van Velsen Valery, van Helmond Noud, Levine Mitchell E, Chapman Kenneth B
From the Department of Anesthesiology, Pain and Palliative Medicine Radboud University Medical Center, Nijmegen, the Netherlands; Spine & Pain Institute of New York, New York City, New York; Department of Neurosurgery, Lenox Hill Hospital, New York City, New York; and Department of Anesthesiology, New York University Langone Medical Center, New York City, New York.
A A Pract. 2018 Jan 1;10(1):23-27. doi: 10.1213/XAA.0000000000000625.
Dorsal root ganglion (DRG) stimulation has recently emerged as a treatment for persistent neuropathic pain, but the permanent implantation of stimulator leads and the pulse generator can be difficult and is sometimes associated with complications. We used a single-incision approach to tunnel and implant the leads and pulse generator for DRG stimulation treatment in a patient suffering from intractable foot pain. At long-term follow-up, the patient experienced a decrease in pain intensity and improvement in function, without any complications. A single-incision implantation technique for DRG stimulator implantation may simplify implantation and decrease the risk of complications.
背根神经节(DRG)刺激术近来已成为治疗持续性神经性疼痛的一种方法,但刺激器导线和脉冲发生器的永久植入可能具有挑战性,且有时会伴有并发症。我们采用单切口入路为一名患有顽固性足部疼痛的患者进行DRG刺激治疗,将导线和脉冲发生器置入隧道并植入。长期随访时,患者疼痛强度减轻,功能改善,且未出现任何并发症。用于DRG刺激器植入的单切口植入技术可能会简化植入过程并降低并发症风险。