ArticleCureus2025
Spinal Cord Stimulation in an Elderly Patient With Severe Scoliosis and Failed Back Surgery Syndrome: A Case for Reconsidering Anatomical Contraindications.
Article in Cureus, 2025. 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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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Spinal cord stimulation (SCS) has demonstrated efficacy in treating intractable pain associated with failed back surgery syndrome (FBSS), though its success in patients with severe spinal deformities remains uncertain. This case report presents a 78-year-old female patient with FBSS, advanced lumbar scoliosis, and multiple prior spinal surgeries, who experienced severe, debilitating pain despite extensive conservative and pharmacological treatments. Imaging revealed significant degenerative changes, spinal subluxations, and multilevel stenosis. After a successful SCS trial with 70-80% pain relief and full restoration of activities of daily living (ADLs), a nonrechargeable SCS system (Vanta) was implanted. Despite anatomical challenges, optimized electrode placement and programming adjustments resulted in sustained pain reduction and functional improvement. This case illustrates the potential feasibility of SCS in the setting of complex spinal pathology and emphasizes the value of individualized treatment planning. While not broadly generalizable, it contributes to the growing body of evidence supporting carefully selected use of SCS in anatomically challenging patients.
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