Asian J Pain Search


Asian J Pain > Volume 3(1); 2017 > Article
Asian Journal of Pain 2017;3(1):1-7.
DOI:    Published online May 30, 2017.
Update on Spinal Cord Stimulation for Chronic Pain
Moo Seong Kim1, Jung Yul Park2
1Department of Neurosurgery, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea
2Department of Neurosurgery, Anam Hospital, Korea University College of Medicine, Seoul, Korea
Correspondence:  Jung Yul Park, Tel: +82-2-920-5729, Fax: +82-2-929-0629, 
Theoretical basis of the spinal cord stimulation (SCS) is well-known gate control theory for segmental pain suppression. Its general concept is to apply electrical stimulation to the large diameter afferents (producing paresthesia) in the dorsal columns of the spinal cord, which via the central collaterals connect to the “gating mechanisms” in the dorsal horns (DH), thereby inhibiting the pain transmission by smaller diameter afferents. Spinal cord stimulation is generally indicated for the chronic, disabling pain that is refractory to other types of treatments. Common clinical indications for SCS are those clinical pain syndromes associated with neuropathic pain such as failed back surgery syndrome, complex regional pain syndromes, cancer pain, and pain associated with spasticity. Other types of pain associated with tissue ischemia attributable to peripheral vascular disease and intractable angina pectoris appears to be the rewarding indication for spinal cord stimulation. Nowadays, there has been introduction of new hardwares and stimulation techniques based on extensive basic and clinical research such as rechargeable generators, multicolumn electrode leads, independent current delivery, percutaneously insertable paddle leads, long-range telemetry, self-adjustable stimulation, magnetic resonance imaging compatibility, and high with burst frequency stimulation. The purpose of this review is to introduce the new paradigm of spinal cord stimulation with up-to-dated knowledge on basic and clinical research with emphasis on new stimulation indications, techniques with new device, and new targets for the stimulation.
Key Words: Spinal cord stimulation; Indication; Burst stimulation; Target; Device
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 0 Crossref
  • 198 View
  • 2 Download
Related articles in Asian J Pain

Spinal Neurostimulation for Pain Control: A Review2015 October;1(1)


Browse all articles >

Editorial Office
Department of Neurosurgery, Yonsei University College of Medicine,
50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea
Tel: +82-2-2228-2158    Fax: +82-2-393-9979    E-mail:                

Copyright © 2020 by Korean Neuro-Pain Society. All rights reserved.

Developed in M2community

Close layer
prev next