How should a patient be positioned for an SCS procedure?

For an SCS (Spinal Cord Stimulation) procedure, the ideal positioning is typically prone with a pillow under the chest. This position allows for optimal access to the lumbar spine, where the leads for spinal cord stimulation are often placed. The pillow under the chest improves comfort and aligns the spine better, reducing pressure on the abdomen and enhancing access for the physician performing the procedure.

In this position, it is easier for the medical team to visualize the anatomical structures and properly place the stimulation leads without obstruction. The prone position also helps maintain the patient’s airway and can deter complications associated with certain other positions.

Propping the patient with a pillow under the chest enables better stabilization of the spine and helps prevent movement that could complicate lead placement. This is crucial for ensuring successful implantation and alignment with the desired neural pathways for effective pain management.

Other positioning options, while they may offer some benefits depending on specific circumstances, do not typically provide the same level of access or comfort required during an SCS procedure, hence may not be the preferred choice for this type of medical intervention.