@misc{10481/107385,
year = {2025},
month = {10},
url = {https://hdl.handle.net/10481/107385},
abstract = {Background: Spinal cord stimulation (SCS) is a well-established treatment for chronic
neuropathic pain, offering a safe procedure with low complication rates. Both surgical
and percutaneous leads can be effective, with similar complication rates. Methods: We
analyzed all patients implanted at a reference center since 1996 to compare pain control
and complications and determine whether one system was more effective than the other
in patients who had experienced both systems. A retrospective observational study was
designed. Results: A total of 188 SCS systems were implanted, with a follow-up period of 79.71 ± 60.39 months (mean ± SD). We analyzed data from 106 males (56.38%)
and 82 females (43.62%), ranging from 15 to 76 years old. A total of 68 (36.17%) surgical leads and 120 (63.83%) percutaneous leads were implanted for failed back syndrome (120, 63.83%), complex regional pain syndrome (56, 29.79%), and other conditions
(12, 6.38%). No statistically significant differences were found in any variables except for
lead migration (p = 0.05). In patients who initially had a percutaneous system and later
received a surgical system, we found a statistically significant difference in pain relief
percentage (p = 0.03) and a trend toward statistical significance in the PGI-C score (p = 0.08).
Conclusions: Both surgical and percutaneous leads have demonstrated similar pain control rates, but percutaneous leads have a higher migration rate. Complications can be
minimized by performing the procedure in specialized centers with extensive experience.
Further studies comparing both systems should be conducted to determine if one type of
lead is superior.},
organization = {Boston Scientific (Valencia, CA, USA)},
publisher = {MDPI},
keywords = {pain surgery},
keywords = {Neuropathic pain},
keywords = {Chronic pain},
title = {Comparison Between Surgical and Percutaneous Paddles in Spinal Cord Stimulation for Chronic Neuropathic Pain},
doi = {10.3390/jcm14197013},
author = {Gómez González, Marta Antonia and Cordero Tous, Nicolás and Sánchez Corral, Carlos and Lechuga Carrasco, Beatriz and Sánchez-García, Manuel Alejandro and Gálvez Mateos, Rafael and Olivares Granados, Gonzalo},
}