Implantable spinal cord neurostimulators are medical devices designed to deliver
electrical stimulation for analgesic purposes, using electrodes implanted opposite the
posterior cords of the spinal cord. They are used for chronic pain, in particular
in situations where drug management or non-interventional techniques are not appropriate
failed. The current emitted substitutes local paresthesia for pain.
The HAS recently reviewed the entire range of existing devices in order to better define their purpose.
indications. These appear to be limited to the failures of other pain control methods,
making spinal cord neurostimulators devices of last resort.
Given the low level of evidence available for implantable neurostimulation systems
none of the clinical data used to distinguish between the indications of the sys-
systems according to their technical characteristics. It only seems preferable to reserve
rechargeable systems for energy-hungry patients.