Spinal cord stimulation in the treatment of neuropathic pain: Current perspectives of indications, cost-effectiveness, complications and results

Camporeze, Bruno; Simm, Renata; Estevão, Iracema Araújo; Mathias, Luis Roberto; Aguiar, Paulo Henrique Pires de; Cottin, Sylvine Carrondo

doi:10.17532/jhsci.2017.399

Cited by 5 publications

(15 citation statements)

References 56 publications

(119 reference statements)

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“…In the literature, it has been described an increase in the number of patients affected by medically refractory neuropathic pain, whose actual prevalence has been estimated ranging from 6.9% to 8% in general population – stressing that 74% of these cases presented moderate-to-severe intensity and the neuropathic pain represents higher than 17% of patients’ complaint with pain. [127816171819]…”

Section: Discussionmentioning

confidence: 99%

“…[18282930313233] There are many different kinds of neuropathic pain and there is no reason to believe that one procedure will be superior in all conditions. [18]…”

Section: Discussionmentioning

confidence: 99%

“…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%

“…Although lasting complication rates SCS are very variable on this type of surgery [Table 4], the presence of electrode breakage, electrode migration, battery or pulse generator failures, hardware malfunction, change of amplitude of pulse by bodily movements, unwanted stimulation, unsatisfactory positioning of the electrode or generator, urinary disturbs, paresthesiae in other body parts, cerebrospinal fluid leakage, subcutaneous hematomas, epidural hematomas, deep or superficial infections, aseptic meningitis, paralysis, spinal cord injury, headache, asthenia, dizziness, muscle spasms, and pain located at the incision, electrode, or receiver site are risks to be considered during and after the surgical act. [101830314748495051525354555657]…”

Section: Discussionmentioning

confidence: 99%

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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%

“…[18282930313233] There are many different kinds of neuropathic pain and there is no reason to believe that one procedure will be superior in all conditions. [18]…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

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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“…In spinal cord stimulation (SCS), ascending Aß fibers are stimulated with electrodes inserted along the spinal cord, which results in nociceptive signal inhibition 42,50,51 . Majority of patients with FBSS and CRPS Type I had an effective improvement of neuropathic pain.…”

Section: Invasive Therapiesmentioning

confidence: 99%

Updates in Complex Regional Pain Syndrome

Aguiar¹,

Camporeze²,

Zapelini³

et al. 2019

jbnc

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Background: The Complex Regional Pain Syndrome (CRPS), known as reflex sympathetic dystrophy, Sudeck atrophy, causalgy or posttraumatic pain has been described as an important cause of chronic morbidity, which acknowledge of clinical limits, pathophysiology and implications of pathogenesis is still little elucidated. Therefore a great dissatisfaction for patients and health professionals has been described regarding to the currently available therapeutic methods. Objectives: The goal of this paper is to discuss the current perspectives of physiopathology, diagnosis and treatment in CRPS. Methods: A review of the literature was carried out using the MEDLINE, LILACS, and SciELO databases, with preference to articles in English, Portuguese and Spanish. Results: The diagnosis is predominantly based in clinical evidences of signs and symptoms. Although it has been described in the literature in many studies and guidelines about the treatment of CRPS, there is no consensus of procedure indications. Between the surgical methods, the use of spinal cord stimulation and others neuromodulators approaches has been described associated to significant rates of success in the management of CRPS. Conclusion: According to the literature and authors experience, the successful treatment of CRPS is based in early diagnosis associated to experienced interdisciplinary team aiming the functional restoration and psychological aspect monitoring.

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Wireless Battery-free and Fully Implantable Organ Interfaces

Bhatia,

Hanna,

Stuart

et al. 2024

Chem. Rev.

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Advances in soft materials, miniaturized electronics, sensors, stimulators, radios, and battery-free power supplies are resulting in a new generation of fully implantable organ interfaces that leverage volumetric reduction and soft mechanics by eliminating electrochemical power storage. This device class offers the ability to provide high-fidelity readouts of physiological processes, enables stimulation, and allows control over organs to realize new therapeutic and diagnostic paradigms. Driven by seamless integration with connected infrastructure, these devices enable personalized digital medicine. Key to advances are carefully designed material, electrophysical, electrochemical, and electromagnetic systems that form implantables with mechanical properties closely matched to the target organ to deliver functionality that supports high-fidelity sensors and stimulators. The elimination of electrochemical power supplies enables control over device operation, anywhere from acute, to lifetimes matching the target subject with physical dimensions that supports imperceptible operation. This review provides a comprehensive overview of the basic building blocks of battery-free organ interfaces and related topics such as implantation, delivery, sterilization, and user acceptance. State of the art examples categorized by organ system and an outlook of interconnection and advanced strategies for computation leveraging the consistent power influx to elevate functionality of this device class over current battery-powered strategies is highlighted.

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Spinal cord stimulation in the treatment of neuropathic pain: Current perspectives of indications, cost-effectiveness, complications and results

Cited by 5 publications

References 56 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

Updates in Complex Regional Pain Syndrome

Wireless Battery-free and Fully Implantable Organ Interfaces

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