What has been yalls outcomes with SCS implants?

[FacetiousJoint]

---

Members do not see this ad.

So far have been in fellowship for 6 months, and my stim patients from july continue to endorse about 60-70% improvement of their pain. many of their trials were 80-90% relief. Mainly been using nevro and medtronic. main diagnoses have been failed back and dpn

What has been yalls experience? main diagnoses that you do scs for? Yall find that the effect kinda plateaus and/or decreases longer the device is in? I remember reading some study that 50% of patients at 1 year will have 50% pain relief.

 

[BobBarker]

So far you have had good results. That might continue with excellent selection going forward for you. I try to explain that the scs isn’t a cure, it is just a helper.

 

[OM1027]

So far have been in fellowship for 6 months, and my stim patients from july continue to endorse about 60-70% improvement of their pain. many of their trials were 80-90% relief. Mainly been using nevro and medtronic. main diagnoses have been failed back and dpn

What has been yalls experience? main diagnoses that you do scs for? Yall find that the effect kinda plateaus and/or decreases longer the device is in? I remember reading some study that 50% of patients at 1 year will have 50% pain relief.

follow up with them in 2 years

 

[Bostonspine]

60-70% is good just make sure it’s not a different problem causing pain especially if the initial diagnosis was neuropathic pain and now they have adjacent segment mechanical pain or hip pain…

 

[CleanUp]

Agreed about patient selection. IMHO there is a sweet spot where one hasn’t had the chronic pain behaviors ossify yet.

 

[Agast]

I think I have a 10% regret/explant rate cumulative over 10 years

 

[clubdeac]

I think I have a 10% regret/explant rate cumulative over 10 years

That’s better than the average

 

[Ronin1]

Here’s our data for Saluda closed loop over 2 years
60 trials 23 to implant
1 explant
10 virtual explants
8 patients using with good benefit
5 using with marginal benefit.

Less than exciting. Definitely much poorer than advertised. Appears to be worse than other products at least in our hands

 

[CleanUp]

Here’s our data for Saluda closed loop over 2 years
60 trials 23 to implant
1 explant
10 virtual explants
8 patients using with good benefit
5 using with marginal benefit.

Less than exciting. Definitely much poorer than advertised. Appears to be worse than other products at least in our hands

Virtual explants meaning they don’t turn it on?

 

[Agast]

That’s better than the average

I do around 10 trials a year with near 100% conversion rate to implant, I don’t offer it to most people because I don’t think they can handle it or I can anticipate where the failure will arise

 

[Ronin1]

Virtual explants meaning they don’t turn it on?

Correct. Just don’t want to go through another surgery to explant

 

[lobelsteve]

Here’s our data for Saluda closed loop over 2 years
60 trials 23 to implant
1 explant
10 virtual explants
8 patients using with good benefit
5 using with marginal benefit.

Less than exciting. Definitely much poorer than advertised. Appears to be worse than other products at least in our hands

Success rate is half of expected placebo rate.
Essentially makes them worse.