Spinal Cord Stimulation for Pain Relief of Unresectable Sacral Chordoma

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An 83-year-old man with a large sacral chordoma not amenable to surgical resection presented with severe lower back and lower extremity pain refractory to opioid medications. Trial with a temporary external spinal cord stimulator (SCS) elicited a >50% relief of symptoms and a permanent SCS was subsequently placed. The patient continued to report adequate pain relief from the SCS 12 months after placement, despite continued progression of his disease.

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