| Autor: |
Chapman, Kenneth B, Helmond, Noud van, Kallewaard, Jan Willem, Vissers, Kris C, Patel, Kiran V, Motivala, Soriaya, Hagedorn, Jonathan M, Deer, Timothy R, Dickerson, David M |
| Předmět: |
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| Zdroj: |
Pain Medicine; Oct2022, Vol. 23 Issue 10, p1750-1756, 7p |
| Abstrakt: |
Objective A heightened and organized understanding of sacral anatomy could potentially lead to a more effective and safe method of dorsal root ganglion stimulation (DRG-S) lead placement. The aim of this technical note is to describe a standardized access method for S1 DRG-S lead placement. Design Technical note. Methods The described approach utilizes alignment of the lumbosacral prominence and is measurement-based, allowing for standardized sacral access, even when visualization is suboptimal. The medial-to-lateral needle trajectory is designed to limit interaction with the sensitive neural structures and allows for a more parallel orientation of the lead to the DRG and nerve root. Conclusions The described technique potentially improves the safety of S1 DRG-S lead placement. The parallel lead orientation to the DRG may also increase efficacy while lowering energy requirements. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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