Leclercq T A, Russo E
Neurochirurgie. 1981;27(2):125-8.
Twenty consecutive cases of internalized epidural stimulators are reviewed. All patients presented with the "failed disc syndrome" following multiple laminectomies. Transcutaneous insertion technique is discussed and results as well as complications are reviewed. Good results on pain, together with regaining normal physical activity occurred in 50% of the cases in the past two years. While patients with a lateralized pain syndrome fared well, a bilateral distribution of pain results in many failures. One post-operative infection required removal of the stimulator. In six cases, electrode movements were considered as the cause of failure. Epidural stimulation is indicated in the treatment of chronic pain. Better patient selection and decrease in electrode movements should improve the results in the future.
回顾了连续20例植入硬膜外刺激器的病例。所有患者在多次椎板切除术后均出现“椎间盘突出失败综合征”。讨论了经皮插入技术，并对结果及并发症进行了回顾。在过去两年中，50%的病例在疼痛方面取得了良好效果，同时恢复了正常身体活动。虽然患有单侧疼痛综合征的患者情况良好，但双侧疼痛分布导致许多治疗失败。1例术后感染需要取出刺激器。在6例病例中，电极移动被认为是失败的原因。硬膜外刺激适用于慢性疼痛的治疗。更好的患者选择以及减少电极移动有望在未来改善治疗效果。
