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Successful Reimplantation of Spinal Cord Stimulator One Year after Device Removal Due to Infection. | LitMetric

Successful Reimplantation of Spinal Cord Stimulator One Year after Device Removal Due to Infection.

Surg J (N Y)

Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

Published: January 2021

AI Article Synopsis

  • Spinal cord stimulation is an effective treatment for various pain conditions but carries risks, particularly the risk of perioperative infection.
  • For minor infections, oral antibiotics and in-office drainage are often effective, while deeper infections may require removing the device and intravenous antibiotics.
  • The case discussed involves a patient whose infected device was removed and successfully reimplanted after a one-year recovery period.

Article Abstract

Spinal cord stimulation is an effective treatment modality for patients with numerous pain conditions. Although proven to be highly successful, device implantation does come with some inherent risks. One of the most challenging complications is perioperative infection. For most patients, a simple trial of oral antibiotics and in-office drainage of any superficial infectious material may be sufficient. Deeper infections with wound dehiscence necessitate device removal and intravenous antibiotic therapy. The question remains, if the device was previously providing pain relief for the patient, when is the appropriate time to reimplant the device after the infection has cleared? We describe the case of explantation of an infected device and successful reimplantation after 1 year.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7850884PMC
http://dx.doi.org/10.1055/s-0040-1722179DOI Listing

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