Background and introduction: Spinal cord stimulation (SCS) is well established treatment. In a prospective randomised controlled trial, novel 10-kHz High-frequency Therapy (HF10 Therapy) was superior to traditional low-frequency SCS for the treatment of chronic back and leg pain.
Objective: To demonstrate the percutaneous SCS implant technique and discuss the operative nuances.
Surgical technique/procedure: During the stage 1 procedure (permanent trial), two percutaneous electrodes were placed in the midline posterior epidural space spanning T8-T10 segments straddling the T9-10 disc space. The electrodes were anchored to the fascia, tunnelled into the supragluteal incision and connected to the extensions, which were tunnelled out for the external trial.
Results and conclusions: The patient reported 90% pain reduction at follow-up. Thoracic HF10 SCS is effective modality in managing chronic neuropathic pain.
Keywords: Failed Back Surgery Syndrome; High frequency; Neuropathic pain; Percutaneous; Spinal Cord Stimulation.