Effectiveness of high dose spinal cord stimulation for non‐surgical intractable lumbar radiculopathy ‐ HIDENS Study
| Autor: | Amin Elyas, Sanskriti Sharma, Kavita Poply, Vivek Mehta, Habib Ellamushi, Joanne Lascelles, Serge Nikolic, Balaji Ganeshan, Alia Ahmad |
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| Rok vydání: | 2021 |
| Předmět: |
Spinal Cord Stimulation
education.field_of_study Percutaneous Lumbar radiculopathy business.industry Pulse (signal processing) Population Paired difference test Spinal cord stimulation Treatment Outcome Anesthesiology and Pain Medicine Spinal Cord Opioid Back Pain Anesthesia Back pain Humans Pain Management Medicine Chronic Pain medicine.symptom Radiculopathy business education medicine.drug |
| Zdroj: | Pain Practice. 22:233-247 |
| ISSN: | 1533-2500 1530-7085 |
| DOI: | 10.1111/papr.13087 |
| Popis: | OBJECTIVES Spinal cord stimulation (SCS) is being increasingly used in non-surgical intractable low back pain. This study was designed to evaluate the efficacy of high-dose (HD) SCS utilizing sub-perception stimulation with higher frequency and pulse width in non-surgical predominant low-back pain population at 12 months. MATERIALS AND METHODS A total of 20 patients were recruited (280 screened between March 2017 and July 2018) to undergo percutaneous fluoroscopic-guided SCS (Medtronic 8 contact standard leads and RestoreR IPG), with T8 and T9 midline anatomical parallel placement. Sixteen patients completed 12 months follow-up (500 Hz frequency, 500 μs pulse width, and 25% pulse density). Differences in patients' clinical outcome (NRS back, NRS leg, ODI, PGIC, and PSQ) and medication usage (MQS) at 1, 3, and 12 months from the baseline were assessed using non-parametric Wilcoxon paired test. RESULTS The mean NRS scores for back pain (baseline 7.53) improved significantly at 1, 3, and 12 months; 2.78 (p |
| Databáze: | OpenAIRE |
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