Comparison of a novel fixation device with standard suturing methods for spinal cord stimulators.
BACKGROUND
Spinal cord stimulation is a well-established treatment for chronic neuropathic pain of the trunk or limbs. Currently, the standard method of fixation is to affix the leads of the neuromodulation device to soft tissue, fascia or ligament, through the use of manually tying general suture. A novel semiautomated device is proposed that may be advantageous to the current standard. Comparison testing in an excised caprine spine and simulated bench top model was performed.


METHODS
Three tests were performed: 1) perpendicular pull from fascia of caprine spine; 2) axial pull from fascia of caprine spine; and 3) axial pull from Mylar film. Six samples of each configuration were tested for each scenario. Standard 2-0 Ethibond was compared with a novel semiautomated device (Anulex fiXate). Upon completion of testing statistical analysis was performed for each scenario.


RESULTS
For perpendicular pull in the caprine spine, the failure load for standard suture was 8.95 lbs with a standard deviation of 1.39 whereas for fiXate the load was 15.93 lbs with a standard deviation of 2.09. For axial pull in the caprine spine, the failure load for standard suture was 6.79 lbs with a standard deviation of 1.55 whereas for fiXate the load was 12.31 lbs with a standard deviation of 4.26. For axial pull in Mylar film, the failure load for standard suture was 10.87 lbs with a standard deviation of 1.56 whereas for fiXate the load was 19.54 lbs with a standard deviation of 2.24.


CONCLUSIONS
These data suggest a novel semiautomated device offers a method of fixation that may be utilized in lieu of standard suturing methods as a means of securing neuromodulation devices. Data suggest the novel semiautomated device in fact may provide a more secure fixation than standard suturing methods.
The Center for Pain Relief, Charleston, WV, USA Center for Pain Relief Tristate, Huntington, WV, USA Anulex Technologies, Inc., Minnetonka, MN, USA.
Richard G
RG
Bowman
David
D
Caraway
Ishmael
I
Bentley
D000818:Animals; D019544:Equipment Failure Analysis; D005404:Fixatives; D006041:Goats; D062187:Spinal Cord Stimulation / Q000295:instrumentation* / Q000379:methods; D013131:Spine / Q000601:surgery; D013536:Suture Techniques / Q000295:instrumentation
D005404:Fixatives