Evidence map›Paper›PMID 39958793›Full record

ArticleNeurosurgery practice2023

Explantation and Simultaneous Explantation-Reimplantation of Spinal Cord Stimulation Paddle Electrodes: Complication Rate and Predisposing Factors.

Xenia Kuparinen, Abdirisak Ahmed Haji Omar, Nuutti Vartiainen, Johan Marjamaa, Joonatan Gröndahl, Riku Kivisaari, Julio Resendiz-Nieves

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Article in Neurosurgery practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Xenia KuparinenDoctoral Programme in Clinical Research, University of Helsinki, Helsinki, Finland.ORCID https://orcid.org/0000-0001-9133-2737
Abdirisak Ahmed Haji OmarDepartment of Neurosurgery, Helsinki University Hospital, Helsinki, Finland.
Nuutti VartiainenDepartment of Neurosurgery, Helsinki University Hospital, Helsinki, Finland.
Johan MarjamaaDepartment of Neurosurgery, Helsinki University Hospital, Helsinki, Finland.
Joonatan GröndahlDepartment of Neurosurgery, Helsinki University Hospital, Helsinki, Finland.
Riku KivisaariDepartment of Neurosurgery, Helsinki University Hospital, Helsinki, Finland.
Julio Resendiz-NievesDepartment of Neurosurgery, Helsinki University Hospital, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesSpinal cord stimulation (SCS) is an effective treatment for chronic pain that does not respond to conservative treatment. Nonetheless, up to 38% of all implanted SCS electrodes are explanted, and while the risks involved in the surgical implantation of SCS paddle electrodes are well documented, there is scarce information about SCS explantations and their associated complications. We aimed to document the complication rate and identify their predisposing factors in SCS paddle electrode explantations and simultaneous explantation-reimplantations.

methodsWe retrospectively reviewed the outcomes and the characteristics of all patients who underwent explantation of surgically implanted SCS paddle electrodes at the Helsinki University Hospital Department of Neurosurgery between February 2005 and October 2020.

resultsOne hundred thirty-one explantations were performed on 106 patients. The complication rate was 18.3% (24 operations). Major complications occurred during 5 operations (3.8%). No permanent neurological deficits were recorded. Smoking predisposed patients to postoperative complications (

conclusionOur results suggest that the explantation of the SCS paddle electrode is a relatively safe surgical procedure. Although severe complications occurred, they were successfully managed. Repeated explantations should be treated cautiously as they seem to increase the complication rate considerably.

Indexed as

ComplicationsElectrode explantationElectrode removalExplantation-reimplantationPaddle electrodeSpinal cord stimulation

Identifiers

PMID39958793
PMCPMC11809990

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