Intraoperative Motor Evoked Responses to Double-Train Paradigm Stimulation for Guiding Lead Placement and Postoperative Programming in Spinal Cord Stimulation for Pain.

Objective: We aimed to demonstrate the feasibility of using motor evoked responses to intraoperative double-train stimulation to guide lead placement and matching of intraoperative contacts with postoperative electrode programming in spinal cord stimulation for pain performed under general anesthesia.

Materials And Methods: The study included a series of 20 consecutive patients with refractory pain operated on under general anesthesia. Either percutaneous or paddle leads were implanted and positioned according to the intraoperative mapping results.