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Spinal cord stimulation for failed back surgery syndrome—does it work and is it cost-effective?

Nature Clinical Practice Neurology volume 4, pages 472–473 (2008)Cite this article

Abstract

This Practice Point commentary discusses a study by Manca et al. that aimed to investigate the health-related quality-of-life and cost implications of spinal cord stimulation (SCS) plus nonsurgical conventional medical management (CMM) versus nonsurgical CMM alone. Manca et al. reported that the mean total 6-month health-care cost in the SCS group was significantly higher than that in the CMM alone group. However, the gain in health-related quality of life for patients undergoing SCS was significantly greater than that for patients undergoing CMM alone over this same period. In addition, patients in the SCS group used fewer analgesics and nondrug pain treatments (e.g. physical therapy), thus offsetting the upfront costs of SCS by 15%. The relevance of this study in providing an evaluation of health-care expenditures directed at treating low back pain relative to actual treatment outcomes is discussed.

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Author information

Authors and Affiliations

  1. DM Sciubba is a Chief Resident and ZL Gokaslan is a Professor in the Department of Neurosurgery at Johns Hopkins University, Baltimore, MD, USA.,

    Daniel M Sciubba & Ziya L Gokaslan

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  1. Daniel M Sciubba
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  2. Ziya L Gokaslan
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Corresponding author

Correspondence to Daniel M Sciubba.

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Competing interests

ZL Gokaslan has declared associations with the following companies: DePuy (grant/research support), Spinal Kinetics (stock holder/director), Synthes (grant/research support) and US Spine (stock holder/director). DM Sciubba declared no competing interests.

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Sciubba, D., Gokaslan, Z. Spinal cord stimulation for failed back surgery syndrome—does it work and is it cost-effective?. Nat Rev Neurol 4, 472–473 (2008). https://doi.org/10.1038/ncpneuro0865

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