Department of Neurosurgery, University Hospital of Wales, Heath Park, Cardiff, UK.
Neuromodulation. 2003 Jan;6(1):20-6. doi: 10.1046/j.1525-1403.2003.03003.x.
The objectives of this study were to assess the effectiveness of cervical spinal cord stimulation in the management of intractable pain syndromes affecting the upper limb and face and to assess the reliability of a specific electrode system in this mobile environment. Forty-one patients, aged 26-76 years (median 48) with neuropathic or ischemic pain underwent the cervical epidural implantation of identical dual two-contact paddle (four contacts per system) laminectomy electrodes. Follow-up (from 5 months to 11 years, 3 months; median 4 years, 7 months) was by multiple consultations carried out by the surgeon and/or in a nurse-led specialist clinic. Overall, 68% obtained sustained pain relief, rated as significant in 51% of the total. Facial pain did not respond. Ischemic syndromes responded well. Lead fracture rate was 15% of the original (11% of the total including replacements) and only 7% (5%) became dislodged.We conclude that the electrode system described provides reliable and sustained cervical cord stimulation. The outcomes are comparable with thoracic cord stimulation for neuropathic and ischemic syndromes.
本研究旨在评估颈椎脊髓刺激在治疗影响上肢和面部的顽固性疼痛综合征方面的有效性，并评估特定电极系统在这种移动环境中的可靠性。41 名年龄在 26-76 岁（中位数 48 岁）的患者，患有神经性或缺血性疼痛，接受了相同的双两接触片（每个系统四个接触点）椎板切除术电极的颈椎硬膜外植入。通过外科医生和/或护士主导的专科诊所进行的多次会诊进行随访（5 个月至 11 年，3 个月；中位数 4 年 7 个月）。总体而言，68%的患者获得了持续的疼痛缓解，51%的患者认为疼痛缓解显著。面部疼痛没有反应。缺血性综合征反应良好。导线断裂率为原始导线的 15%（包括更换在内的总导线的 11%），仅有 7%（5%）发生移位。我们得出结论，所描述的电极系统提供了可靠和持续的脊髓刺激。对于神经性和缺血性综合征，其结果与胸段脊髓刺激相当。
