There are two types of electrodes, which play a key role in transmitting electrical activity to the spinal cord: surgically placed paddle type and percutaneously placed cylindrical type. Both electrode types have their own advantages and disadvantages. While percutaneous electrodes have advantages such as being able to be placed under local anesthesia and getting feedback from the patient during the determination of the electrode level, surgical-type electrodes also have advantages such as lower migration risk, lower voltage requirement, and covering a wider area. However, while the surgical approach has disadvantages such as the necessity of general anesthesia, the necessity of laminectomy or laminotomy, and the need for incision and retraction of the muscles, percutaneous electrodes also have disadvantages such as higher migration and higher reoperation rates.

Considering all these advantages and disadvantages when deciding on the type of electrode to be selected in this treatment option which we apply as the third step in treatment-resistant pain, will increase the chances of success of the intervention. Anahtar Kelimeler : Spinal cord stimulation, Surgical type, Paddle type, Laminectomy