Vol. 27 No. 4 (2020), Original
Vol. 27 No. 4 (2020)

Spinal cord stimulation. Analysis of the diagnostic indications

Original
Published 2020-08-04
Pablo Kot
Hospital General Universitario de Valencia
Carlos Pintado
Hospital General Universitario de Valencia
Pablo Rodríguez
Hospital General Universitario de Valencia
Gustavo Fabregat
Hospital General Universitario de Valencia
Vicente Villanueva
Hospital General Universitario de Valencia
Juan Asensio
Hospital General Universitario de Valencia
Beatriz Cano
Hospital Universitario y Politécnico La Fe de Valencia
Jose De Andrés
Hospital General Universitario de Valencia
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Keywords

Spinal cord stimulation
failed back surgery syndrome
chronic pain
neuromodulation.

Abstract

Introduction: Spinal cord stimulation (SCS) is a form of chronic pain treatment that has been shown to be effective in patients who have responded poorly to other therapies. The current indications for SCS devices are very varied. The aim of our study is to analyze the diagnostic indications of SCS therapy during the last 5 years in our hospital, to know the most frequent causes of pain for the indication of the implant of the device and what percentage of improvement patients present, as well as to study the relationship with gender and age. Material and methods: This is an observational, descriptive, retrospective study. The patients were identified from the surgical activity register of the Pain Unit of the General Hospital of Valencia. Results: The final number of patients included was 179. The Failed back surgery syndrome (FBSS) was the diagnostic indication in 112 patients (62.57 %). The mean percentage of improvement described by the patients after the SCS implant was 47.99 ± 27.3 %. There were no differences in the improvement with respect to age or gender. Discussion: In spite of the variability of diagnoses in which this therapy may be indicated, it is noteworthy that in more than half of the cases the indication is by FBSS.
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References

1. Rokyta R, Fricová J. Neurostimulation methods in the treatment of chronic pain. Physiol Res. 2012;61(Suppl. 2):S23-31.

2. Marchand S. Spinal cord stimulation analgesia: substantiating the mechanisms for neuropathic pain treatment. Pain. 2015;156(3):364-5. DOI: 10.1097/01.j.pain.0000000000000089.

3. Geurts JW, Elbert AJ, Van Kleef M. Current status and future perspectives of spinal cord stimulation in treatment of chronic pain. Pain. 2017;158(5):771-4. DOI: 10.1097/j.pain.0000000000000847.

4. Wolter T. Spinal cord stimulation for neuropathic pain: current perspectives. J pain res. 2014;7:651-63. DOI: 10.2147/JPR.S37589.

5. Visnjevac O, Costandi S, Patel BA, Azer G, Agarwal P, Bolash R, et al. A Comprehensive Outcome-Specific Review of the Use of Spinal Cord Stimulation for Complex Regional Pain Syndrome. Pain Pract. 2017;17(4):533-45. DOI: 10.1111/papr.12513.

6. Deer TR, Mekhail N, Provenzano D, Pope J, Krames E, Leong M, et al. The appropriate use of neurostimulation of the spinal cord and peripheral nervous system for the treatment of chronic pain and ischemic diseases: the Neuromodulation Appropriateness Consensus Committee. Neuromodulation. 2014;17(6):515-50. DOI: 10.1111/ner.12208.

7. Mekhail, NA, Cheng J, Narouze S, Kapural L, Mekhail MN, Deer T. Clinical applications of neurostimulation: forty years later. Pain Pract. 2010;10(2):103-12. DOI: 10.1111/j.1533-2500.2009.00341.x.

8. Al-Kaisy A, Palmisani S, Smith TE, Carganillo R, Houghton R, Pang D, et al. Long-Term Improvements in Chronic Axial Low Back Pain Patients Without Previous Spinal Surgery: A Cohort Analysis of 10-kHz High-Frequency Spinal Cord Stimulation Over 36 Months. Pain Med. 2018;19(6):1219-26. DOI: 10.1093/pm/pnx237.

9. Grider JS, Manchikanti L, Carayannopoulos A, Sharma ML, Balog CC, Harned ME, et al. Effectiveness of Spinal Cord Stimulation in Chronic Spinal Pain: A Systematic Review. Pain Physician. 2016;19(1):E33-54.

10. Foletti A, Durrer A, Buchser E. Neurostimulation technology for the treatment of chronic pain: a focus on spinal cord stimulation. Expert Rev Med Devices. 2007;4(2):201‐14. DOI: 10.1586/17434440.4.2.201.

11. Deogaonkar M, Zibly Z, Slavin KV. Spinal Cord Stimulation for the Treatment of Vascular Pathology. Neurosurg Clin N Am. 2014;25(1):25-31. DOI: 10.1016/j.nec.2013.08.013.

12. De Andrés J, Quiroz C, Villanueva V, Valía JC, Alarcón DL, Moliner S, et al. Satisfacción del paciente con síndrome de dolor de raquis postquirúrgico portador de un sistema de neuroestimulación medular. Rev Esp Anestesiol Reanim. 2007;54(1):17-22.

13. Gridley L, Van den Dolder PA. The percentage improvement in pain scale as a measure of physiotherapy treatment effects. Aust J Physiother. 2001;47(2):133-40. DOI: 10.1016/s0004-9514(14)60304-4.

14. Farrar JT, Young Jr JP, LaMoreaux L, Werth JL, Poole RM. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain. 2001;94(2):149-58. DOI: 10.1016/s0304-3959(01)00349-9.

15. Farrar JT, Pritchett YL, Robinson M, Prakash A, Chappell A. The clinical importance of changes in the 0 to 10 numeric rating scale for worst, least, and average pain intensity: analyses of data from clinical trials of duloxetine in pain disorders. J Pain. 2010;11(2):109-18. DOI: 10.1016/j.jpain.2009.06.007.

16. Cameron T. Safety and efficacy of spinal cord stimulation for the treatment of chronic pain: a 20-year literature review. J Neurosurg. 2004;100(3 Supl.):254-67. DOI: 10.3171/spi.2004.100.3.0254.

17. Pan X, Bao H, Si Y, Xu C, Chen H, Gao X, et al. Spinal cord stimulation for refractory angina pectoris: a systematic review and meta-analysis. Clin J Pain. 2017;33(6): 543-51. DOI: 10.1097/AJP.0000000000000435.

18. Perolat R, Kastler A, Nicot B, Pellat JM, Tahon F, Attye A, et al. Facet joint syndrome: from diagnosis to interventional management. Insights Imaging. 2018;9(5):773‐89. DOI: 10.1007/s13244-018-0638-x.

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