Percutaneous Spinal Cord Stimulation for Chronic Pain: Indications and Patient Selection

被引:22
作者
Nagel, Sean J. [1 ]
Lempka, Scott F. [1 ,2 ]
Machado, Andre G. [1 ]
机构
[1] Cleveland Clin, Neurol Inst, Ctr Neurol Restorat, Dept Neurosurg, Cleveland, OH 44195 USA
[2] Louis Stokes Cleveland Vet Affairs Med Ctr, Res Serv, Cleveland, OH 44106 USA
关键词
Spinal cord stimulation; Failed back surgery syndrome; Complex regional pain syndrome; Surgical indications; Psychological evaluation; Surgical risk assessment; RANDOMIZED CONTROLLED-TRIAL; CONVENTIONAL MEDICAL-MANAGEMENT; REFLEX SYMPATHETIC DYSTROPHY; SURGICAL-SITE INFECTIONS; BACK SURGERY SYNDROME; NEUROPATHIC PAIN; FOLLOW-UP; RECOMMENDATIONS; GUIDELINES; THERAPY;
D O I
10.1016/j.nec.2014.06.005
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Percutaneous spinal cord stimulation has a clinical benefit in selected patients with chronic neuropathic pain related to failed back surgery syndrome and complex regional pain syndrome. Patients with other peripheral neuropathic pain syndromes may also respond favorably. The cause of the chronic pain must be established to rule out remediable causes. Drug abuse or aberrant drug-related behaviors should be assessed before proceeding. A psychological evaluation identifies patients who may not benefit. Risk factors for infection should be corrected where possible. This safe, reversible treatment should be considered early for patients with intractable peripheral neuropathic pain.
引用
收藏
页码:723 / +
页数:12
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