T. Szmuda, Wiktor Olijewski, P. Słoniewski, J. Dzierżanowski
{"title":"Recent Development Of Five Column Paddle Spinal Cord Electrode Used For Intractable Pain After Traumatic Lumbar Spine Injury.","authors":"T. Szmuda, Wiktor Olijewski, P. Słoniewski, J. Dzierżanowski","doi":"10.5580/2a88","DOIUrl":null,"url":null,"abstract":"Treatment of chronic low back pain (LBP) after lumbar spine trauma is challenging. Despite fixation of the fractured spine, chronic pain afflicts most of these patients. Spinal cord stimulation (SCS) is a treatment option with an unsatisfactory success rate for low back pain [1], which is attributed to inadequate coverage of painful area [2]. The configuration of the transverse tripolar lead might have resulted with deeper penetration of the dorsal columns stimulation, resulting in improvement of low back paresthesia coverage [3]. Struijk [4] illustrated that transverse system might be effective in a theoretical model, which results of clinical study have confirmed [5]. However, the innovation of five column electrode, that has the broadest lateral electrode span of stimulation, may provide better pain reduction control. In this paper, the authors present the first report on five-column, paddle electrode (St. Jude Medical Neuromodulation Division, Plano, TX) implanted via thoracic foraminotomy, to achieve paresthesia of the lower back region, in a patient after lumbar spine injury.","PeriodicalId":326784,"journal":{"name":"The Internet Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Internet Journal of Neurosurgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5580/2a88","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1
Abstract
Treatment of chronic low back pain (LBP) after lumbar spine trauma is challenging. Despite fixation of the fractured spine, chronic pain afflicts most of these patients. Spinal cord stimulation (SCS) is a treatment option with an unsatisfactory success rate for low back pain [1], which is attributed to inadequate coverage of painful area [2]. The configuration of the transverse tripolar lead might have resulted with deeper penetration of the dorsal columns stimulation, resulting in improvement of low back paresthesia coverage [3]. Struijk [4] illustrated that transverse system might be effective in a theoretical model, which results of clinical study have confirmed [5]. However, the innovation of five column electrode, that has the broadest lateral electrode span of stimulation, may provide better pain reduction control. In this paper, the authors present the first report on five-column, paddle electrode (St. Jude Medical Neuromodulation Division, Plano, TX) implanted via thoracic foraminotomy, to achieve paresthesia of the lower back region, in a patient after lumbar spine injury.
治疗慢性腰痛(LBP)后腰椎创伤是具有挑战性的。尽管对骨折的脊柱进行了固定,但大多数患者仍遭受慢性疼痛的折磨。脊髓刺激(Spinal cord stimulation, SCS)是一种治疗下腰痛的方法,但成功率不理想[1],这是由于疼痛区域覆盖不足[2]。横向三极导联的配置可能导致背柱刺激的更深穿透,从而改善了腰背部感觉异常的覆盖范围[3]。Struijk[4]在理论模型中表明横向系统可能有效,临床研究结果也证实了这一点[5]。然而,创新的五柱电极,具有最宽的侧电极刺激范围,可能提供更好的疼痛减轻控制。在本文中,作者首次报道了通过胸椎间孔切开术植入五柱桨状电极(St. Jude Medical Neuromodulation Division, Plano, TX),以实现腰椎损伤后患者下背部感觉异常。