title: A case report of subcutaneous peripheral nerve stimulation for the treatment of axial back pain associated with postlaminectomy syndrome.
abstract: Objective.  This article aims to present a case of the use of an alternative form of neuromodulation for the treatment of axial back pain associated with postlaminectomy syndrome. Materials and Methods.  An elderly patient with long-standing axial back pain in the setting of a prior decompressive laminectomy presented for evaluation and treatment. After failing to obtain significant benefit from more conservative measures, a trial of peripheral nerve stimulation (PNS) was performed. Results.  The patient reported > 75% relief of his pain during the seven-day trial period, and accordingly a permanent PNS system was implanted. The permanent system consisted of four Medtronic Quad Plus leads, two on each side of midline oriented horizontally over the L4-5 paraspinous muscles. Our patient was ultimately weaned off of all narcotic medications and, at one year follow-up, continues to report > 90% reduction of pain.
authors.affiliation: Interventional Pain Management Center, University of Colorado Health Sciences Center, Denver, CO, USA;              The Pain Center of the Rockies, Fort Collins, CO, USA;              The Barolat Institute, Lone Tree, CO, USA; and              The Center for Spine Disorders, Thornton, CO, USA.
authors.forename: Jason P
authors.initials: JP
authors.lastname: Krutsch
authors.forename: Michael H
authors.initials: MH
authors.lastname: McCeney
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Barolat
authors.forename: Mazin
authors.initials: M
authors.lastname: Al Tamimi
authors.forename: Andrew
authors.initials: A
authors.lastname: Smolenski