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The Challenge of Converting “Failed Spinal Cord Stimulation Syndrome” Back to Clinical Success, Using SCS Reprogramming as Salvage Therapy, through Neurostimulation Adapters Combined with 3D-Computerized Pain Mapping Assessment: A Real Life Retrospective Study

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Veröffentlicht in:Journal of Clinical Medicine vol. 11, no. 1 (2022), p. 272
1. Verfasser: Rigoard, Philippe
Weitere Verfasser: Ounajim, Amine, Goudman, Lisa, Banor, Tania, Héroux, France, Roulaud, Manuel, Babin, Etienne, Bouche, Bénédicte, Page, Philippe, Lorgeoux, Bertille, Baron, Sandrine, Adjali, Nihel, Nivole, Kevin, Many, Mathilde, Charrier, Elodie, Rannou, Delphine, Poupin, Laure, Wood, Chantal, Romain, David, Moens, Maarten, Billot, Maxime
Veröffentlicht:
MDPI AG
Schlagworte:
Boston Scientific Corp
Quality of life
Pain
Data collection
Spinal cord
Clinical outcomes
Patient satisfaction
Clinical medicine
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024 7 |a 10.3390/jcm11010272  |2 doi 
035 |a 2618233906 
045 2 |b d20220101  |b d20221231 
100 1 |a Rigoard, Philippe  |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; <email>amine.ounajim@chu-poitiers.fr</email> (A.O.); <email>Manuel.ROULAUD@chu-poitiers.fr</email> (M.R.); <email>etienne.babin82@gmail.com</email> (E.B.); <email>dr.bouche@gmail.com</email> (B.B.); <email>Bertille.LORGEOUX@chu-poitiers.fr</email> (B.L.); <email>sandrine.baron@chu-poitiers.fr</email> (S.B.); <email>Nihel.adjali@chu-poitiers.fr</email> (N.A.); <email>Kevin.NIVOLE@chu-poitiers.fr</email> (K.N.); <email>mathilde.many@chu-poitiers.fr</email> (M.M.); <email>chantalwood@orange.fr</email> (C.W.); <email>romain-david@hotmail.fr</email> (R.D.); Department of Spine Surgery & Neuromodulation, Poitiers University Hospital, 86021 Poitiers, France; <email>tania.banor@gmail.com</email> (T.B.); <email>Philippe.PAGE@chu-poitiers.fr</email> (P.P.); Pprime Institute UPR 3346, CNRS, ISAE-ENSMA, University of Poitiers, 86360 Chasseneuil-du-Poitou, France 
245 1 |a The Challenge of Converting “Failed Spinal Cord Stimulation Syndrome” Back to Clinical Success, Using SCS Reprogramming as Salvage Therapy, through Neurostimulation Adapters Combined with 3D-Computerized Pain Mapping Assessment: A Real Life Retrospective Study 
260 |b MDPI AG  |c 2022 
513 |a Journal Article 
520 3 |a While paresthesia-based Spinal Cord Stimulation (SCS) has been proven effective as treatment for chronic neuropathic pain, its initial benefits may lead to the development of “Failed SCS Syndrome’ (FSCSS) defined as decrease over time related to Loss of Efficacy (LoE) with or without Loss of Coverage (LoC). Development of technologies associating new paresthesia-free stimulation waveforms and implanted pulse generator adapters provide opportunities to manage patients with LoE. The main goal of our study was to investigate salvage procedures, through neurostimulation adapters, in patients already implanted with SCS and experiencing LoE. We retrospectively analyzed a cohort of patients who were offered new SCS programs/waveforms through an implanted adapter between 2018 and 2021. Patients were evaluated before and at 1-, 3-, 6- and 12-month follow-ups. Outcomes included pain intensity rating with a Visual Analog Scale (VAS), pain/coverage mappings and stimulation preferences. Last follow-up evaluations (N = 27) showed significant improvement in VAS (p = 0.0001), ODI (p = 0.021) and quality of life (p = 0.023). In the 11/27 patients with LoC, SCS efficacy on pain intensity (36.89%) was accompanied via paresthesia coverage recovery (55.57%) and pain surface decrease (47.01%). At 12-month follow-up, 81.3% preferred to keep tonic stimulation in their waveform portfolio. SCS conversion using adapters appears promising as a salvage solution, with an emphasis on paresthesia recapturing enabled via spatial retargeting. In light of these results, adapters could be integrated in SCS rescue algorithms or should be considered in SCS rescue. 
