Research Article

Skin Closure Technique and Postprocedural Pain after Spinal Cord Stimulator Implantation: A Retrospective Review

Table 1

Demographic and other baseline variables based on superficial closure technique.

Overall cohort (n = 152)Staples (n = 88)Suture (n = 64) value
Patients reporting preprocedural and POD#1 NRS score

Age at implanta65.0 (52.0–75.0)62.5 (52.2–73.8)66.0 (52.0–75.0)0.573
Sexb
 Female77 (50.6)48 (54.5)29 (45.3)0.3244
 Male75 (49.3)40 (45.5)35 (54.7)

BMIa31.2 (27.7–34.6)31.5 (28.4–35.3)30.8 (26.0–34.5)0.196
Preprocedural pain scorea8.0 (7.0–9.0)8.0 (8.0–10.0)8.0 (8.0–9.0)0.975
History of fibromyalgiab7 (4.8)6 (7.2)1 (1.6)0.141
History of opioid useb42 (27.6)24 (27.3)18 (28.1)1.000

Implant typeb
 Dorsal column spinal cord stimulator133 (87.5)77 (87.5)56 (87.5)1.000
 Dorsal root ganglion stimulator19 (12.5)11 (12.5)8 (12.5)

Vendor companyb
 Abbott20 (13.2)11 (12.5)9 (14.1)0.811
 Medtronic62 (40.8)36 (40.9)26 (40.6)1.000
 Nevro70 (46.0)41 (46.6)29 (45.3)1.000

Overall cohort (n = 124)Staples (n = 73)Suture (n = 51) value
Patients reporting preprocedural and POD#10 NRS score

Age at implanta62.0 (50.5–74.0)61.0 (48.0–73.0)64.5 (50.8–75.3)0.517
Sexb
 Female65 (52.4)40 (54.8)25 (49.0)0.586
 Male59 (47.6)33 (45.2)26 (51.0)

BMIa31.1 (27.7–34.6)31.2 (28.1–34.4)30.6 (26.3–34.7)0.489
Preprocedural pain scorea8.0 (8.0–9.2)8.0 (8.0–10.0)8.0 (8.0–9.0)0.808
History of fibromyalgiab7 (5.7)5 (6.9)2 (3.9)0.698
History of opioid useb38 (30.6)23 (31.5)15 (29.4)0.845
Implant typeb
 Dorsal column spinal cord stimulator108 (87.1)64 (87.7)44 (86.3)1.000
 Dorsal root ganglion stimulator16 (12.9)9 (12.3)7 (13.7)

Vendor companyb
 Abbott17 (13.7)9 (12.3)8 (15.7)0.606
 Medtronic48 (38.7)29 (39.7)19 (37.2)0.852
 Nevro59 (47.6)35 (47.9)24 (47.0)1.000

aMedian value (25–75% interquartile range); bnumber (%); different sample sizes are present on postoperative day #1 and postoperative day #10 based on capture of patient report of pain scores. value <0.05; the Mann–Whitney U test was performed to compare continuous outcomes, and Fisher’s exact test was performed to compare categorical outcomes.