Successful Spinal Cord Stimulation for Chronic Pancreatitis and Post-Laminectomy Pain

Cox, Cody J; Wilkinson, Michael M; Erdek, Michael

doi:10.2217/pmt-2021-0065

Cited by 3 publications

(1 citation statement)

References 17 publications

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“…Spinal cord stimulation (SCS) has demonstrated efficacy in treating a multitude of chronic pain conditions including neuritis [8,9], post-laminectomy syndrome [10,11], and complex regional pain syndrome [12,13]. Following SCS treatment, patients have experienced pain relief, decreased medication use, and improved sleep, functional status, and overall quality of life [14].…”

Section: Introductionmentioning

confidence: 99%

Establishing Minimal Clinically Important Difference in Sleep Outcomes after Spinal Cord Stimulation in Patients with Chronic Pain Disorders

Johansen

Trujillo

Hagerty

et al. 2022

Stereotact Funct Neurosurg

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Introduction: As one of the most common medical conditions for which patients seek medical care, chronic pain can be debilitating. The relationship between chronic pain and sleep is thought to be bidirectional, suggesting that treatment of one can be beneficial to the other. There is mounting evidence that spinal cord stimulation (SCS) improves aspects of sleep. How meaningful that is to patients’ lives has not been ascertained. Objective: The aim of the current study was to further elucidate the effect of SCS on sleep by examining the relationship between pain outcome measures with the insomnia severity index (ISI) and to establish the minimally clinical important difference (MCID), which is defined as the smallest noticeable change that an individual perceives as clinically significant. Materials and Methods: We prospectively collected ISI, Epworth sleepiness scale (ESS), Numerical Rating Scale, McGill Pain Questionnaire-Short Form, Oswestry Disability Index, Beck Depression Inventory, and Pain Catastrophizing Scale data both pre- and postoperatively for chronic pain patients who underwent SCS placement and had long-term outcomes. The ISI is a well-studied questionnaire used to assess an individual’s level of insomnia. Results: We correlated the ESS and ISI with pain outcome measures in sixty-four patients at a mean follow-up of 9.8 ± 2.9 months. The ISI showed correlations with disability as measured through the Oswestry Disability Index (p = 0.014) and depression as measured through the Beck Depression Inventory (p = 0.024). MCID values for the ISI were calculated using both anchor- and distribution-based methods. The minimal detectable change method resulted in an MCID of 2.4 points, standard error of measurement resulted in an MCID of 2.6 points, and the change difference resulted in an MCID of 2.45. The receiver operating characteristic method yielded an MCID of 0.5-point change with an area under the curve of 0.61. Conclusion: This study successfully established MCID ranges for the ISI outcome measure to help gauge improvement in insomnia after SCS. The ISI has ample evidence of its validity in assessment of insomnia, and MCID values of 2.4–2.6 correlate with improvement in disability and depression in our patients.

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Section: Introductionmentioning

confidence: 99%

Establishing Minimal Clinically Important Difference in Sleep Outcomes after Spinal Cord Stimulation in Patients with Chronic Pain Disorders

Johansen

Trujillo

Hagerty

et al. 2022

Stereotact Funct Neurosurg

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Effect of Neurostimulation on Chronic Pancreatic Pain: A Systematic Review

Andrade,

Fabris-Moraes,

Pacheco-Barrios

et al. 2024

Neuromodulation: Technology at the Neural Interface

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Spinal Cord Stimulation for Visceral Pain Associated with Medullary Sponge Kidney

Noordin,

Cox,

Wilkinson

et al. 2023

Pain Manag.

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Chronic pain is a common reason for which people in the USA seek medical care. It is linked to opioid consumption, anxiety and a reduction in quality of life. Over the past 50 years, spinal cord stimulation (SCS) has evolved as a safe and efficacious treatment for chronic pain etiologies. The authors present the first known case of SCS for pain due to medullary sponge kidney disease. This report adds to the growing body of literature supporting the use of SCS for treating visceral organ pain, while also highlighting the utility of ventral lead placement for treating visceral pain. As SCS utilization increases, it is expected that there will be a decrease in opioid consumption, and this will help us contain the opioid epidemic.

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Successful Spinal Cord Stimulation for Chronic Pancreatitis and Post-Laminectomy Pain

Cited by 3 publications

References 17 publications

Establishing Minimal Clinically Important Difference in Sleep Outcomes after Spinal Cord Stimulation in Patients with Chronic Pain Disorders

Establishing Minimal Clinically Important Difference in Sleep Outcomes after Spinal Cord Stimulation in Patients with Chronic Pain Disorders

Effect of Neurostimulation on Chronic Pancreatic Pain: A Systematic Review

Spinal Cord Stimulation for Visceral Pain Associated with Medullary Sponge Kidney

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