title: Prospective, two-part study of the interaction between spinal cord stimulation and peripheral nerve field stimulation in patients with low back pain: development of a new spinal-peripheral neurostimulation method.
abstract: OBJECTIVE
  The goal of the study was to assess the efficacy of interaction between spinal cord stimulation (SCS) and peripheral nerve field stimulation (PNFS) and to evaluate a new spinal-peripheral neuromodulation method for low back pain.
  
  
  METHODS
  The prospective two-part study included patients with low back pain due to failed back surgery syndrome and/or spinal stenosis. In the first part 20 patients were implanted with SCS and PNFS. They selected the best program out of three: SCS alone, PNFS alone, or both together. In the second part another 20 patients with the same implanted leads were selecting between three programs: SCS and PNFS separately, SCS as anode and PNFS as cathode, or in reverse.
  
  
  RESULTS
  In the first part 79% of the patients selected simultaneous use of SCS and PNFS. The overall success of the trials was 85%. In the second part communication between SCS and PNFS provided wider coverage of axial pain. The overall success of the trials was 90%.
  
  
  CONCLUSIONS
  Simultaneous use of SCS and PNFS increase efficacy of both methods for axial back pain. The new SPN method showed great potential in providing coverage for back pain.
authors: Carolinas Center For Advanced Management of Pain, Greenville, SC 29615, USA.
authors: Y Eugene
authors: YE
authors: Mironer
authors: J Kelby
authors: JK
authors: Hutcheson
authors: John R
authors: JR
authors: Satterthwaite
authors: Phillip C
authors: PC
authors: LaTourette
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004599:Electric Stimulation Therapy / Q000379:methods*; D004567:Electrodes, Implanted; D004824:Epidural Space; D055111:Failed Back Surgery Syndrome / Q000150:complications; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010525:Peripheral Nerves / Q000502:physiology*; D011446:Prospective Studies; D013116:Spinal Cord / Q000502:physiology*; D013130:Spinal Stenosis / Q000150:complications; D040521:Subcutaneous Tissue; D016896:Treatment Outcome