Is spinal cord stimulation safe? A review of 13 years of implantations and complications - 16/11/16
, B. Marlier, M. Bannwarth, E. Theret, P. Peruzzi, F. LitreBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
| pages | 7 |
| Iconographies | 1 |
| Vidéos | 0 |
| Autres | 0 |
Abstract |
Objective |
The aim of this review was to evaluate the complications of spinal cord stimulation (SCS) for chronic pain.
Methods |
This was a retrospective case series of 212 patients treated with SCS for chronic lower-limb neuropathic pain between March 2002 and February 2015 in a Reims academic hospital. All patients received a surgically implanted paddle-type electrode. Complications with this technique are here described and analyzed, and other treatment and preventative methods proposed.
Results |
The major indication was ‘failed back surgery syndrome’, and 74 (35%) patients experienced complications, of which 57% were benign, while 42% required invasive treatment. Most frequent complications (n=22, 10%) were hardware malfunctions. There were two cases (0.9%) of postoperative neurological deficit and nine (4.2%) with postoperative infections. All patients received the appropriate treatment for their complication.
Conclusion |
Despite the presence of complications, SCS is still a safe technique, although careful patient selection and proper surgical technique can help to avoid major complications.
Le texte complet de cet article est disponible en PDF.Keywords : Spinal cord stimulation, Complications, Chronic pain
Plan
Vol 172 - N° 11
P. 689-695 - novembre 2016 Retour au numéro
Article précédent
- Cajal's unbearable cephalalgias: The consequences of a misdiagnosis
- S. Giménez-Roldán
- French consensus procedure for assessing cognitive function in Parkinson's disease
- K. Dujardin, N. Auzou, E. Lhommée, V. Czernecki, B. Dubois, A. Fradet, D. Maltete, M. Meyer, F. Pineau, E. Schmitt, F. Sellal, F. Tison, T. Vidal, J.-P. Azulay, M.-L. Welter, J.-C. Corvol, F. Durif, O. Rascol, NS-Park network 1
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’achat d’article à l’unité est indisponible à l’heure actuelle.
Déjà abonné à cette revue ?