{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T01:31:50Z","timestamp":1793323910531,"version":"4.5.0"},"reference-count":8,"publisher":"Open Medical Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Spinal cord stimulation (SCS) is an established therapy for refractory neuropathic pain following lumbar spine surgery and frequently allows for meaningful pain reductio, functional improvement, and minimizing reliance on pharmacotherapy and opioids. Despite its efficacy, hardware-related complications remain an important cause of treatment failure.<\/jats:p>\n                  <jats:p>We present a fictional teaching case of a 68-year old man with persistent bilateral radicular pain after lumbar decompression who experienced 80% relief following SCS implantation. Eight months later, after a motor vehicle collision, he developed abrupt loss of stimulation coverage and recurrence of severe neuropathic symptoms. This teaching case discusses appropriate next steps for evaluation and management in this particular clinical scenario.<\/jats:p>","DOI":"10.52965\/001c.160191","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T18:41:18Z","timestamp":1776883278000},"source":"Crossref","is-referenced-by-count":0,"title":["Abrupt Loss of Spinal Cord Stimulation After Trauma: A Case-Based Approach to Evaluation and Management"],"prefix":"10.52965","volume":"18","author":[{"given":"Jamal","family":"Hasoon","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03gds6c39","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Texas Health Science Center at Houston","department":["Department of Anesthesiology, Critical Care, and Pain Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Musa M","family":"Aner","sequence":"additional","affiliation":[{"name":"Geisel School of Medicine at Dartmouth","department":["Department of Anesthesiology and Perioperative Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cyrus","family":"Yazdi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04drvxt59","id-type":"ROR","asserted-by":"publisher"}],"name":"Beth Israel Deaconess Medical Center","department":["Department of Anesthesiology, Critical Care, and Pain Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher L","family":"Robinson","sequence":"additional","affiliation":[{"name":"The Johns Hopkins University School of Medicine","department":["Department of Anesthesiology and Critical Care Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"issue":"5","key":"ref1","doi-asserted-by":"publisher","first-page":"917","DOI":"10.1016\/j.neurom.2023.03.016","article-title":"Incidence of Lead Migration With Loss of Efficacy or Paresthesia Coverage After Spinal Cord Stimulator Implantation: Systematic Review and Proportional Meta-Analysis of Prospective Studies and Randomized Clinical Trials","volume":"26","author":"T. West","year":"2023","journal-title":"Neuromodulation"},{"issue":"9","key":"ref2","doi-asserted-by":"publisher","first-page":"941","DOI":"10.1007\/s11916-024-01280-0","article-title":"Device-Related Complications Associated with Cylindrical Lead Spinal Cord Stimulator Implants: A Comprehensive Review","volume":"28","author":"J. Hasoon","year":"2024","journal-title":"Curr Pain Headache Rep"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"123443","DOI":"10.52965\/001c.123443","article-title":"Biologic Complications Associated with Cylindrical Lead Spinal Cord Stimulator Implants: A Narrative Review","volume":"16","author":"P. D. Vu","year":"2024","journal-title":"Orthop Rev (Pavia)"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"145863","DOI":"10.52965\/001c.145863","article-title":"Cylindrical Lead Spinal Cord Stimulators: Common Device-Related Issues","volume":"17","author":"J. Hasoon","year":"2025","journal-title":"Orthop Rev (Pavia)"},{"issue":"5","key":"ref5","doi-asserted-by":"publisher","first-page":"731","DOI":"10.1111\/ner.13487","article-title":"Incidence and Risk Factors for Spinal Cord Stimulator Lead Migration With or Without Loss of Efficacy: A Retrospective Review of 91 Consecutive Thoracic Lead Implants","volume":"25","author":"M. L. Dombovy-Johnson","year":"2022","journal-title":"Neuromodulation"},{"issue":"5","key":"ref6","doi-asserted-by":"publisher","first-page":"332","DOI":"10.1136\/rapm-2023-104347","article-title":"Radiographic lead migration in percutaneous spinal cord stimulator trials","volume":"49","author":"C. F. Mullins","year":"2024","journal-title":"Reg Anesth Pain Med"},{"issue":"2","key":"ref7","doi-asserted-by":"publisher","first-page":"280","DOI":"10.4103\/sja.SJA_47_20","article-title":"Lead migration in spinal cord stimulation with loss of pain coverage in a CRPS patient","volume":"14","author":"J. Hasoon","year":"2020","journal-title":"Saudi J Anaesth"},{"issue":"6","key":"ref8","doi-asserted-by":"publisher","first-page":"1359","DOI":"10.1016\/j.wneu.2013.06.012","article-title":"Is spinal cord stimulation safe? A review of its complications","volume":"82","author":"D. Bendersky","year":"2014","journal-title":"World Neurosurg"}],"container-title":["Orthopedic Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/160191-abrupt-loss-of-spinal-cord-stimulation-after-trauma-a-case-based-approach-to-evaluation-and-management","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T00:45:35Z","timestamp":1793321135000},"score":1,"resource":{"primary":{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/160191-abrupt-loss-of-spinal-cord-stimulation-after-trauma-a-case-based-approach-to-evaluation-and-management"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,22]]},"references-count":8,"URL":"https:\/\/doi.org\/10.52965\/001c.160191","relation":{},"ISSN":["2035-8164"],"issn-type":[{"value":"2035-8164","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,22]]}}}