Spinal cord stimulation

Some 40 years has elapsed since the first spinal cord stimulator was implanted, but it is relatively recently that its place in the management of CRPS has been validated. Grabow et al.60[I] reviewed the available literature and concluded that spinal cord stimulation (SCS) is effective in the management of CRPS. However, they were unable to answer relevant questions, such as selection criteria and outcome measurement.

A recent meta-analysis concluded that SCS was an effective therapy for CRPS, and there was also evidence of cost-effectiveness. This study also noted the paucity of usable data in the literature, recommending additional properly designed studies.61[I] There are few long-term studies of SCS efficacy.62[II] It is discouraging to note that a clinical trial of SCS, previously registered at www.clinicaltrials.gov/ct2/show/NCT00414804, has been withdrawn.

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