Descripción de un caso de síndrome de cirugía fallida de espalda, estimulación medular y embarazo

Gredilla, E.; Abejón, David; Pozo, C. del; Saz, J. del; Gilsanz, F.

doi:10.1016/j.redar.2012.04.019

Cited by 5 publications

(2 citation statements)

References 9 publications

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“…Nonpregnant and pregnant patients affected by CRPS and FBSS have demonstrated significant rates of success in pain control associated to a low rate of complications although the total pain control rarely was obtained through the use of SCS individually as therapy [Tables 3 and 4, adapted from Camporeze et al , 2017. [18282930313233343536373839404142434445464748495051] Furthermore, this procedure has been described associated to a significant cost-effectiveness rates when compared the conventional pharmacological pain management. [1852535455565758]…”

Section: Discussionmentioning

confidence: 99%

Spinal cord stimulation in pregnant patients: Current perspectives of indications, complications, and results in pain control: A systematic review

Camporeze¹,

Simm

Maldaun

et al. 2019

Asian J Neurosurg

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Spinal cord stimulation (SCS) has been described as a valuable neuromodulator procedure in the management of chronic medically untreated neuropathic pain. Although the use of this technique has been published in many papers, a question still remains regarding its applicability in pregnant patients. The goal of this paper is to discuss the risks, complications, and results as well as the prognosis of SCS in pregnant patients. We performed a systematic review from 1967 to 2018 using the databases MEDLINE, LILACS, SciELO, PubMed, and BIREME, utilizing language as selection criteria. Eighteen studies that met our criteria were found and tabulated. SCS is a reversible and adjustable surgical procedure, which results in patients that demonstrated a significant effect in the reduction of pain intensity in pregnant patients. The etiologies most frequent were complex regional pain and failed back pain syndromes, which together represented 94% of analyzed cases. The technical complications most frequent were lead migration (3%, n = 1). Regarding the risks, the authors did not show significative factors among the categorical variables that can suggest a teratogenicity, while the maternal risks have been associated to the consequences of technical complications due to, among other factors, improvement of abdominal pressure during pregnancy and delivery. Finally, although there are not significative cohorts of pregnant patients, the procedure is still an effective surgical approach of neuropathic pain associated to lower rates of complications and significative improvement in the quality of life of patients during pregnancy.

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Section: Discussionmentioning

confidence: 99%

Spinal cord stimulation in pregnant patients: Current perspectives of indications, complications, and results in pain control: A systematic review

Camporeze¹,

Simm

Maldaun

et al. 2019

Asian J Neurosurg

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show abstract

“…Previous case reports [7][8][9][10][11][12][13][14][15][16][17][18][19] have drawn attention to this unique population. The number of patients with SCS becoming pregnant seems to be increasing.…”

Section: Discussionmentioning

confidence: 99%

The Parturient With Implanted Spinal Cord Stimulator

Young

Lubenow

Buvanendran

2015

Regional Anesthesia and Pain Medicine

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Spinal cord stimulation (SCS) is an approved treatment for complex regional pain syndrome and other chronic pain conditions. These devices enable women with chronic pain to maintain relatively normal lives, with some encountering pregnancy. Use of previously implanted SCS systems in pregnant women is considered controversial due to lack of long-term prospective studies evaluating both maternal and fetal safety. Seven patients at a university pain clinic were identified as having SCS implanted before becoming pregnant. Data on these patients before, during, and after labor were collected through chart review and patient interview. Onset of labor varied among the 7 patients (2 preterm and 5 term). Mode of anesthesia for delivery included 4 neuraxial anesthetics, with 3 successfully obtaining an adequate level of anesthesia for delivery. Four general anesthetics were administered for cesarean delivery, one of which included a failed attempt at neuraxial anesthesia. All infants were born healthy. Management approaches and outcomes in our patients, as well as those previously reported are discussed within this article. Definitive conclusions cannot be drawn from this small cohort. We believe that management of a parturient with an implanted SCS requires careful planning between all peripartum physicians.

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Neuroestimulación de cordones posteriores y gestación. Evidencia y recomendaciones sobre el uso de la neuroestimulación durante el embarazo y el parto

Ortín

Carrillo

et al. 2017

Clínica e Investigación en Ginecología y Obstetricia

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Descripción de un caso de síndrome de cirugía fallida de espalda, estimulación medular y embarazo

Cited by 5 publications

References 9 publications

Spinal cord stimulation in pregnant patients: Current perspectives of indications, complications, and results in pain control: A systematic review

Spinal cord stimulation in pregnant patients: Current perspectives of indications, complications, and results in pain control: A systematic review

The Parturient With Implanted Spinal Cord Stimulator

Neuroestimulación de cordones posteriores y gestación. Evidencia y recomendaciones sobre el uso de la neuroestimulación durante el embarazo y el parto

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