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There is currently no consensus on appropriate perioperative management of patients with spinal cord stimulator implants. Magnetic resonance imaging (MRI) is considered safe under strict labeling conditions. Electrocautery is generally not recommended in these patients but sometimes used despite known risks.

The aim was to discuss the perioperative evaluation and management of patients with spinal cord stimulator implants.

A literature review, summary of device labeling, and editorial were performed, regarding the safety of spinal cord stimulator devices in the perioperative setting.

A literature review was performed, and the labeling of each Food and Drug Administration (FDA)–approved spinal cord stimulation system was reviewed. The literature review was performed using PubMed and the FDA website (www.fda.gov).

Magnetic resonance imaging …