SCS with long lumbar instrumentation

Not a lot of experience with patients with long lumbar or thoracolumbar instrumentation for SCS. I have a patient coming in that will likely need an SCS trial, Laminectomy L1 to the sacrum with PLIF L2 to sacrum and instrumentation L1 to S1. On x-ray there is kyphoscoliosis above the upper instrumented vertebral body. Obviously needs advanced imaging as only an x-ray precedes her visit. The junctional disc level looks like a disaster on x-ray. So, looking like the lowest reasonable... SCS with long lumbar instrumentation
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums