Urban B J, Nashold B S
J Neurosurg. 1982 Sep;57(3):365-9. doi: 10.3171/jns.1982.57.3.0365.
A technique is described that combines percutaneous epidural with peripheral nerve stimulation to provide limited paresthesia to a lower extremity. The peripheral electrode is placed percutaneously and positioned along the course of the anterior division fo the spinal nerve anterolateral to the vertebral bodies. This is accomplished by a modified epidural tap. Combined stimulation was carried out in 23 patients with intractable leg pain. Sixteen patients proceeded to chronic autostimulation; follow-up time extended to 18 months. The procedure proved simple; there were no perioperative and only few minor late complications. Results were similar to those from conventional epidural stimulator implantation. It is concluded that combined epidural-peripheral nerve stimulation constitutes a valid therapeutic alternative for patients with unilateral lower extremity pain.
本文描述了一种将经皮硬膜外刺激与周围神经刺激相结合的技术，以向下肢提供有限的感觉异常。将外周电极经皮放置，并沿椎体前外侧的脊神经前支走行定位。这通过改良的硬膜外穿刺来完成。对23例顽固性腿痛患者进行了联合刺激。16例患者进行了慢性自我刺激；随访时间延长至18个月。该手术被证明很简单；没有围手术期并发症，只有少数轻微的晚期并发症。结果与传统硬膜外刺激器植入的结果相似。结论是，硬膜外-周围神经联合刺激是单侧下肢疼痛患者一种有效的治疗选择。
