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ISSN 1726-6718 (Electronic)
Revista Cubana de Anestesiología y Reanimación

2022, Number 2

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Revista Cubana de Anestesiología y Reanimación 2022; 21 (2)

Electric neuromodulation in the treatment of refractory pain. Placement of the first spinal stimulator in Cuba

Valdés LR, Costa C, Berrillo BS, Benítez PP, Sierra BEM

Language: Spanish
References: 15
Page: 1-10
PDF size: 374.09 Kb.


ABSTRACT

Pain is a major cause of physical and emotional suffering. The management of patients with refractory chronic pain is a great challenge. The case is presented of a 19-year-old female patient with compressive radicular symptoms secondary to right L5-S1 disc herniation, who underwent L5-S1 discectomy with Caspar technique. After one month of evolution, she returned with the same symptoms. Despite multiple pharmacological therapies and interventional procedures, the neuropathic pain did not improve. After multiple studies and collective discussions, the possibility of placing a spinal neurostimulator was decided. After the procedure, the patient improved considerably with respect to her painful symptoms.


REFERENCES

  1. Eckermann JM, Pilitsis JG, Vannaboutathong C, Wagner BJ, Province-Azalde R, Bendel MA. Systematic literature review of spinal cord stimulation in patients with chronic back pain without prior spine surgery. Neuromodulator. 2021. DOI: https://doi.org/10.1111/ner.135191.

  2. Moisset X, Lanteri Minet M, Fontaine D. Neurostimulation methods in the treatment of chronic pain. J Neural Transm (Vienna). 2020[acceso: 05/11/2020];127(4):673-86. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31637517/2.

  3. Garcia K, Wray JK, Kumar S. Spinal Cord Stimulation. 2021. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2021 [acceso: 05/11/2020]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31985947/3.

  4. Knotkova H, Hamani C, Sivanesan E, Le Beuffe MFE, Moon JY, Cohen SP, et al. Neuromodulation for chronic pain. Lancet. 2021;397(10289):2111-24. DOI: https://doi.org/10.1016/S0140-6736(21)00794-74.

  5. Head J, Mazza J, Sabourin V, Turpin J, Hoelscher C, Wu C, Sharan A. Waves of pain relief: a systematic review of clinical trials in spinal cord stimulation waveforms for the treatment of chronic neuropathic low back and leg pain. World Neurosurg. 2019;131:264-74. DOI: https://doi.org/10.1016/j.wneu.2019.07.1675.

  6. Galafassi GZ, Pires de Aguiar PH, Simm RF, Franceschini PR, Filho MP, Pagura JR, et al. Neuromodulation for Medically Refractory Neuropathic Pain: Spinal Cord Stimulation, Deep Brain Stimulation, Motor Cortex Stimulation, and Posterior Insula Stimulation. World Neurosurg. 2021;146:246-260. DOI: https://doi.org/10.1016/j.wneu.2020.11.0486.

  7. Podgorski IE, Mascaro P, Patin D. Comparison of FDA-Approved Electrical Neuromodulation Techniques for Focal Neuropathic Pain: A Narrative Review of DRG, HF10, and Burst Neuromodulation. Pain Physician. 2021[acceso: 05/11/2020];24(4):407-23. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34213866/7.

  8. Sdrulla AD, Guan Y, Raja SN. Spinal Cord Stimulation: Clinical efficacy and potential mechanisms. Pain Pract. 2018;18(8):1048-67. DOI: https://doi.org/10.1111/papr.126928.

  9. Hofmeister M, Memedovich A, Brown S, Saini M, Dowsett LE, Lorenzetti DL, et al. Effectiveness of neurostimulation technologies for the management of chronic pain: A systematic review. Neuromodulation. 2020;23(2):150-57. DOI: https://doi.org/10.1111/ner.130209.

  10. Ratnayake CB, Bunn A, Pandanaboyana S, Windsor JA. Spinal cord stimulation for management of pain in chronic pancreatitis: a systematic review of efficacy and complications. Neuromodulation. 2020;23(1):19-25. DOI: https://doi.org/10.1111/ner.1305110.

  11. Pollard EM, Lamer TJ, Moeschler SM, Gazelka HM, Hooten WM, Bendel MA, et al. The effect of spinal cord stimulation on pain medication reduction in intractable spine and limb pain: a systematic review of randomized controlled trials and meta-analysis. J Pain Res. 2019;12:1311-24. DOI: https://doi.org/10.2147/JPR.S18666211.

  12. Peng L, Min S, Zejun Z, Wei K, Bennett MI. Spinal cord stimulation for cancer-related pain in adults. Cochrane Database Syst Rev. 2015(6):CD009389. DOI: https://doi.org/10.1002/1465185812.

  13. Vallejo R, Gupta A, Kelley CA, Vallejo A, Rink J, Williams JM, et al. Effects of phase polarity and charge balance spinal cord stimulation on behavior and gene expression in a rat model of neuropathic pain. Neuromodulation. 2020;23(1):26-35. DOI: https://doi.org/10.1111/ner.1296413.

  14. Moens M, Goudman L, Brouns R, Valenzuela Espinoza A, De Jaeger M, Huysmans E, et al. Return to work of patients treated with spinal cord stimulation for chronic pain: a systematic review and meta-analysis. Neuromodulation. 2019;22(3):253-61. DOI: https://doi.org/10.1111/ner.1279714.

  15. Odonkor CA, Orman S, Orhurhu V, Stone ME, Ahmed S. Spinal cord stimulation vs conventional therapies for the treatment of chronic low back and leg pain: a systematic review of health care resource utilization and outcomes in the last decade. Pain Med. 2019;20(12):2479-94. DOI: https://doi.org/10.1093/pm/pnz18515.




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