[Epidural stimulation for pain control (author's transl)]. 1981

T A Leclercq, and E Russo

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.

UI MeSH Term Description Entries
D007403 Intervertebral Disc Any of the 23 plates of fibrocartilage found between the bodies of adjacent VERTEBRAE. Disk, Intervertebral,Intervertebral Disk,Disc, Intervertebral,Discs, Intervertebral,Disks, Intervertebral,Intervertebral Discs,Intervertebral Disks
D002908 Chronic Disease Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care (Dictionary of Health Services Management, 2d ed). For epidemiological studies chronic disease often includes HEART DISEASES; STROKE; CANCER; and diabetes (DIABETES MELLITUS, TYPE 2). Chronic Condition,Chronic Illness,Chronically Ill,Chronic Conditions,Chronic Diseases,Chronic Illnesses,Condition, Chronic,Disease, Chronic,Illness, Chronic
D004599 Electric Stimulation Therapy Application of electric current in treatment without the generation of perceptible heat. It includes electric stimulation of nerves or muscles, passage of current into the body, or use of interrupted current of low intensity to raise the detection threshold of the skin to pain. Electrotherapy,Electrical Stimulation Therapy,Interferential Current Electrotherapy,Therapeutic Electric Stimulation,Therapeutic Electrical Stimulation,Therapy, Electric Stimulation,Electric Stimulation, Therapeutic,Electrical Stimulation, Therapeutic,Electrotherapy, Interferential Current,Stimulation Therapy, Electric,Stimulation Therapy, Electrical,Stimulation, Therapeutic Electric,Stimulation, Therapeutic Electrical,Therapy, Electrical Stimulation
D004824 Epidural Space Space between the dura mater and the walls of the vertebral canal. Epidural Spaces,Space, Epidural,Spaces, Epidural
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013115 Spinal Canal The cavity within the SPINAL COLUMN through which the SPINAL CORD passes. Vertebral Canal,Vertebral Foramen,Vertebral Foramina,Canal, Spinal,Canal, Vertebral,Foramen, Vertebral,Foramina, Vertebral,Spinal Canals,Vertebral Canals,Vertebral Foramens
D059408 Pain Management A form of therapy that employs a coordinated and interdisciplinary approach for easing the suffering and improving the quality of life of those experiencing pain. Management, Pain,Managements, Pain,Pain Managements

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