The surgical treatment of chronic pain: destructive therapies in the spinal cord

Neurosurgery Clinics of North America
Yucel Kanpolat

Abstract

Stereotactic pain surgery is accepted as a group of procedures. These are usually highly sophisticated and technically risky procedures. In practice, the most important part of this discipline is not the technical abilities of the surgeon, but selection of the most appropriate patients for the available procedures. We must remember that we are performing all these procedures with the cooperation of patients. The energy that is used for lesioning can be stopped when desired. The target we want to approach can be definitely and anatomically visualized and demonstrated, and the function of the target is evaluated with neurophysiologic impedance techniques and stimulation. Thus, if we are able to understand the language of the central nervous system, these are available, effective, and safe procedures in neurosurgical practice. We must remember that if intractable pain can be controlled by minimally invasive destructive techniques, the patients will not be dependent on implantable systems, drugs,and medical units. This independent lifestyle is a critical goal central to quality of life for patients having intractable pain.

References

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Jan 15, 1997·Neurosurgical Focus·Y KanpolatS Akyar

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Citations

Mar 1, 1974·Medical & Biological Engineering·C Romero-SierraM Lewin
Sep 23, 2014·Neurosurgery Clinics of North America·Peter Konrad
Aug 1, 2015·Journal of Neurosurgery·Erich Talamoni FonoffManoel Jacobsen Teixeira
Mar 6, 2016·Mayo Clinic Proceedings·James C Watson, Paola Sandroni
Jul 4, 2006·Biomedicine & Pharmacotherapy = Biomédecine & Pharmacothérapie·A Spacek
Apr 11, 2014·Palliative & Supportive Care·Maxine de la CruzEduardo Bruera
Oct 16, 2018·Pain Management·Jonathan E Silverman, Amitabh Gulati
Mar 3, 2009·Neurosurgery·Yucel KanpolatAtilla Halil Elhan
May 29, 2018·World Journal of Urology·Thomas M KesslerArmin Curt
Jul 15, 2021·Neurology Research International·Lazzaro di BiaseVincenzo Di Lazzaro

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