610 4 |a Boston Scientific Corp 
653 |a Quality of life 
653 |a Pain 
653 |a Data collection 
653 |a Spinal cord 
653 |a Clinical outcomes 
653 |a Patient satisfaction 
653 |a Clinical medicine 
700 1 |a Ounajim, Amine  |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; <email>amine.ounajim@chu-poitiers.fr</email> (A.O.); <email>Manuel.ROULAUD@chu-poitiers.fr</email> (M.R.); <email>etienne.babin82@gmail.com</email> (E.B.); <email>dr.bouche@gmail.com</email> (B.B.); <email>Bertille.LORGEOUX@chu-poitiers.fr</email> (B.L.); <email>sandrine.baron@chu-poitiers.fr</email> (S.B.); <email>Nihel.adjali@chu-poitiers.fr</email> (N.A.); <email>Kevin.NIVOLE@chu-poitiers.fr</email> (K.N.); <email>mathilde.many@chu-poitiers.fr</email> (M.M.); <email>chantalwood@orange.fr</email> (C.W.); <email>romain-david@hotmail.fr</email> (R.D.); Laboratoire de Mathématiques et Applications, UMR 7348, Poitiers University and CNRS, 86000 Poitiers, France 
700 1 |a Goudman, Lisa  |u Department of Neurosurgery, Universitair Ziekenhuis Brussel, 1090 Brussels, Belgium; <email>lisa.goudman@gmail.com</email> (L.G.); <email>mtmoens@gmail.com</email> (M.M.); STIMULUS Research Group, Vrije Universiteit Brussel, 1090 Brussels, Belgium 
700 1 |a Banor, Tania  |u Department of Spine Surgery & Neuromodulation, Poitiers University Hospital, 86021 Poitiers, France; <email>tania.banor@gmail.com</email> (T.B.); <email>Philippe.PAGE@chu-poitiers.fr</email> (P.P.) 
700 1 |a Héroux, France  |u Department of Neurosurgery, Sherbrooke University, Saguenay Delocalized Site, Chicoutimi Hospital, Sherbrooke, QC G7H 5H6, Canada; <email>france.heroux@usherbrooke.ca</email> 
700 1 |a Roulaud, Manuel  |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; <email>amine.ounajim@chu-poitiers.fr</email> (A.O.); <email>Manuel.ROULAUD@chu-poitiers.fr</email> (M.R.); <email>etienne.babin82@gmail.com</email> (E.B.); <email>dr.bouche@gmail.com</email> (B.B.); <email>Bertille.LORGEOUX@chu-poitiers.fr</email> (B.L.); <email>sandrine.baron@chu-poitiers.fr</email> (S.B.); <email>Nihel.adjali@chu-poitiers.fr</email> (N.A.); <email>Kevin.NIVOLE@chu-poitiers.fr</email> (K.N.); <email>mathilde.many@chu-poitiers.fr</email> (M.M.); <email>chantalwood@orange.fr</email> (C.W.); <email>romain-david@hotmail.fr</email> (R.D.) 
700 1 |a Babin, Etienne  |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; <email>amine.ounajim@chu-poitiers.fr</email> (A.O.); <email>Manuel.ROULAUD@chu-poitiers.fr</email> (M.R.); <email>etienne.babin82@gmail.com</email> (E.B.); <email>dr.bouche@gmail.com</email> (B.B.); <email>Bertille.LORGEOUX@chu-poitiers.fr</email> (B.L.); <email>sandrine.baron@chu-poitiers.fr</email> (S.B.); <email>Nihel.adjali@chu-poitiers.fr</email> (N.A.); <email>Kevin.NIVOLE@chu-poitiers.fr</email> (K.N.); <email>mathilde.many@chu-poitiers.fr</email> (M.M.); <email>chantalwood@orange.fr</email> (C.W.); <email>romain-david@hotmail.fr</email> (R.D.); Laboratoire de Mathématiques et Applications, UMR 7348, Poitiers University and CNRS, 86000 Poitiers, France 
700 1 |a Bouche, Bénédicte  |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; <email>amine.ounajim@chu-poitiers.fr</email> (A.O.); <email>Manuel.ROULAUD@chu-poitiers.fr</email> (M.R.); <email>etienne.babin82@gmail.com</email> (E.B.); <email>dr.bouche@gmail.com</email> (B.B.); <email>Bertille.LORGEOUX@chu-poitiers.fr</email> (B.L.); <email>sandrine.baron@chu-poitiers.fr</email> (S.B.); <email>Nihel.adjali@chu-poitiers.fr</email> (N.A.); <email>Kevin.NIVOLE@chu-poitiers.fr</email> (K.N.); <email>mathilde.many@chu-poitiers.fr</email> (M.M.); <email>chantalwood@orange.fr</email> (C.W.); <email>romain-david@hotmail.fr</email> (R.D.); Department of Spine Surgery & Neuromodulation, Poitiers University Hospital, 86021 Poitiers, France; <email>tania.banor@gmail.com</email> (T.B.); <email>Philippe.PAGE@chu-poitiers.fr</email> (P.P.) 
