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American Society for Action on Pain

UI - 000046

AU - Shatin D

AU - Mullett K

AU - Hults G

TI - Totally implantable spinal cord stimulation for chronic pain: design and efficacy

AB - Neurostimulators used to treat chronic, intractable pain have evolved from technical developments in

pacemaker technology. A totally implantable spinal cord stimulation (SCS) system was designed based on

elements of a widely used cardiac pacemaker. This paper reports on the transformation of pacemaker

technology for neurostimulation applications and presents results of using this system for the treatment of 90

patients with chronic, intractable pain of the low back and/or legs. Significant reduction in pain levels

resulted from use of a totally implantable spinal cord stimulation system. Seventy percent of the patients

experienced good or excellent pain relief at an average of 14.5 months after implant. Patients who used an

automatic ON/OFF cycling mode of stimulation reported greater pain relief than patients who were

stimulated continuously

SO - Pace - Pacing & Clinical Electrophysiology 1986;9:577-583