Spinal cord stimulation for cancer-related low back pain

Am J Hosp Palliat Care. 2012 Mar;29(2):93-7. doi: 10.1177/1049909111410414. Epub 2011 Jun 13.

Abstract

Objective: At least one third of patients with cancer have pain at the time of their diagnosis. In an attempt to provide increased pain relief for patients with intractable cancer pain, unconventional agents and interventional procedures including spinal cord stimulation (SCS) have received considerable attention.

Methods: Patients with cancer-related low back pain underwent an uneventful SCS trial with percutaneous placement of 2 temporary 8-electrode leads placed at the level of T8-T9-T10.

Results: After experiencing excellent pain relief during the 2-day trial, patients were subsequently implanted with permanent leads and generator with sustained pain relief at 12 months postoperation.

Conclusion: Spinal cord stimulation provides an effective, alternative treatment option for select patients with cancer-related pain who have failed conservative treatment.

MeSH terms

  • Adult
  • Electric Stimulation Therapy / methods*
  • Electrodes, Implanted*
  • Female
  • Humans
  • Low Back Pain / etiology
  • Low Back Pain / therapy*
  • Male
  • Middle Aged
  • Neoplasms / complications
  • Neoplasms / therapy
  • Pain Management / methods*
  • Retrospective Studies
  • Spinal Cord / physiology
  • Spinal Cord / physiopathology
  • Treatment Outcome