An Anatomy-Informed, Novel Technique for S1 Dorsal Root Ganglion Stimulation Lead Placement-Reference-Cited by-同舟云学术

An Anatomy-Informed, Novel Technique for S1 Dorsal Root Ganglion Stimulation Lead Placement

Published:2022-04-15 Issue:10 Volume:23 Page:1750-1756
ISSN:1526-4637
Container-title:Pain Medicine
language:en
Short-container-title:

Author:

Chapman Kenneth B¹²³⁴^ORCID,van Helmond Noud¹⁴^ORCID,Kallewaard Jan Willem⁵,Vissers Kris C⁴,Patel Kiran V¹²³,Motivala Soriaya⁶,Hagedorn Jonathan M⁷^ORCID,Deer Timothy R⁸^ORCID,Dickerson David M⁹¹⁰

Affiliation:

1. The Spine & Pain Institute of New York , New York, New York, USA

2. Department of Anesthesiology, NYU Langone Medical Center , New York, New York, USA

3. Department of Anesthesiology, Northwell Health , New York, New York, USA

4. Department of Anesthesiology, Pain, and Palliative Medicine, Radboud University Medical Center , Nijmegen, The Netherlands

5. Department of Anesthesiology, Rijnstate Ziekenhuis , Velp, The Netherlands

6. Department of Neurosurgery, Northwell Health , New York, New York, USA

7. iSpine Pain Physicians , Maple Grove, Minnesota, USA

8. The Spine and Nerve Center of the Virginias , Charleston, West Virginia, USA

9. Department of Anesthesiology, Critical Care and Pain Medicine, NorthShore University Health System , Evanston, Illinois, USA

10. Department of Anesthesia & Critical Care, University of Chicago , Chicago, Illinois, USA

Abstract

Abstract Objective A heightened and organized understanding of sacral anatomy could potentially lead to a more effective and safe method of dorsal root ganglion stimulation (DRG-S) lead placement. The aim of this technical note is to describe a standardized access method for S1 DRG-S lead placement. Design Technical note. Methods The described approach utilizes alignment of the lumbosacral prominence and is measurement-based, allowing for standardized sacral access, even when visualization is suboptimal. The medial-to-lateral needle trajectory is designed to limit interaction with the sensitive neural structures and allows for a more parallel orientation of the lead to the DRG and nerve root. Conclusions The described technique potentially improves the safety of S1 DRG-S lead placement. The parallel lead orientation to the DRG may also increase efficacy while lowering energy requirements.

Publisher

Oxford University Press (OUP)

Subject

Anesthesiology and Pain Medicine,Neurology (clinical),General Medicine

Link

https://academic.oup.com/painmedicine/advance-article-pdf/doi/10.1093/pm/pnac062/43622789/pnac062.pdf

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3. A paramedian approach for dorsal root ganglion stimulation placement developed to limit lead migration and fracture;Chapman;Pain Pract,2021

4. The neuromodulation appropriateness consensus committee on best practices for dorsal root ganglion stimulation;Deer;Neuromodulation,2019

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