Spinal Cord Stimulation for Complex Regional Pain Syndrome I [RSD]: a Retrospective Multicenter Experience from 1995 to 1998 of 101 Patients

Bennett, Daniel S.; Alò, Kenneth M.; Oakley, John C.; Feler, Claudio A.

doi:10.1046/j.1525-1403.1999.00202.x

Cited by 87 publications

(81 citation statements)

References 27 publications

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“…It should be mentioned that placement of wire leads has been in clinical use for several decades for control of spasticity and pain, including failed back surgery syndrome and radicular pain syndrome. [30][31][32][33][34][35][36] A clinical trial of this technology will be necessary, however, to establish the safety and efficacy of this method in persons with SCI.…”

Section: Discussionmentioning

confidence: 99%

Comparison of wire and disc leads to activate the expiratory muscles in dogs

Kowalski

DiMarco

2011

The Journal of Spinal Cord Medicine

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Objective: Respiratory complications account for a major cause of morbidity and mortality in subjects with spinal cord injury (SCI) due to paralysis of the expiratory muscles and the consequent inability to generate effective cough. We demonstrated previously that effective cough can be restored in SCI via spinal cord stimulation (SCS) with disc leads positioned on the lower thoracic and upper lumbar spinal cord via laminotomy incisions. In this study, the effectiveness of wire leads, which can be placed using minimally invasive techniques, to activate the expiratory muscles was evaluated. Design: Animal study. Setting: Research laboratory. Animals: Dogs (n = 8).Interventions: In separate trials, disc and wire leads were inserted onto the dorsal epidural space at the T9, T11, and L1 spinal cord levels. Effects of electrical stimulation with disc, single wire, and two wire leads placed in parallel were compared. Outcome measures: Airway pressure generation following stimulation with disc and various configurations of wire leads were compared. Results: Several different configurations of wire leads resulted in airway pressures that were similar to those generated with monopolar stimulation with disc leads (MSDLs). For example, combined monopolar stimulation with parallel wire leads at the T9 + T11 and T9 + L1 levels resulted in airway pressures that were 103.5 ± 6.4 and 101.9 ± 7.0%, respectively, of those achieved with MSDL. Bipolar stimulation with parallel wire leads at T9-T11 and T9-L1 resulted in airway pressures that were 94.2 ± 3.4 and 96.8 ± 5.0%, respectively, of the pressures achieved with MSDL. Other wire configurations were also evaluated, but were generally less effective. Conclusion: These results suggest that specific configurations of wire leads, which can be placed via minimally invasive techniques, result in comparable activation of the expiratory muscles compared to disc leads and may be a useful technique to restore cough in persons with SCI.

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Section: Discussionmentioning

confidence: 99%

Comparison of wire and disc leads to activate the expiratory muscles in dogs

Kowalski

DiMarco

2011

The Journal of Spinal Cord Medicine

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“…Se seleccionaron 22 estudios (Figura 1), de los cuales 11 fueron ensayos clínicos (8 ensayos clínicos aleatorizados y 3 ensayos clínicos no controlados) y 11 informes de casos (5,10,14,15,(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34).…”

Section: Resultados Y Discusiónunclassified

“…Dichos estudios observaron que, previo al implante, el dolor oscilaba de 6 a 10 puntos según EVA y, posteriormente, tras recibir la EEM, los valores disminuían hasta un rango de 0 a 5 puntos según EVA (5,10,14,15,(17)(18)(19)(20)(24)(25)(26)(27)(28)(29)(30)(31)34).…”

Section: Eficacia De La Eem Sobre El Dolorunclassified

“…En su estudio, el grupo que recibió estimulación con 2 electrodos tetrapolares obtuvo valores de 8 puntos según EVA preimplante; estos disminuyeron hasta 4,26 puntos según EVA postimplante. Sin embargo, aunque la reducción del dolor fue significativa en ambos grupos, el grupo que recibió la estimulación con 2 electrodos octapolares obtuvo una reducción mayor, pasaron de 8,17 puntos a 2,17 puntos según EVA (15).…”

Section: Eficacia De La Eem Sobre El Dolorunclassified

“…Si durante este tiempo el dolor disminuye más del 50 %, se da paso a la segunda fase en la que se implanta el sistema definitivo y, mediante un programador externo, se adapta la intensidad de la estimulación (4,5,9,12,(14)(15)(16).…”

Section: Introductionunclassified

See 2 more Smart Citations

Eficacia de la Estimulación Eléctrica Medular en el Síndrome de Dolor Regional Complejo Tipo I: revisión bibliográfica.

Ruiz-López

Martínez-Fuentes

2016

Rev. Soc. Esp. Dolor.

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Preferred frequencies and waveforms for spinal cord stimulation in patients with complex regional pain syndrome: A multicentre, double‐blind, randomized and placebo‐controlled crossover trial

Kriek

Groeneweg

Stronks

et al. 2016

European Journal of Pain

111

104

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This study demonstrates that standard frequency SCS is an effective therapy for patients with CRPS. However, it also demonstrates that patients can often gain better pain reduction with non-standard frequencies of SCS. Furthermore, it shows that the preferred stimulation setting is not solely driven by the amount of pain reduction, but is also influenced by which stimulation setting feels most comfortable and provides the best user-friendliness. Therefore, we strive to maximize the therapeutic effects of SCS in as many patients as possible. This can be achieved with customized individual patient care by incorporating the various frequencies and waveforms into one single device.

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Spinal Cord Stimulation for Complex Regional Pain Syndrome I [RSD]: a Retrospective Multicenter Experience from 1995 to 1998 of 101 Patients

Cited by 87 publications

References 27 publications

Comparison of wire and disc leads to activate the expiratory muscles in dogs

Comparison of wire and disc leads to activate the expiratory muscles in dogs

Eficacia de la Estimulación Eléctrica Medular en el Síndrome de Dolor Regional Complejo Tipo I: revisión bibliográfica.

Preferred frequencies and waveforms for spinal cord stimulation in patients with complex regional pain syndrome: A multicentre, double‐blind, randomized and placebo‐controlled crossover trial

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