脊髓刺激疗法安全吗？对13年植入手术及并发症的回顾。
Is spinal cord stimulation safe? A review of 13 years of implantations and complications.
作者信息
Kleiber J-C, Marlier B, Bannwarth M, Theret E, Peruzzi P, Litre F
机构信息
Service de Neurochirurgie, Hôpital Maison-Blanche, CHU de Reims, 45, rue Cognacq-Jay, 51100 Reims, France.
Service de Neurochirurgie, Hôpital Maison-Blanche, CHU de Reims, 45, rue Cognacq-Jay, 51100 Reims, France.
出版信息
Rev Neurol (Paris). 2016 Nov;172(11):689-695. doi: 10.1016/j.neurol.2016.09.003. Epub 2016 Oct 21.
OBJECTIVE
The aim of this review was to evaluate the complications of spinal cord stimulation (SCS) for chronic pain.
METHODS
This was a retrospective case series of 212 patients treated with SCS for chronic lower-limb neuropathic pain between March 2002 and February 2015 in a Reims academic hospital. All patients received a surgically implanted paddle-type electrode. Complications with this technique are here described and analyzed, and other treatment and preventative methods proposed.
RESULTS
The major indication was 'failed back surgery syndrome', and 74 (35%) patients experienced complications, of which 57% were benign, while 42% required invasive treatment. Most frequent complications (n=22, 10%) were hardware malfunctions. There were two cases (0.9%) of postoperative neurological deficit and nine (4.2%) with postoperative infections. All patients received the appropriate treatment for their complication.
CONCLUSION
Despite the presence of complications, SCS is still a safe technique, although careful patient selection and proper surgical technique can help to avoid major complications.
目的
本综述旨在评估脊髓刺激（SCS）治疗慢性疼痛的并发症。
方法
这是一项回顾性病例系列研究，对2002年3月至2015年2月间在兰斯一家学术医院接受SCS治疗慢性下肢神经性疼痛的212例患者进行研究。所有患者均接受了手术植入的桨式电极。本文描述并分析了该技术的并发症，并提出了其他治疗和预防方法。
结果
主要适应症为“腰椎手术失败综合征”，74例（35%）患者出现并发症，其中57%为良性，42%需要侵入性治疗。最常见的并发症（n = 22，10%）是硬件故障。有2例（0.9%）术后出现神经功能缺损，9例（4.2%）发生术后感染。所有患者均针对其并发症接受了适当治疗。
结论
尽管存在并发症，但SCS仍是一种安全的技术，不过仔细的患者选择和恰当的手术技术有助于避免严重并发症。
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