This 3d video demonstrates how Placement of Spinal Cord Stimulator is done
Placement of Spinal Cord Stimulator Procedure:
- Patient is brought in operating room.
- Patient is mad to lie face down on operating bed with pillow under abdomen.
- Skin over lumbar vertebrae L1 to L5 is prepped with betadine.
- Prepped skin is covered with sterile drape.
- Skin and subcutaneous tissue is anesthetized using 1% lidocaine. Total volume used is 1 to 5 cc. Medication is injected through 25 gauge needle.
- Epidural Needle is inserted in the epidural space using X-ray guidance.
- Dye is injected in epidural space to identify the space.
- Percutanous epidural spinal cord stimulator is passed through needle into epidural space.
- Percutanous Spinal Cord stimulator is threaded to level T5.
- Spinal cord is stimulated to achieve optimum paresthesia and tingling in lower leg.
- Tip of the Spinal cord stimulator is kept between T5 to T8 level.
- Distal (lower) end of Spinal cord stimulator is connected to proximal (front) end of intermediate connector.
- Connector is tunneled under the skin from lower back to right or left gluteal skin. Distal end of connector is then connected to Generator.
- Skin incision is made to place Generator under the skin over the gluteal area.
- Percutaneous spinal cord stimulator is placed in epidural space through epidural needle.
- Paddle spinal cord stimulator is placed following surgery to expose lamina and epidural space.