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Single-Incision Approach to Implantation of the Pulse Generator and Leads for Dorsal Root Ganglion Stimulation: A Case Report

van Velsen, Valery BS*; van Helmond, Noud MD; Levine, Mitchell E. MD; Chapman, Kenneth B. MD†§

doi: 10.1213/XAA.0000000000000625
Case Reports: Case Report

Dorsal root ganglion (DRG) stimulation has recently emerged as a treatment for persistent neuropathic pain, but the permanent implantation of stimulator leads and the pulse generator can be difficult and is sometimes associated with complications. We used a single-incision approach to tunnel and implant the leads and pulse generator for DRG stimulation treatment in a patient suffering from intractable foot pain. At long-term follow-up, the patient experienced a decrease in pain intensity and improvement in function, without any complications. A single-incision implantation technique for DRG stimulator implantation may simplify implantation and decrease the risk of complications.

From the *Department of Anesthesiology, Pain and Palliative Medicine Radboud University Medical Center, Nijmegen, the Netherlands; Spine & Pain Institute of New York, New York City, New York; Department of Neurosurgery, Lenox Hill Hospital, New York City, New York; and §Department of Anesthesiology, New York University Langone Medical Center, New York City, New York.

Accepted for publication July 12, 2017.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Kenneth B. Chapman, MD, 860 Fifth Ave, New York, NY 10065. Address e-mail to chapmanken@spinepainny.com.

© 2018 International Anesthesia Research Society
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