A unique approach to neurostimulation in patients with previous two-segment spine surgery and obstruction of epidural access for spinal cord stimulation: a case series
| Autor: | J. Talley Parrott, Phillip C. LaTourette, Y. Eugene Mironer, Sumeer Lal, Philip J. Hodge |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Electric Stimulation Therapy Spinal cord stimulation Spine surgery Lumbar medicine Humans Pain Management In patient Lead (electronics) Neurostimulation Aged business.industry Laminectomy General Medicine Middle Aged Low back pain Surgery Electrodes Implanted Pain Intractable Anesthesiology and Pain Medicine Spinal Fusion Neurology Spinal Cord Anesthesia Female Neurology (clinical) medicine.symptom Lead Placement business |
| Zdroj: | Neuromodulation : journal of the International Neuromodulation Society. 15(3) |
| ISSN: | 1525-1403 |
| Popis: | Introduction: Patients with extensive surgery in the lumbar and thoracic spine are often not considered for neurostimulation due to the inability to perform a conventional spinal cord stimulation (SCS) trial. We are presenting six such patients in which spinal-peripheral neurostimulation (SPN) was used via a caudal approach. Methods: Six patients with intractable low back and leg pain following extensive lumbar and thoracic surgeries, up to at least the T10 level, underwent a stimulation trial with one caudal lead and one subcutaneous lead in order to achieve SPN. Results: In five cases, the trial was successful with coverage of the pain area and at least satisfactory pain relief. All six patients were implanted with a paddle lead(s) and a subcutaneous lead using SPN with good pain control. Conclusion: SPN with a caudal lead appears to be a viable option for SCS trial in patients with no possibilities for conventional trial lead placement. |
| Databáze: | OpenAIRE |
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