Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2024 Jul 7:43:514-517.
doi: 10.1016/j.jpra.2024.06.019. eCollection 2025 Mar.

Autologous fat grafting for management of pain at spinal cord implantable pulse generator sites

S M Anandan  1 , Q Young Sing  1 , A A Pai  1 , A Misra  1
Affiliations
Case Reports

Autologous fat grafting for management of pain at spinal cord implantable pulse generator sites

S M Anandan et al. JPRAS Open. .

Abstract

Implantable pulse generator site pain is prevalent in 4 to 12 percent of patients with the spinal cord stimulators. We have used a case series of 4 patients aged 46 to 79, to demonstrate pain relief at the implant site via the use of autologous fat grafting. All patients experienced an improvement of 33.3 % to 75 % in pain scores within a few weeks of the procedure. Up to a 21 month follow up date, there was still pain relief with no complications. Subsequently, we propose that autologous fat grafting may be effective and safe in pain management at the implant pulse generator sites. Further studies with larger case series and long term follow up is needed for validation.

Keywords: Fat grafting; Implantable pulse generator; Pain.

PubMed Disclaimer

Conflict of interest statement

None.

Figures

Figure 1
Figure 1
Implant site before fat transfer.
Figure 2
Figure 2
Implant site immediately after fat transfer.
See this image and copyright information in PMC

References

    1. Atkinson L., Sundaraj S.R., Brooker, et al. Recommendations for patient selection in spinal cord stimulation. J Clin Neurosci. 2011;18:1295–1302. - PubMed
    1. Hayek S.M., Veizi E., Hanes M. Treatment-limiting complications of percutaneous spinal cord stimulator implants: a review of eight years of experience from an academic center database. Neuromodulation. 2015;18:603–608. - PubMed
    1. Mekhail NA, Mathews M, Nageeb F, et al. Retrospective review of 707 cases of Spinal cord stimulation: indications and complications. Pain Pract. 2011;11(2):148–153. - PubMed
    1. Huang S.H.1., Wu S.H., Chang K.P., et al. Alleviation of neuropathic scar pain using autologous fat grafting. Ann Plast Surg. 2015;74(Suppl 2):S99–104. doi: 10.1097/SAP.0000000000000547. - DOI - PubMed
    1. Huang S-H, Wu S-H, Lee S-S, et al. Fat grafting in burn scar alleviates neuropathic pain via anti-inflammation effect in scar and spinal cord. PLoS ONE. 2015;10(9) doi: 10.1371/journal.pone.0137563. - DOI - PMC - PubMed

Publication types

LinkOut - more resources