51 Spinal Cord Stimulation
Placement
Position
Implantation of a spinal cord stimulator lead and impulse generator is a minor surgical procedure that is carried out in the operating room using aseptic precautions, including skin preparation, sterile draping, and full surgical attire (Fig. 51-1A). The procedure must be conducted using local anesthesia and sedation light enough that the patient can report feeling the electrical stimulation during lead placement. The patient is positioned on a radiolucent table in the prone position (see Fig. 51-1A