Spinal Cord Stimulation Ameliorates Neuropathic Pain-Related Sleep Disorders: A Case Series

Obuchi, Maiko; Sumitani, Masahiko; Shin, Masahiro; Ishii, Kotaro; Kogure, T.; Miyauchi, Satoru; Yamada, Yosuke

doi:10.1111/ner.12222

Cited by 5 publications

(4 citation statements)

References 20 publications

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“…The final sleep parameter assessed by both methods is SE, which is also underestimated by the PSQI. A small case study compared sleep efficiencies, measured by actigraphy in neuropathic pain patients, after SCS and showed an overall improvement (5 out of 6 patients) in SE, starting from the first day SCS was introduced . These findings were not confirmed as no significant improvements for SE in actigraphy or in sleep quality were seen.…”

Section: Discussionmentioning

confidence: 96%

Does Spinal Cord Stimulation Really Influence Sleep?

Jaeger

Goudman

Groote

et al. 2019

Neuromodulation: Technology at the Neural Interface

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Section: Discussionmentioning

confidence: 96%

Does Spinal Cord Stimulation Really Influence Sleep?

Jaeger

Goudman

Groote

et al. 2019

Neuromodulation: Technology at the Neural Interface

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“…Anxiety, depression, and disruption in social and working life accompanying chronic pain lead to a decrease in the patient's quality of life. Studies on this subject have reported that sleep problems and quality of life improve with the reduction of pain intensity after SCS [20,21]. In our study, the improvement in the daily living activities of the patients after SCS was evaluated.…”

Section: Discussionmentioning

confidence: 88%

An assessment of the treatment of spinal cord stimulation: Postlaminectomy pain or neuropathic pain

Dagistan

2024

Med-Science

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Neuromodulation has a significant place, among the interventional methods, in the treatment of chronic pain. Spinal Cord Stimulation (SCS) is the most applied treatment method among neuromodulation methods. SCS procedure is a neuromodulation method used in the failed back surgery syndrome, neuropathic pain, and cancer pain. The 102 patients who applied SCS were included in the retrospective study from 2017-2022 in the University Algology Department. We asked about pain scores in line with visual analog scale degrees (VAS) before and after the SCS procedure, opioid use and compared the patient satisfaction with the procedure. We divided the patients into two groups as those with a diagnosis of post-laminectomy syndrome (Group 1) and those with a diagnosis of neuropathic pain (Group 2). VAS before SCS was 9.11±0.75 in Group 1 and 8.45±0.77 in Group two. After SCS, the decrease in pain intensity was much more distinct in post-laminectomy patients (Group 1), compared to the neuropathic pain patients (Group 2). The results were as follows: Group 1- 1.98±1.40, Group 2-4.08±0.71, p<0.001. The decrease in using analgesics was observed to be much more significant in Group 2. (P<0.05) Patient satisfaction was higher in Group 1 as well (p<0.05). We hold the opinion that post-laminectomy patients benefit more from the SCS procedure than neuropathic pain patients. We observed that the decrease both in pain intensity and the use of opioid analgesics was statistically and overwhelmingly distinct in post-laminectomy patients. According to the results of our study, we think that SCS is an effective and safe treatment method both for post-laminectomy and neuropathic pain patients.

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“…The role of SCS in reducing opioids analgesic demand was controversial. Several studies reported a significant decrease in the use of opioid analgesics after SCS operation [15,18,19]. Another study, however, argued that SCS operation did not result in a decrease in opioid need [14].…”

Section: Discussionmentioning

confidence: 99%

Sensor driven-position adaptive versus conventional spinal cord stimulation in failed back surgery syndrome: a retrospective case series

Akbaş

Salem

Emara

et al. 2019

Egypt J Neurol Psychiatry Neurosurg

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Background: Failed back surgery syndrome (FBSS) is a common problem affecting 20-40% of cases undergoing spine surgeries. Spinal cord stimulation (SCS) has been shown to be an efficient and relatively safe treatment in managing many intractable chronic pain syndromes.Objectives: This study compares the efficacy and safety of MR-compatible sensor driven-position adaptive SCS and conventional SCS in treating FBSS. Methods: This is a retrospective case series of 120 consecutive FBSS patients who underwent SCS between February 2011 and March 2018. Pain levels, analgesic/opioid use, and sleep problems were assessed before and 3 months after the procedure in patients who received either conventional SCS (group 1; n = 62) or sensor-driven position adaptive SCS (group 2; n = 34). The degree of patient satisfaction, the change in the activities of daily living (ADLs) together with the rate of complications were compared in both treatment groups. Results: The two treatment groups were homogenous at baseline. Patients in both groups improved significantly regarding pain, opioid consumption, sleep, and ADLs. The magnitude of improvement was statistically higher in group 2. An absolute reduction of 6 points on the VAS in patients who received position adaptive SCS vs a 3.3 point reduction in conventional SCS cases (p < 0.0001). Half of the patients in group 2 (n = 17) showed excellent satisfaction after the procedure versus 14.5% of cases in group 1 (n = 9). Conclusion: SCS is an efficient and reliable treatment in FBSS. MR-compatible sensor driven-position adaptive SCS can be a more effective treatment in this patient group.

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Spinal Cord Stimulation Ameliorates Neuropathic Pain-Related Sleep Disorders: A Case Series

Cited by 5 publications

References 20 publications

Does Spinal Cord Stimulation Really Influence Sleep?

Does Spinal Cord Stimulation Really Influence Sleep?

An assessment of the treatment of spinal cord stimulation: Postlaminectomy pain or neuropathic pain

Sensor driven-position adaptive versus conventional spinal cord stimulation in failed back surgery syndrome: a retrospective case series

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