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50 Years of Spinal Cord Stimulation: Where Are We Now?

The session will update participants on the mechanisms of various modalities of spinal cord stimulation (SCS). It will start with a preclinical presentation, present the clinical evidence, and address controversies surrounding the evidence for neuromodulation therapies.

A plenary lecture on preclinical work will focus on the potential impact of SCS on clinical practice followed by a debate reviewing the progress achieved in SCS in the last 50 years. The session will review the current state of clinical evidence and indications for SCS, while exploring the long-term outcomes of its various modalities.

The final presentation will explore the shortcomings of the RCT evidence for SCS, limitations of the data, potential reasons for the gulf between practice and RCT data as well as the practical limitations of the application of SCS in clinical use.

Learning Objectives:
  • Gain a clear insight on the mechanism of action of various modalities of spinal cord stimulation including burst, high frequency and conventional stimulation and implications for clinical practice
  • Upon completion of this session, attendees will gain an update on the state of the evidence and clinical indications for SCS use in clinical practice.
  • Upon completion of this session, attendees will. gain insight into the limitations of the evidence controversies as well as limitations of the use of SCS in clinical practice
Credit: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Annenberg Center for Health Sciences at Eisenhower and the International Association for the Study of Pain. The Annenberg Center for Health Sciences at Eisenhower is accredited by the ACCME to provide continuing medical education for physicians. 

The Annenberg Center for Health Sciences at Eisenhower designates this enduring activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


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