SUNY Downstate College of Medicine, Brooklyn, New York 11203, USA.
Department of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, New York 10021, USA.
Pain Manag. 2023 Mar;13(3):143-149. doi: 10.2217/pmt-2022-0072. Epub 2023 Mar 27.
Spinal cord stimulation is a successful and thoroughly documented procedure in treating chronic refractory pain. Complications are rare and usually mild, but hardware complications such as electrode dysfunction have been shown to be detrimental in treatment efficacy and patient outcome. We report a case in which a patient diagnosed with complex regional pain syndrome underwent spinal cord stimulation for pain management and experienced lead migration and fracture, resulting in loss of paresthesia and increased pain. This case provides useful clinical information on identifying electrode dysfunction in patients with implanted spinal cord stimulators and emphasizes the importance of preventative measures to reduce the risk of similar complications.
脊髓刺激是一种成功且有充分文献记录的治疗慢性难治性疼痛的方法。并发症罕见且通常较轻,但硬件并发症,如电极功能障碍,已被证明对治疗效果和患者预后有害。我们报告了一例患有复杂性区域疼痛综合征的患者,该患者接受脊髓刺激治疗疼痛管理,经历了导线迁移和骨折,导致感觉异常丧失和疼痛加剧。该病例提供了有关识别植入脊髓刺激器患者电极功能障碍的有用临床信息,并强调了采取预防措施降低类似并发症风险的重要性。