High Frequency (HF10) Spinal Cord Stimulation for Chronic Neuropathic Pain

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.