Spinal cord stimulation protocols for modern pain management: from two-stage models to direct-to-implant strategies – Summary by Liv Harley Street Hospital
The direct-to-implant (DTI) approach to spinal cord stimulation (SCS) represents an emerging paradigm in the treatment of chronic neuropathic pain. Unlike the conventional two-stage models, which include a preliminary trial phase, the DTI strategy involves immediate permanent implantation in carefully selected patients. This article explores the rationale, clinical outcomes, and practical implications of adopting a single-stage implantation model. Drawing on recent evidence from randomized…