LAUSR

Dear Editor, Severe kyphoscoliosis is a deformity with fixed spinal vertebrae that does not allow traction, suspension, or side bending of the spine [1]. Treatment of rigid scoliosis in adults involves correction of complex three-dimensional deformities and restoring balance to the spine but is challenging due to a high rate of associated neurological complications [2]. Spinal cord stimulation (SCS) involves a minimally invasive procedure and might be an alternative pain-relieving therapeutic option with lower risks than spinal correction surgery, especially in patients with increased preoperative risk factors [3]. SCS delivered at 10kHz (HF10) may be preferable over conventional SCS for treatment of back pain [4], but studies examining its use in patients with kyphoscoliosis are lacking. We describe a patient with severe kyphoscoliosis who suffered from back pain for many years but refused spinal correction surgery. A treatment with high-frequency SCS diminished the burden of pain, and the patient was able to return to work. To our knowledge, this is the first report of an “unoperated back” patient who was efficiently treated with high-frequency SCS. A woman age 57 years presented with severe idiopathic kyphoscoliosis and progressive therapy-resistant back pain …