700 1 |a Page, Philippe  |u Department of Spine Surgery & Neuromodulation, Poitiers University Hospital, 86021 Poitiers, France; <email>tania.banor@gmail.com</email> (T.B.); <email>Philippe.PAGE@chu-poitiers.fr</email> (P.P.) 
700 1 |a Lorgeoux, Bertille  |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; <email>amine.ounajim@chu-poitiers.fr</email> (A.O.); <email>Manuel.ROULAUD@chu-poitiers.fr</email> (M.R.); <email>etienne.babin82@gmail.com</email> (E.B.); <email>dr.bouche@gmail.com</email> (B.B.); <email>Bertille.LORGEOUX@chu-poitiers.fr</email> (B.L.); <email>sandrine.baron@chu-poitiers.fr</email> (S.B.); <email>Nihel.adjali@chu-poitiers.fr</email> (N.A.); <email>Kevin.NIVOLE@chu-poitiers.fr</email> (K.N.); <email>mathilde.many@chu-poitiers.fr</email> (M.M.); <email>chantalwood@orange.fr</email> (C.W.); <email>romain-david@hotmail.fr</email> (R.D.) 
700 1 |a Baron, Sandrine  |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; <email>amine.ounajim@chu-poitiers.fr</email> (A.O.); <email>Manuel.ROULAUD@chu-poitiers.fr</email> (M.R.); <email>etienne.babin82@gmail.com</email> (E.B.); <email>dr.bouche@gmail.com</email> (B.B.); <email>Bertille.LORGEOUX@chu-poitiers.fr</email> (B.L.); <email>sandrine.baron@chu-poitiers.fr</email> (S.B.); <email>Nihel.adjali@chu-poitiers.fr</email> (N.A.); <email>Kevin.NIVOLE@chu-poitiers.fr</email> (K.N.); <email>mathilde.many@chu-poitiers.fr</email> (M.M.); <email>chantalwood@orange.fr</email> (C.W.); <email>romain-david@hotmail.fr</email> (R.D.) 
700 1 |a Adjali, Nihel  |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; <email>amine.ounajim@chu-poitiers.fr</email> (A.O.); <email>Manuel.ROULAUD@chu-poitiers.fr</email> (M.R.); <email>etienne.babin82@gmail.com</email> (E.B.); <email>dr.bouche@gmail.com</email> (B.B.); <email>Bertille.LORGEOUX@chu-poitiers.fr</email> (B.L.); <email>sandrine.baron@chu-poitiers.fr</email> (S.B.); <email>Nihel.adjali@chu-poitiers.fr</email> (N.A.); <email>Kevin.NIVOLE@chu-poitiers.fr</email> (K.N.); <email>mathilde.many@chu-poitiers.fr</email> (M.M.); <email>chantalwood@orange.fr</email> (C.W.); <email>romain-david@hotmail.fr</email> (R.D.) 
700 1 |a Nivole, Kevin  |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; <email>amine.ounajim@chu-poitiers.fr</email> (A.O.); <email>Manuel.ROULAUD@chu-poitiers.fr</email> (M.R.); <email>etienne.babin82@gmail.com</email> (E.B.); <email>dr.bouche@gmail.com</email> (B.B.); <email>Bertille.LORGEOUX@chu-poitiers.fr</email> (B.L.); <email>sandrine.baron@chu-poitiers.fr</email> (S.B.); <email>Nihel.adjali@chu-poitiers.fr</email> (N.A.); <email>Kevin.NIVOLE@chu-poitiers.fr</email> (K.N.); <email>mathilde.many@chu-poitiers.fr</email> (M.M.); <email>chantalwood@orange.fr</email> (C.W.); <email>romain-david@hotmail.fr</email> (R.D.) 
700 1 |a Many, Mathilde  |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; <email>amine.ounajim@chu-poitiers.fr</email> (A.O.); <email>Manuel.ROULAUD@chu-poitiers.fr</email> (M.R.); <email>etienne.babin82@gmail.com</email> (E.B.); <email>dr.bouche@gmail.com</email> (B.B.); <email>Bertille.LORGEOUX@chu-poitiers.fr</email> (B.L.); <email>sandrine.baron@chu-poitiers.fr</email> (S.B.); <email>Nihel.adjali@chu-poitiers.fr</email> (N.A.); <email>Kevin.NIVOLE@chu-poitiers.fr</email> (K.N.); <email>mathilde.many@chu-poitiers.fr</email> (M.M.); <email>chantalwood@orange.fr</email> (C.W.); <email>romain-david@hotmail.fr</email> (R.D.) 
