Division of Pain Medicine, Department of Anesthesiology, Mayo Clinic Arizona, Phoenix, AZ, USA.
Department of Anesthesiology and Perioperative Medicine, Mayo Clinic Arizona, Phoenix, AZ, USA.
Curr Pain Headache Rep. 2024 Jul;28(7):607-612. doi: 10.1007/s11916-024-01214-w. Epub 2024 Feb 3.
Cervical spine pain with or without radicular symptoms is a common condition leading to high utilization of the healthcare system with over 10 million medical visits per year. Many patients undergo surgical interventions and unfortunately are still left with neck and upper extremity pain, sometimes referred to as "Failed Neck Surgery Syndrome." When these options fail, cervical spinal cord stimulation can be a useful tool to decrease pain and suffering as well as reduce prescription medication use.
Spinal cord stimulation is a well-established therapy for chronic back and leg pain and is becoming more popular for neck and upper extremity pain. Recent studies have explored cervical spinal cord stimulation with successful outcomes regarding improved pain scores, functional outcomes, and reduction of prescription medication use. Continued research into cervical spinal cord stimulation is essential for maximizing its therapeutic potential for patients with chronic neck and upper extremity pain. This review highlights the importance of cervical spinal cord stimulation as an option for patients with failed neck surgery syndrome.
伴有或不伴有神经根症状的颈椎疼痛是导致医疗系统高利用率的常见病症,每年有超过 1000 万人次的就诊。许多患者接受了手术干预,但不幸的是,仍有颈部和上肢疼痛,有时被称为“颈部手术失败综合征”。当这些选择都失败时,颈椎脊髓刺激可能是减轻疼痛和痛苦以及减少处方药物使用的有用工具。
脊髓刺激是一种成熟的慢性背部和腿部疼痛治疗方法,并且越来越多地用于颈部和上肢疼痛。最近的研究探讨了颈椎脊髓刺激,结果显示疼痛评分、功能结果和处方药物使用减少方面均有改善。继续研究颈椎脊髓刺激对于最大限度地发挥其治疗慢性颈部和上肢疼痛患者的潜力至关重要。本综述强调了颈椎脊髓刺激作为治疗颈部手术失败综合征患者的一种选择的重要性。