Kim Eugene, Cucchiaro Giovanni
From the Department of Anesthesiology Critical Care Medicine, Children's Hospital Los Angeles, Los Angeles, California.
A A Case Rep. 2017 Aug 15;9(4):112-115. doi: 10.1213/XAA.0000000000000541.
Spinal cord stimulation can be a valuable treatment option in the management of neuropathic pain in select pediatric patients. We present a unique case of a 16-year-old girl with Klippel-Trenaunay-Weber syndrome and scoliosis who required the placement of a spinal cord stimulator (SCS) for severe sciatic nerve neuropathic pain after a right above-knee amputation. Several attempts at lead placement were required before successful pain coverage was achieved because of late recognition of significant vertebral body rotation. This case highlights important considerations in pediatric SCS placement including a careful review of the spinal cord anatomy before the placement of an SCS.
脊髓刺激术对于特定儿科患者的神经性疼痛管理而言，可能是一种有价值的治疗选择。我们报告了一例独特病例，一名16岁患有克-特-韦综合征和脊柱侧凸的女孩，在右膝上截肢后因严重坐骨神经神经性疼痛需要植入脊髓刺激器（SCS）。由于对椎体明显旋转的认识较晚，在成功实现疼痛覆盖之前需要多次尝试放置电极。该病例突出了儿科SCS植入中的重要注意事项，包括在植入SCS之前仔细评估脊髓解剖结构。
