RESEARCH ARTICLE


Technical Challenges of Spinal Cord Stimulation Lead Placement in Morbidly Obese Patients



Sanjay Sastry1, *, David Nussear2, Albert Gillespy3, Kristina Berger4
1 Pain Management, Coastal Neurology & Pain Centers, 801 Beville Road, South Daytona, Florida 32119, United States
2 Anesthesiology Lake Mary Surgery Center 460 St. Charles Court, Lake Mary, Florida 32748, United States
3 Orthopedic Clinic of Daytona Beach, 1890 LPGA Boulevard, Suite 24, Daytona Beach, Florida 32117, United States
4 Lake Mary Family Practice, 755 Rinehart Rd. #100, Lake Mary, Florida 32746, United States


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Creative Commons License
© Sastry et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Pain Management Coastal Neurology & Pain Centers, 801 Beville Road, South Daytona, Florida 32119, United States; E-mail: sjsastry@hotmail.com


Abstract

Background and Aims:

This paper details the technical challenges involved in the placement of spinal cord stimulator (SCS) leads in morbidly obese patients. It also provides tips for aiding in placement of these devices.

Objective:

This paper aims to suggest techniques which may assist in solving commonly occurring difficulties in SCS placement in the morbidly obese patient.

Design:

Technical note

Setting:

These challenges commonly occur in an outpatient surgery setting or hospital setting.

Conclusion:

There are an increasing number of morbidly obese patients that require a SCS for chronic pain control management. Techniques have been identified to overcome these challenges in placement of SCS leads.

Keywords: Body Mass Index (BMI), Chronic pain, Morbid obesity, Spinal Cord Stimulation (SCS).