ID: 217176 Conus Medullaris Stimulation Versus Thoracic Spinal Cord Stimulation for the Management of Chronic Pelvic Pain

While spinal cord stimulation has been well studied for the treatment of chronic neuropathic pain for the upper and lower extremities, few reports exist for the utility of spinal cord stimulation for the management of chronic pelvic pain. Furthermore, of the studies that describe spinal cord stimulation for pelvic pain, few are able to effectively compare the efficacy of thoracic spinal cord stimulation versus other stimulation modalities in the same patient. Pelvic sympathetic viscera are innervated by fibers at T12-L2 roots, while parasympathetic roots are at S1-S4. Evidence suggests that pelvic pain is well covered with conus stimulation as it captures the S2-S5 segment.