Neuromodulation in Practice: Procedural Insights from the Cadaver Lab-Spinal Cord Stimulator Implantation

Spinal Cord Stimulator Implantation

Video Transcription

Video Summary

Corey Hunter explains needle access for spinal cord stimulation and lead steering through the epidural space at the T12-L1 level. He emphasizes entering at the pedicle one level below for safety and using loss of resistance to access the epidural space centrally. The needle bevel should face upward to guide the lead curve correctly. He advises holding the lead with both hands resting on the patient for better control and flexibility. Adjusting the needle hub can steer the lead if it veers off. Final placement is confirmed with imaging to ensure the lead is positioned dorsally in the epidural space.

Keywords

spinal cord stimulation

needle access

lead steering

epidural space

T12-L1 level