700 1 |a Charrier, Elodie  |u Pain Evaluation and Treatment Centre, Poitiers University Hospital, 86021 Poitiers, France; <email>Elodie.CHARRIER@chu-poitiers.fr</email> (E.C.); <email>delphine.rannou@chu-poitiers.fr</email> (D.R.); <email>laure.poupin@chu-poitiers.fr</email> (L.P.) 
700 1 |a Rannou, Delphine  |u Pain Evaluation and Treatment Centre, Poitiers University Hospital, 86021 Poitiers, France; <email>Elodie.CHARRIER@chu-poitiers.fr</email> (E.C.); <email>delphine.rannou@chu-poitiers.fr</email> (D.R.); <email>laure.poupin@chu-poitiers.fr</email> (L.P.) 
700 1 |a Poupin, Laure  |u Pain Evaluation and Treatment Centre, Poitiers University Hospital, 86021 Poitiers, France; <email>Elodie.CHARRIER@chu-poitiers.fr</email> (E.C.); <email>delphine.rannou@chu-poitiers.fr</email> (D.R.); <email>laure.poupin@chu-poitiers.fr</email> (L.P.) 
700 1 |a Wood, Chantal  |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; <email>amine.ounajim@chu-poitiers.fr</email> (A.O.); <email>Manuel.ROULAUD@chu-poitiers.fr</email> (M.R.); <email>etienne.babin82@gmail.com</email> (E.B.); <email>dr.bouche@gmail.com</email> (B.B.); <email>Bertille.LORGEOUX@chu-poitiers.fr</email> (B.L.); <email>sandrine.baron@chu-poitiers.fr</email> (S.B.); <email>Nihel.adjali@chu-poitiers.fr</email> (N.A.); <email>Kevin.NIVOLE@chu-poitiers.fr</email> (K.N.); <email>mathilde.many@chu-poitiers.fr</email> (M.M.); <email>chantalwood@orange.fr</email> (C.W.); <email>romain-david@hotmail.fr</email> (R.D.); Department of Spine Surgery & Neuromodulation, Poitiers University Hospital, 86021 Poitiers, France; <email>tania.banor@gmail.com</email> (T.B.); <email>Philippe.PAGE@chu-poitiers.fr</email> (P.P.) 
700 1 |a Romain, David  |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; <email>amine.ounajim@chu-poitiers.fr</email> (A.O.); <email>Manuel.ROULAUD@chu-poitiers.fr</email> (M.R.); <email>etienne.babin82@gmail.com</email> (E.B.); <email>dr.bouche@gmail.com</email> (B.B.); <email>Bertille.LORGEOUX@chu-poitiers.fr</email> (B.L.); <email>sandrine.baron@chu-poitiers.fr</email> (S.B.); <email>Nihel.adjali@chu-poitiers.fr</email> (N.A.); <email>Kevin.NIVOLE@chu-poitiers.fr</email> (K.N.); <email>mathilde.many@chu-poitiers.fr</email> (M.M.); <email>chantalwood@orange.fr</email> (C.W.); <email>romain-david@hotmail.fr</email> (R.D.); Physical and Rehabilitation Medicine Unit, Poitiers University Hospital, University of Poitiers, 86021 Poitiers, France 
700 1 |a Moens, Maarten  |u Department of Neurosurgery, Universitair Ziekenhuis Brussel, 1090 Brussels, Belgium; <email>lisa.goudman@gmail.com</email> (L.G.); <email>mtmoens@gmail.com</email> (M.M.); STIMULUS Research Group, Vrije Universiteit Brussel, 1090 Brussels, Belgium 
700 1 |a Billot, Maxime  |u PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; <email>amine.ounajim@chu-poitiers.fr</email> (A.O.); <email>Manuel.ROULAUD@chu-poitiers.fr</email> (M.R.); <email>etienne.babin82@gmail.com</email> (E.B.); <email>dr.bouche@gmail.com</email> (B.B.); <email>Bertille.LORGEOUX@chu-poitiers.fr</email> (B.L.); <email>sandrine.baron@chu-poitiers.fr</email> (S.B.); <email>Nihel.adjali@chu-poitiers.fr</email> (N.A.); <email>Kevin.NIVOLE@chu-poitiers.fr</email> (K.N.); <email>mathilde.many@chu-poitiers.fr</email> (M.M.); <email>chantalwood@orange.fr</email> (C.W.); <email>romain-david@hotmail.fr</email> (R.D.) 
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