A new spinal cord stimulation system effectively relieves chronic, intractable pain: A multicenter prospective clinical study

被引:23
|
作者
Oakley, John C.
Krames, Elliot S.
Prager, Joshua P.
Stamatos, John
Foster, Allison M.
Weiner, Richard
Rashbaum, Ralph R.
Henderson, Jaimie
机构
[1] Adv Bion Boston Sci, Valencia, CA 91355 USA
[2] Yellowstone Neurosurg Associates, Billings, MT USA
[3] Pacific Pain Treatment Ctr, San Francisco, CA USA
[4] Calif Pain Med Ctr, Los Angeles, CA USA
[5] N Shore Univ Hosp, Syosset, NY USA
[6] Dallas Neurosurg Associates, Dallas, TX USA
[7] Texas Back Inst, Plano, TX USA
[8] Stanford Med Ctr, Stanford, CA USA
来源
NEUROMODULATION | 2007年 / 10卷 / 03期
关键词
back pain; electrical stimulation therapy; programming; SCS; treatment efficacy;
D O I
10.1111/j.1525-1403.2007.00115.x
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Objectives. A prospective, open label, multicenter clinical trial confirmed the functionality of a new spinal cord stimulation (SCS) system for the treatment of chronic, intractable pain of the trunk and/or limbs. Materials and Methods. Sixty-five subjects tested a rechargeable 16-channel SCS system with individual current control of each contact on one or two percutaneous eight-contact epidural leads. After baseline measurements, subjects were tracked on pain ratings and complication rates for up to 18 months. Results. After a trial period, 75% of subjects underwent permanent implantation of the entire SCS system. More than one-half the implanted subjects experienced 50% or greater relief of pain after permanent implantation; some subjects reported relief of 90% or more of their pain. The most common complications after permanent implantation were lead migration, uncomfortable stimulation, and component failure; most resolved after reprogramming or device replacement. Conclusions. The new SCS system provided good pain relief to a majority of subjects, and the results confirm a favorable safety and efficacy profile for the SCS system.
引用
收藏
页码:262 / 278
页数:17
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