Cervical and cervicomedullary spinal cord stimulation for chronic pain: Efficacy and outcomes

Chivukula, Srinivas; Tempel, Zachary J.; Weiner, Gregory M.; Gande, Abhiram; Chen, Ching-Jen; Ding, Dale; Moossy, John

doi:10.1016/j.clineuro.2014.09.023

Cited by 63 publications

(53 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They found their subjects to have 70–90% reduction in pain as measured by direct subject report of pain relief (at up to 9 months of follow‐up) on a 100‐point numeric rating scale (NRS) . More recently, the efficacy of retrograde paddles was evaluated for treating unilateral radicular symptoms . This study found pain reduction to be 56.6% on average, at a mean follow‐up of 4.2 years, as measured by the NRS for pain severity.…”

Section: Introductionmentioning

confidence: 97%

A Single Center Prospective Observational Study of Outcomes With Tonic Cervical Spinal Cord Stimulation

Haider

Owusu-Sarpong

Celda

et al. 2017

Neuromodulation: Technology at the Neural Interface

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 97%

A Single Center Prospective Observational Study of Outcomes With Tonic Cervical Spinal Cord Stimulation

Haider

Owusu-Sarpong

Celda

et al. 2017

Neuromodulation: Technology at the Neural Interface

View full text Add to dashboard Cite

“…Therefore this study focused on the use of EMG activity to predict midline. By stimulating the epidural leads, EMG activity is thought to be produced via direct current spread through CSF pathways to the ventral roots and respective musculature and through activation of dorsal root and dorsal column causing anterior horn neuron activation and ultimately indirect ventral root activation . In either mechanism, EMG studies are analyzed to determine midline and proper placement of the electrodes.…”

Section: Discussionmentioning

confidence: 99%

“…). A score was assigned based on the comparison: exact match, less than one column off, one column off, and (0) more than one column off or no intraoperative midline was able to be determined. A successful match was defined as a score of 3 or 2.…”

Section: Methodsmentioning

confidence: 99%

Prospective Study of the Use of Intraoperative Neuromonitoring in Determining Post-Operative Energy Requirements and Physiologic Midline in Spinal Cord Stimulation

Collison

Prusik

Paniccioli

et al. 2017

Neuromodulation: Technology at the Neural Interface

View full text Add to dashboard Cite

“…Ten studies comprising 243 patients were identified (weighted mean age 58.9 years, 53.1% male) [13-22]. In 3 studies with available data, all patients were unsuccessfully treated with antiviral agents, epidural and/or nerve blocks and multiple pain medications including gabapentin, pregabalin, nonsteroidal anti-inflammatory drugs, opioids, antiepileptics and antidepressants [14, 16, 17].…”

Section: Resultsmentioning

confidence: 99%

Neurosurgeons’ Armamentarium for the Management of Refractory Postherpetic Neuralgia: A Systematic Literature Review

Texakalidis

Tora

Boulis

2019

Stereotact Funct Neurosurg

View full text Add to dashboard Cite

Background/Aims: Postherpetic neuralgia (PHN) can be refractory to both medical and minimally invasive treatments. Its complex pathophysiology explains the numerous neurosurgical procedures that have been implemented through the years. Our objective was to summarize all available neurosurgical strategies for the management of resistant PHN and evaluate their respective safety and efficacy outcomes. Methods: A comprehensive systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: A total of 38 studies comprising 811 patients with refractory PHN were included. The safety and efficacy of the following procedures were investigated: spinal cord stimulation (SCS), dorsal root entry zone (DREZ) lesioning, intrathecal drug delivery, caudalis DREZ lesioning, dorsal root ganglion (DRG) radiofrequency lesioning, peripheral nerve stimulation, gamma knife surgery, deep brain stimulation, cordotomy, percutaneous radiofrequency rhizotomy and Gasserian ganglion stimulation. Conclusions: There are several available neurosurgical approaches for recalcitrant PHN including neuromodulatory and ablative procedures. It is suggested that patients with resistant PHN undergo minimally invasive procedures first, including SCS, peripheral nerve stimulation or DRG radiofrequency lesioning. More invasive procedures should be reserved for refractory cases. Comparative studies are needed in order to construct a PHN neurosurgical management algorithm.

show abstract

Cervical and cervicomedullary spinal cord stimulation for chronic pain: Efficacy and outcomes

Cited by 63 publications

References 38 publications

A Single Center Prospective Observational Study of Outcomes With Tonic Cervical Spinal Cord Stimulation

A Single Center Prospective Observational Study of Outcomes With Tonic Cervical Spinal Cord Stimulation

Prospective Study of the Use of Intraoperative Neuromonitoring in Determining Post-Operative Energy Requirements and Physiologic Midline in Spinal Cord Stimulation

Neurosurgeons’ Armamentarium for the Management of Refractory Postherpetic Neuralgia: A Systematic Literature Review

Contact Info

Product

Resources

About