van Helmond Noud, Kardaszewski Caroline N, Chapman Kenneth B
From the *Spine and Pain Institute of New York, New York City, New York; †Department of Research, Staten Island University Hospital, Staten Island, New York; and ‡Department of Anesthesiology, New York University Langone Medical Center, New York City, New York.
A A Case Rep. 2017 Jun 15;8(12):334-336. doi: 10.1213/XAA.0000000000000506.
Spinal cord stimulation is an effective treatment modality for refractory neuropathic pain conditions, but the placement of leads can be challenging due to unforeseen anatomical variations. We used a retrograde C7-T1 approach to place a lead at the bottom of T8 in a patient suffering from failed back surgery syndrome. We were able to achieve adequate stimulation in her lower back and legs, which resulted in significant reduction in pain intensity during the spinal cord stimulation trial. Cervical retrograde placement of leads may represent an alternative method for successful placement of percutaneous leads in patients with abnormal anatomy due to thoracic postsurgical changes.
脊髓刺激是治疗难治性神经性疼痛的一种有效方法，但由于存在不可预见的解剖变异，电极的放置可能具有挑战性。我们采用逆行C7-T1入路，为一名患有腰椎手术失败综合征的患者在T8椎体底部放置了一根电极。我们成功地在她的下背部和腿部实现了充分刺激，这使得在脊髓刺激试验期间疼痛强度显著降低。对于因胸椎手术后改变导致解剖结构异常的患者，经颈逆行放置电极可能是成功放置经皮电极的一种替代方法。
