Valley Anesthesiology and Pain Consultants, Envision Physician Services, 645 E. Missouri Avenue, Suite 300, Phoenix, AZ, 85012, USA.
Department of Anesthesiology, University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.
Curr Pain Headache Rep. 2019 May 1;23(6):39. doi: 10.1007/s11916-019-0778-9.
Spinal cord stimulation (SCS), based on the gate theory of nociception, has been shown to be effective in the management of chronic pain conditions. While early-generation technology offered many patients improvement in their pain and symptoms, limitations including paresthesia, dependence on mapping, decreased chronological efficacy, and inadequate coverage left many patients with persistent pain and overt therapeutic failure.
New advances in neuromodulation technology circumvent many of these previous limitations and offer patients improved pain relief and quality of life. In this review, an update on recent technological developments in the field of SCS and peripheral neuromodulation is presented with discussion on differentiating characteristics which may help guide applicability to individual patient needs.
基于疼痛感觉门控理论的脊髓刺激（SCS）已被证明可有效治疗慢性疼痛病症。尽管早期技术为许多患者改善了疼痛和症状，但局限性包括感觉异常、依赖于映射、时效降低以及覆盖范围不足，导致许多患者仍存在持续疼痛和明显的治疗失败。
神经调节技术的新进展规避了许多先前的局限性，并为患者提供了更好的疼痛缓解和生活质量。在这篇综述中，介绍了 SCS 和周围神经调节领域的最新技术进展，并讨论了有助于指导个体患者需求适用性的区分特征。
