PMID: 11334272May 4, 2001Paper

Spinal cord stimulation for nonspecific limb pain versus neuropathic pain and spontaneous versus evoked pain

Neurosurgery
S H KimM Y Oh

Abstract

To compare the outcome of spinal cord stimulation (SCS) in patients with nonspecific limb pain versus patients with neuropathic pain syndromes and in patients with spontaneous versus evoked pain. A retrospective review of 122 patients accepted for treatment with SCS between January 1990 and December 1998 was conducted. All patients first underwent a trial of SCS with a monopolar epidural electrode. Seventy-four patients had a successful trial and underwent permanent implantation of the monopolar electrode used for the trial (19 patients), or a quadripolar electrode (53 patients), or a Resume quadripolar electrode via laminotomy (2 patients). Of the 74 patients, 60.7% underwent implantation of a permanent device and were followed for an average of 3.9 years (range, 0.3-9 yr). Early failure (within 1 yr) occurred in 20.3% of patients, and late failure (after 1 yr) occurred in 33.8% of patients. Overall, 45.9% of patients were still receiving SCS at latest follow-up. Successful SCS (>50% reduction in pain for 1 yr) occurred in 83.3% of patients with nonspecific leg pain, 89.5% of patients with limb pain associated with root injury, and 73.9% of patients with nerve neuropathic pain. SCS was less effective for the control of allodyn...Continue Reading

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Citations

May 17, 2003·Pain·Sergio Canavero, Vincenzo Bonicalzi
Jan 22, 2005·Journal of Neurosurgery·Hans-Holger CapelleJoachim K Krauss
Jun 8, 2012·Neuromodulation : Journal of the International Neuromodulation Society·David LogéStephanie Washburn
Jul 1, 2004·Neuromodulation : Journal of the International Neuromodulation Society·Geert H SpincemaillePeter J Theuvenet
Apr 1, 2007·Neuromodulation : Journal of the International Neuromodulation Society·Assaf T GordonChristopher Gharibo
Jan 1, 2005·Neuromodulation : Journal of the International Neuromodulation Society·Yasin N KhanElizabeth A Khan

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