Neuromodulation in Pediatrics: Case Series

Eugene Kim, Sean Gamble, Adina Schwartz, Giovanni Cucchiaro

Research output: Contribution to journalArticlepeer-review


Objectives: Neuromodulation, particularly intrathecal drug delivery systems and spinal cord stimulators, can be a valuable tool when treating chronic pain in adults. However, there is a paucity of literature regarding its use in pediatrics. Materials: and Methods: We present a series of 14 children and adolescents with intractable pain who received a spinal cord stimulator or a pump for the intrathecal delivery of medications between 2010 and 2016 at our institution. Results: During the study period, we placed 10 intrathecal pumps and 4 spinal cord stimulators with an average age of 17 years old. Pain scores significantly improved after the implant (P<0.007) and function improved in 79% of patients. Opioid use was also significantly reduced. Three patients eventually had their device removed due to psychiatric comorbidities. Four patients had complications that were treated without further sequelae. Conclusion: Neuromodulation can offer important options in treating some pediatric chronic pain patients. In-depth knowledge of primary disease and strict patient selection in the context of the patient’s social situation is vital to successful treatment.

Original languageEnglish (US)
JournalClinical Journal of Pain
StateAccepted/In press - May 22 2018
Externally publishedYes


  • case series
  • intrathecal drug delivery
  • outcomes
  • pediatric patients
  • spinal cord stimulation

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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