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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.

DOI:10.7759/cureus.71850
PMID:39559626
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11571276/
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/85d6/11571276/9b1285db23ea/cureus-0016-00000071850-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85d6/11571276/f7f45c490947/cureus-0016-00000071850-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85d6/11571276/b57cb56fdbf4/cureus-0016-00000071850-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85d6/11571276/ce0f53ad342a/cureus-0016-00000071850-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85d6/11571276/9b1285db23ea/cureus-0016-00000071850-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85d6/11571276/f7f45c490947/cureus-0016-00000071850-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85d6/11571276/b57cb56fdbf4/cureus-0016-00000071850-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85d6/11571276/ce0f53ad342a/cureus-0016-00000071850-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85d6/11571276/9b1285db23ea/cureus-0016-00000071850-i04.jpg

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本文引用的文献

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Pain Med. 2023 Dec 1;24(12):1341-1354. doi: 10.1093/pm/pnad098.
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A Retrospective Review of Real-world Outcomes Following 60-day Peripheral Nerve Stimulation for the Treatment of Chronic Pain.60 天外周神经刺激治疗慢性疼痛的真实世界结局回顾性研究。
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Percutaneous Peripheral Nerve Stimulation of the Medial Branch Nerves for the Treatment of Chronic Axial Back Pain in Patients After Radiofrequency Ablation.经皮外周神经刺激内侧支神经治疗射频消融术后慢性轴向腰痛患者。
Pain Med. 2021 Mar 18;22(3):548-560. doi: 10.1093/pm/pnaa432.
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Percutaneous Peripheral Nerve Stimulation for Chronic Low Back Pain: Prospective Case Series With 1 Year of Sustained Relief Following Short-Term Implant.经皮外周神经刺激治疗慢性下腰痛：短期植入后 1 年持续缓解的前瞻性病例系列研究。
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Spine (Phila Pa 1976). 2017 Jul 15;42 Suppl 14:S41-S52. doi: 10.1097/BRS.0000000000002217.
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