Post laminectomy syndrome

Carly is a 56 year old woman with a history of a lumbar fusion five years ago. She had only partial improvement of her back and leg pain after surgery and her symptoms are worse now. She tried injections, physical therapy, and medication. We evaluated her for surgery, and I didn’t think another spine surgery would help.

Her pain doctor trialed a stimulator. The leads were placed in the office and connected to an external battery for 5 days. She had 90% improvement in her symptoms. The temporary leads were removed.

We took her to surgery for placement of a permanent stimulator. Surgery was done as an outpatient. Her incisions have healed and the stimulator gives her about 85-90% relief of her pain.

Disclaimer: Although this is a real patient, I have used a different name for privacy protection and added a few details for educational purposes. This patient gave consent to have his case shared.

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