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椎板切除术后腰椎内侧支的序贯双侧周围神经刺激:一例报告

Sequential Bilateral Peripheral Nerve Stimulation of Lumbar Medial Branches Following Laminectomy: A Case Report.

作者信息

Briggi Daniel, Reeh Colton, Yan Gaibo, Vangeison Christian, Husu Emanuel N

机构信息

Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, USA.

Family Medicine, The University of Tennessee Health Science Center, Knoxville, USA.

出版信息

Cureus. 2024 Oct 19;16(10):e71850. doi: 10.7759/cureus.71850. eCollection 2024 Oct.

Abstract

In a patient with a history of lumbar spine surgery, the management of refractory low back pain may prove challenging. Advancing neuromodulatory techniques and technologies offer the promise of significant and sustained relief in these patients, though prior literature is limited. We present a case of peripheral nerve stimulation at the lumbar medial branches in a woman with chronic axial low back pain following a three-level laminectomy. Six months after the sequential bilateral treatment, the patient reported complete relief of her low back pain, increased activity, and a significant reduction in oral medication burden.

摘要

对于有腰椎手术史的患者,难治性下腰痛的管理可能具有挑战性。先进的神经调节技术有望为这些患者带来显著且持久的疼痛缓解,尽管既往文献有限。我们报告一例在接受三级椎板切除术后患有慢性轴性下腰痛的女性患者,对其腰椎内侧支进行外周神经刺激的病例。在序贯双侧治疗六个月后,患者报告其下腰痛完全缓解,活动能力增强,口服药物负担显著减轻。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85d6/11571276/f7f45c490947/cureus-0016-00000071850-i01.jpg

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