Application of spinal cord stimulation in the treatment of persistent pain in failed back surgery syndrome
https://doi.org/10.17650/1683-3295-2018-20-2-43-49
Abstract
The study objective is to demonstrate our experience of the spinal cord stimulation in the treatment of drug-resistant pain in patients with the failed back surgery syndrome (FBSS) and to evaluate its effectiveness and complications.
Materials and methods. Systems for chronic spinal cord stimulation were implanted in 78 patients suffering from FBSS in Federal Neurosurgical Center (Novosibirsk) during 2013–2015. All patients had a drug-resistant neurogenic pain syndrome character and were undergone surgical intervention on the spine. Evaluating of the treatment effectiveness was carried out by visual analogue scale (VAS) and a scale Douleur Neuropathique en 4 Questions (DN4). Catamnesis ranged from 6 to 18 months.
Results. The median preoperative VAS score evaluation was 6.7, at hospital discharge – 3.1, after 6 months – 3.2, after 12 months – 3.5, after 18 months – 3.4. Evaluation on a scale DN4 before surgery was 5.3, at hospital discharge – 2.1, after 6 months – 2.4, after 12 months – 2.5, after 18 months – 2.4. Complications in the form of migration, fracture of the electrodes and development of hemorrhage or inflammation at the site of implantation of the system were observed in 12 (15.3 %) cases and required revision surgery.
Conclusion. Spinal stimulation is an effective and safe method of treatment of pain in FBSS, but it has specific complications associated with implantable systems.
About the Authors
A. В. Dmitriev
Federal Neurosurgical Center (Novosibirsk), Ministry of Health of Russia
Russian Federation
132/1 Nemirovicha-Danchenko St., Novosibirsk 630087
Russian Federation
132/1 Nemirovicha-Danchenko St., Novosibirsk 630087
D. A. Rzaev
Federal Neurosurgical Center (Novosibirsk), Ministry of Health of Russia
Russian Federation
132/1 Nemirovicha-Danchenko St., Novosibirsk 630087
Russian Federation
132/1 Nemirovicha-Danchenko St., Novosibirsk 630087
N. P. Denisova
Federal Neurosurgical Center (Novosibirsk), Ministry of Health of Russia
Russian Federation
132/1 Nemirovicha-Danchenko St., Novosibirsk 630087
Russian Federation
132/1 Nemirovicha-Danchenko St., Novosibirsk 630087
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For citations:
Dmitriev A.В., Rzaev D.A., Denisova N.P. Application of spinal cord stimulation in the treatment of persistent pain in failed back surgery syndrome. Russian journal of neurosurgery. 2018;20(2):43-49. (In Russ.) https://doi.org/10.17650/1683-3295-2018-20-2-43-49
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