Subcutaneous Peripheral Nerve Field Stimulation for the Treatment of Chronic Back Pain: Patient Selection and Technical Aspects

Matthias Winkelmueller; Malgorzata Anna Kolodziej; Wolfgang Welke; Athanasios Koulousakis; Ramon Martinez

doi:10.1055/s-0035-1547362

Journal of Neurological Surgery Part A: Central European Neurosurgery, Inhaltsverzeichnis

J Neurol Surg A Cent Eur Neurosurg 2016; 77(01): 063-067
DOI: 10.1055/s-0035-1547362

Consensus Statement

Georg Thieme Verlag KG Stuttgart · New York

Subcutaneous Peripheral Nerve Field Stimulation for the Treatment of Chronic Back Pain: Patient Selection and Technical Aspects

Autor*innen

Matthias Winkelmueller^*

¹Department of Neurosurgery, Diakonie Hospital Friederikenstift, Hannover, Germany
Malgorzata Anna Kolodziej^*

²Department of Neurosurgery, UKGM University of Giessen, Giessen, Germany
Wolfgang Welke

³Department of Anesthesiology and Pain Unit, Hospital Iserlohn, Iserlohn, Germany
Athanasios Koulousakis

⁴Department of Stereotactic and Functional Neurosurgery, University of Cologne, Cologne, Germany
Ramon Martinez

⁵Department of Neurosurgery, UMG University of Goettingen, Göttingen, Germany

Abstract

A wide variety of therapeutic options are available for the treatment of chronic back pain, a very common condition in Western countries with high related social and economic costs. Nevertheless, it is not always possible to achieve adequate long-term pain relief in spite of intensive analgesic therapies. Subcutaneous peripheral nerve field stimulation (sPNFS) is a newly approved neuromodulative treatment for back pain. In previously reported case series, it has provided encouraging results on long-term pain relief, improvement in quality of life, and a reduced need for analgesic drugs. Although the surgical technique is simple, there is neither consensus for patient management nor a standardized procedure for the implantation procedure. After consideration of our personal experience and the published literature, a basic recommendation has now been developed. This represents the first step toward planning prospective studies and standardization of this treatment and will permit comparison of this technique and the results with sPNFS.

Keywords

peripheral nerve - stimulation - chronic - back - pain

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Referenzen

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