Management of post-cervical laminectomy fusion pain syndrome with a successful trial of spinal cord stimulation

被引:0
|
作者
Dahbour, Layth [1 ,3 ]
Wright, Thelma B. [1 ]
Rusha, Laert [1 ]
Uppal, Pushpinder [1 ]
Gattu, Kanchana [1 ]
Lee, Seung J. [1 ]
Watterworth, Blake [1 ]
Stansbury, Lynn [2 ]
机构
[1] Univ Maryland, Dept Anesthesiol, Med Ctr, Baltimore, MD 21207 USA
[2] Univ Maryland, Med Ctr, Shock Trauma Associates, Baltimore, MD USA
[3] Univ Maryland, Pain Management Ctr, 2200 Kernan Dr, Baltimore, MD 21207 USA
关键词
Neuromodulation; Cervicalgia; Epidural fibrosis; Case report; Failed-back surgery syndrome; Neuropathic pain; Spinal cord stimulator; BACK SURGERY;
D O I
10.1097/PR9.0000000000000981
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
The cervical epidural space due to fibrosis makes cervical spinal cord stimulator placement difficult. We present a successful case and discuss the technical challenges associated with this frequently encountered pathophysiology. Introduction:Spinal cord stimulation has been shown to be beneficial in various postsurgical neuropathic pain syndromes, but the already small cervical epidural space due to epidural fibrosis makes cervical spinal cord stimulator placement very difficult. We present a case of successful cervical cord stimulator implantation in a patient with a history of anterior cervical discectomy and fusion, posterior cervical fusion, and significant epidural fibrosis.Methods:A 48-year-old woman with a history of type 2 diabetes, nonalcoholic steatohepatitis, and fibromyalgia presented with trauma-induced cervicalgia and bilateral upper extremity radiculopathy.Results:In a 4-day trial of stimulation, she reported an 80% reduction of her pain and significant improvement in her quality of life.Discussion:Although anecdotal evidence and case series have shown spinal cord stimulation to be successful in cervical failed back surgery syndrome, we are the first to discuss the technical challenges and complications associated with epidural fibrosis.
引用
收藏
页数:3
相关论文
共 50 条
  • [31] Spinal cord stimulation for post-amputation limb pain
    McAuley, J. H.
    Green, C. R.
    JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2007, 78 (09): : 1024 - 1024
  • [32] Efficacy of spinal cord stimulation on post-stroke pain
    Saitoh, Youichi
    Sumitani, Masahiko
    Oshino, Satoru
    Kishima, Haruhiko
    Tani, Naoki
    Hirata, Masayuki
    Hosomi, Koichi
    Mashimo, Takashi
    Yoshimine, Toshiki
    PAIN RESEARCH, 2007, 22 (03) : 123 - 126
  • [33] Minimally Invasive Drainage of a Post-Laminectomy Subfascial Seroma with Cervical Spinal Cord Compression
    Kitshoff, Adriaan Mynhardt
    Van Goethem, Bart
    Cornelis, Ine
    Combes, Anais
    Polis, Ingeborgh
    Gielen, Ingrid
    Vandekerckhove, Peter
    de Rooster, Hilde
    JOURNAL OF THE AMERICAN ANIMAL HOSPITAL ASSOCIATION, 2016, 52 (03) : 175 - 180
  • [34] Cervical and cervicomedullary spinal cord stimulation for chronic pain: Efficacy and outcomes
    Chivukula, Srinivas
    Tempel, Zachary J.
    Weiner, Gregory M.
    Gande, Abhiram V.
    Chen, Ching-Jen
    Ding, Dale
    Moossy, John J.
    CLINICAL NEUROLOGY AND NEUROSURGERY, 2014, 127 : 33 - 41
  • [35] Spinal Cord Stimulation for Failed Back Surgery Syndrome: to Trial or Not to Trial?
    Witkam, Richard L.
    Kragt, Elisabeth A. M.
    Arnts, Inge J. J.
    Bronkhorst, Ewald M.
    van Dongen, Robert
    Kurt, Erkan
    Steegers, Monique A. H.
    van Haren, Frank G. A. M.
    Maandag, Natasja J. G.
    Gort, Cees
    Henssen, Dylan J. H. A.
    Wegener, Jessica T.
    Vissers, Kris C. P.
    JOURNAL OF PAIN, 2023, 24 (07): : 1298 - 1306
  • [36] Cervical and Thoracic Spinal Cord Stimulation in a Patient with Pediatric Complex Regional Pain Syndrome - A case report
    Park, Jung Ju
    Moon, Dong Eon
    Park, Seung Jae
    Choi, Jeong Il
    Shim, Jae Chol
    KOREAN JOURNAL OF PAIN, 2007, 20 (01): : 60 - 65
  • [37] Spinal Cord Stimulation for the Atypical Facial Pain Syndrome Treatment
    Lakhina, Iuliia
    Chalil, Alan
    Babbitt, Danielle
    Khelo, Roy Raheb
    Henshey, Brett
    Yonk, Marybeth
    Boulis, Nicholas M.
    NEUROSURGERY, 2025, 71 : 72 - 72
  • [38] Spinal Cord Stimulation for Complex Regional Pain Syndrome (CRPS)
    Drakeley M.
    Ho S.G.
    Helm E.R.
    Levin J.
    Rosenquist R.W.
    Current Physical Medicine and Rehabilitation Reports, 2016, 4 (2) : 81 - 86
  • [39] Spinal cord stimulation for the management of Complex Regional Pain Syndromes
    Stanton-Hicks, M
    NEUROMODULATION, 1999, 2 (03): : 193 - 201
  • [40] New advancements in spinal cord stimulation for chronic pain management
    Xu, Jijun
    Liu, Aijun
    Cheng, Jianguo
    CURRENT OPINION IN ANESTHESIOLOGY, 2017, 30 (06) : 710 - 717