Spinal cord stimulation in treatment of chronic benign pain: challenges in treatment planning and present status, a 22-year experience

Neurosurgery
Krishna KumarDenny Demeria

Abstract

To present an in-depth analysis of clinical predictors of outcome including age, sex, etiology of pain, type of electrodes used, duration of pain, duration of treatment, development of tolerance, employment status, activities of daily living, psychological status, and quality of life. Suggestions for treatment of low back pain with a predominant axial component are addressed. We analyzed the complications and proposed remedial measures to improve the effectiveness of this modality. Study group consists of 410 patients (252 men, 58 women) with a mean age of 54 years and a mean follow-up period of 97.6 months. All patients were gated through a multidisciplinary pain clinic. The study was conducted over 22 years. The early success rate was 80% (328 patients), whereas the long-term success rate of internalized patients was 74.1% (243 patients) after the mean follow-up period of 97.6 months. Hardware-related complications included displaced or fractured electrodes, infection, and hardware malfunction. Etiologies demonstrating efficacy included failed back syndrome, peripheral vascular disease, angina pain, complex regional pain syndrome I and II, peripheral neuropathy, lower limb pain caused by multiple sclerosis. Age, sex, laterali...Continue Reading

References

Jan 1, 1978·Journal of Neurosurgery·A Pineda
Jan 1, 1991·Acta neurochirurgica. Supplementum·S Bel, B L Bauer
Jul 1, 1986·Pacing and Clinical Electrophysiology : PACE·D ShatinG Hults
Apr 1, 1989·Pacing and Clinical Electrophysiology : PACE·D FiumeM Tamorri
Jan 1, 1986·Journal of Neurosurgery·J BrosetaV Joanes
Nov 19, 1965·Science·R Melzack, P D Wall
Oct 1, 1983·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·R A SeymourM E Phillips
Jul 1, 1983·Neurosurgery·A F Reynolds, A G Shetter
Jan 1, 1982·Applied Neurophysiology·C D RayA Lifson
Jan 1, 1994·Stereotactic and Functional Neurosurgery·Z H KissR R Tasker
Apr 1, 1995·Annals of Medicine·A H Dickenson
Jan 1, 1995·Journal of Neurosurgery·B CioniM Visocchi
Jul 1, 1994·General Hospital Psychiatry·H Merskey
Jan 1, 1993·Pain·C De La Porte, E Van de Kelft
Oct 1, 1995·Pain·M Stanton-HicksP Wilson
May 1, 1997·Journal of Pain and Symptom Management·G K BellR B North
Apr 19, 2000·Neurological Research·G Barolat, A D Sharan
Apr 19, 2000·Neurological Research·M J DeJongste
Aug 31, 2000·The New England Journal of Medicine·M A KemlerF A van den Wildenberg
Sep 18, 2001·European Journal of Pain : EJP·J P Van BuytenL Vanduffel
Oct 16, 2001·British Journal of Neurosurgery·A D KayT R Varma
Jan 30, 2002·British Journal of Neurosurgery·A D KayG M Teasdale

❮ Previous
Next ❯

Citations

Dec 13, 2007·Obesity Surgery·Eugene Pereira, Allison Foster
Jan 8, 2009·Current Pain and Headache Reports·Stephen D Coleman, Sean Mackey
Apr 29, 2010·Current Pain and Headache Reports·Turo J NurmikkoKate Maclver
Nov 17, 2011·Current Pain and Headache Reports·Aaron K ComptonSalim M Hayek
Apr 23, 2008·The Clinical Journal of Pain·Jean-Pierre Van BuytenYves Lazorthes
Jun 17, 2010·The Clinical Journal of Pain·Rod S TaylorRichard B North
Aug 30, 2008·Cephalalgia : an International Journal of Headache·T WolterM Mohadjer
Jul 1, 2007·Neuromodulation : Journal of the International Neuromodulation Society·John C OakleyJaimie Henderson
Jan 1, 2008·Neuromodulation : Journal of the International Neuromodulation Society·John C OakleyAllison M Foster
Jul 1, 2008·Neuromodulation : Journal of the International Neuromodulation Society·Elliot S KramesRichard L Weiner
Oct 1, 2008·Neuromodulation : Journal of the International Neuromodulation Society·Samira Akmal, M Sam Eljamel
Jan 1, 2009·Neuromodulation : Journal of the International Neuromodulation Society·Kedar K Deshpande, Kevin L Wininger
Oct 14, 2011·Neuromodulation : Journal of the International Neuromodulation Society·Paul J LynchJillian Maloney
Oct 14, 2011·Neuromodulation : Journal of the International Neuromodulation Society·Jan Rudiger, Simon Thomson
Oct 14, 2011·Neuromodulation : Journal of the International Neuromodulation Society·Tilman Wolter, Kristin Kieselbach
Aug 23, 2011·Neuromodulation : Journal of the International Neuromodulation Society·Mahindra ChincholkarJill Ness
Aug 23, 2011·Neuromodulation : Journal of the International Neuromodulation Society·Alexander E YakovlevVictoria E Yakovleva
Sep 29, 2011·Neuromodulation : Journal of the International Neuromodulation Society·Tanja E Hamm-FaberIsmail Gültuna
Oct 5, 2011·Neuromodulation : Journal of the International Neuromodulation Society·Robert LevyRichard North
Dec 14, 2011·Neuromodulation : Journal of the International Neuromodulation Society·Tilman Wolter, Matthias Winkelmüller
Dec 14, 2011·Neuromodulation : Journal of the International Neuromodulation Society·Kazuhide MoriyamaMasanori Yamauchi
Mar 1, 2012·Neuromodulation : Journal of the International Neuromodulation Society·Chao QinRobert D Foreman
Mar 2, 2012·Neuromodulation : Journal of the International Neuromodulation Society·Fujio Yanamoto, Kazushige Murakawa
Feb 15, 2012·The Journal of Spinal Cord Medicine·Krysztof E Kowalski, Anthony F DiMarco
Jun 19, 2009·Anesthesia and Analgesia·Anthony DragovichSteven P Cohen
Sep 23, 2011·Neurosurgery·Philippe RigoardBenoit Bataille
Apr 7, 2010·Journal of Neurosurgery. Spine·Phong Dam-HieuBertrand Quinio
Oct 16, 2012·Journal of Neurosurgery. Spine·Marta CicuendezIgor Paredes
Mar 8, 2007·Neurosurgical Focus·Anthony W Lee, Julie G Pilitsis
Sep 12, 2006·Journal of Neurosurgery. Spine·Krishna KumarShivani Gupta
Mar 1, 2012·Pain Management·Krishna KumarSyed Rizvi
Dec 18, 2013·Current Pain and Headache Reports·Krishna Kumar, Syed Rizvi
Sep 23, 2014·Neurosurgery Clinics of North America·Sean J NagelAndre G Machado
Sep 23, 2014·Neurosurgery Clinics of North America·Mayur SharmaMilind Deogaonkar
Oct 29, 2014·Pain Management·Syed Rizvi, Krishna Kumar
Sep 4, 2009·Journal of Clinical Monitoring and Computing·Sreekumar KunnumpurathNalini Vadivelu
Jul 14, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Kayode A WilliamsSteven P Cohen
Sep 17, 2015·Neuromodulation : Journal of the International Neuromodulation Society·Milind DeogaonkarAli R Rezai
Nov 23, 2013·Neurosurgery Clinics of North America·Milind Deogaonkar, Konstantin V Slavin
May 29, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Krishna Kumar, Syed Rizvi
May 20, 2015·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Jason E PopeW Porter McRoberts

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