Simpson R K, Halter J A, Auzenne D G
Department of Neurosurgery, Baylor College of Medicine, Houston, Texas 77030.
Surg Neurol. 1992 Nov;38(5):391-3. doi: 10.1016/0090-3019(92)90027-k.
Securing spinal cord stimulating electrodes (SCS) within the epidural space is often a challenging task. Complications of the technique include development of cerebrospinal fluid leaks and electrode migration. We report four patients who underwent a limited laminectomy for placement of epidural spinal cord stimulating electrodes to relieve pain and/or spasticity. Suturing electrodes to the dura was not possible, and a tissue adhesive was used. Two-year follow-up shows no migration of the electrodes. Tissue adhesive of "fibrin glue" is a viable alternative for securing epidural SCS electrodes.
在硬膜外间隙固定脊髓刺激电极(SCS)通常是一项具有挑战性的任务。该技术的并发症包括脑脊液漏和电极移位。我们报告了4例患者,他们接受了有限椎板切除术以放置硬膜外脊髓刺激电极来缓解疼痛和/或痉挛。无法将电极缝合到硬脑膜上,因此使用了组织粘合剂。两年的随访显示电极没有移位。“纤维蛋白胶”组织粘合剂是固定硬膜外SCS电极的一种可行替代方法。