the relief of spinal cord injury related pain. Spinal cord injury pain is often resistant to many treatment modalities including pharmacological and surgical interventions. Few cases have reported its use in complete spinal cord injuries or its success. This case report pertains to a quadriplegic patient with a complete cervical transection at C6 with T10 dermatome pain obtaining significant relief with spinal cord stimulation. Spinal cord injury patients can be medically complex due to the accumulation of comorbidities this patient population often develops. These comorbidities can create barriers to spinal cord stimulation consideration, and this report highlights some of those challenges regarding infection and anticoagulation. We found that our spinal cord injury patient had the greatest relief from a newer burst type neuromodulation program in combination with tonic stimulation. Typically, parameters and programs used for spinal cord stimulation on spinal cord injury patients are not mentioned in reports. The authors of this case report believe that providing the parameters from our successful spinal cord stimulation for spinal cord injury pain are relevant to share. By including our neuromodulation parameters, we believe this may provide guidance to other clinicians during the narrow trial window in this medically complex subset of patients.
Maxfield B, Holtman J, Buck T, Anderson D. Spinal Cord Stimulation for Abdominal Pain in a Patient with Complete Spinal Cord Injury: A Case Report. Ann Clin Anesth Res. 2020;4(1):1029..