The Factors Affecting the Difficulty of Percutaneous Cylindrical Electrode Placement for Spinal Cord Stimulation

Kyohei Kin, Takashi Agari, Takao Yasuhara, Yousuke Tomita, Ken Kuwahara, Ittetsu Kin, Michiari Umakoshi, Jun Morimoto, Mihoko Okazaki, Tatsuya Sasaki, Isao Date

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: Optimal placement of electrodes is important for spinal cord stimulation. Factors affecting the difficulty of percutaneous electrode placement are not well known. In this study, we retrospectively evaluated the factors affecting the difficulty of percutaneous electrode placement. Methods: We performed a retrospective analysis of 90 consecutive procedures of percutaneous cylindrical electrode implantation at the first author's institution. Age, sex, smoking state, body mass index, the duration of time from the beginning of pain syndrome to operation, diagnosis, the number of previous electrode placements, the previous electrode implantation period, the presence of axial low back pain, the electrode tip level, the pattern of electrode placement, and the reason for reimplantation were selected as factors associated with the success of electrode placement or the operation time of electrode placement. Results: The number of previous electrode placements and the electrode tip level were independently associated with the operation time of electrode placement. According to both univariable and multivariable regression analyses, 1 previous electrode placement lengthened the operation time by approximately 15 minutes. No factors were significantly associated with the success of electrode placement. The more frequently that previous electrode placement was performed, the more difficult electrode placement tended to be. However, electrode reimplantation can be successful given extra time. Conclusions: This is the first study to evaluate factors affecting the difficulty of percutaneous electrode placement. A history of percutaneous cylindrical electrode placement did not affect the success of current placement, although it lengthened the operation time.

Original languageEnglish
Pages (from-to)e391-e398
JournalWorld Neurosurgery
Volume113
DOIs
Publication statusPublished - May 1 2018

Fingerprint

Spinal Cord Stimulation
Electrodes
Replantation

Keywords

  • Cylindrical lead
  • Epidural adhesion
  • Neuromodulation
  • Percutaneous
  • Spinal cord stimulation

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

The Factors Affecting the Difficulty of Percutaneous Cylindrical Electrode Placement for Spinal Cord Stimulation. / Kin, Kyohei; Agari, Takashi; Yasuhara, Takao; Tomita, Yousuke; Kuwahara, Ken; Kin, Ittetsu; Umakoshi, Michiari; Morimoto, Jun; Okazaki, Mihoko; Sasaki, Tatsuya; Date, Isao.

In: World Neurosurgery, Vol. 113, 01.05.2018, p. e391-e398.

Research output: Contribution to journalArticle

Kin, Kyohei ; Agari, Takashi ; Yasuhara, Takao ; Tomita, Yousuke ; Kuwahara, Ken ; Kin, Ittetsu ; Umakoshi, Michiari ; Morimoto, Jun ; Okazaki, Mihoko ; Sasaki, Tatsuya ; Date, Isao. / The Factors Affecting the Difficulty of Percutaneous Cylindrical Electrode Placement for Spinal Cord Stimulation. In: World Neurosurgery. 2018 ; Vol. 113. pp. e391-e398.
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AU - Tomita, Yousuke

AU - Kuwahara, Ken

AU - Kin, Ittetsu

AU - Umakoshi, Michiari

AU - Morimoto, Jun

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AU - Sasaki, Tatsuya

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AB - Objective: Optimal placement of electrodes is important for spinal cord stimulation. Factors affecting the difficulty of percutaneous electrode placement are not well known. In this study, we retrospectively evaluated the factors affecting the difficulty of percutaneous electrode placement. Methods: We performed a retrospective analysis of 90 consecutive procedures of percutaneous cylindrical electrode implantation at the first author's institution. Age, sex, smoking state, body mass index, the duration of time from the beginning of pain syndrome to operation, diagnosis, the number of previous electrode placements, the previous electrode implantation period, the presence of axial low back pain, the electrode tip level, the pattern of electrode placement, and the reason for reimplantation were selected as factors associated with the success of electrode placement or the operation time of electrode placement. Results: The number of previous electrode placements and the electrode tip level were independently associated with the operation time of electrode placement. According to both univariable and multivariable regression analyses, 1 previous electrode placement lengthened the operation time by approximately 15 minutes. No factors were significantly associated with the success of electrode placement. The more frequently that previous electrode placement was performed, the more difficult electrode placement tended to be. However, electrode reimplantation can be successful given extra time. Conclusions: This is the first study to evaluate factors affecting the difficulty of percutaneous electrode placement. A history of percutaneous cylindrical electrode placement did not affect the success of current placement, although it lengthened the operation time.

KW - Cylindrical lead

KW - Epidural adhesion

KW - Neuromodulation

KW - Percutaneous

KW - Spinal cord stimulation

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