Joint Clinical Guideline for Patients with an implanted spinal cord stimulator SCS or dorsal root ganglion DRG stimulator undergoing surgical pr v1
SCS systems comprise of one or more electrodes placed in the epidural space anywhere between the cervical spine and the sacrum. The site of the pain determines the actual position of the epidural leads. Usually a single programmable battery like a pacemaker is implanted in a pocket under the skin – this is known as an Implantable Pulse Generator IPG . The site of the IPG varies. Tunnelled extension leads will connect the epidural leads to the IPG.
Clinical GuidelinesThis guideline has been approved by the Trust's Clinical Guidelines Assessment Panel as an aid to the diagnosis and management of relevant patients and clinical circumstances. Not every patient or situation fits neatly into a standard guideline scenario and the guideline must be interpreted and applied in practice in the light of prevailing clinical circumstances, the diagnostic and treatment options available and the professional judgement, knowledge and expertise of relevant clinicians. It is advised that the rationale for any departure from relevant guidance should be documented in the patient's case notes.
The Trust's guidelines are made publicly available as part of the collective endeavour to continuously improve the quality of healthcare through sharing medical experience and knowledge. The Trust accepts no responsibility for any misunderstanding or misapplication of this document.