지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 501 - 506 (6page)
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초록· 키워드
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Objective : Spinal cord stimulation (SCS) is an effective means of treatment of chronic neuropathic pain from failed back surgery syndrome (FBSS). Because the success of trial stimulation is an essential part of SCS, we investigated factors associated with success of trial stimulation. Methods : Successful trial stimulation was possible in 26 of 44 patients (63.6%) who underwent insertion of electrodes for the treatment of chronic pain from FBSS. To investigate factors associated with successful trial stimulation, patients were classified into two groups (success and failure in trial). We investigated the following factors : age, sex, predominant pain areas (axial, limb, axial combined with limbs), number of operations, duration of preoperative pain, type of electrode (cylindrical/paddle), predominant type of pain (nociceptive, neuropathic, mixed), degree of sensory loss in painful areas, presence of motor weakness, and preoperative Visual Analogue Scale. Results : There were no significant differences between the two groups in terms of age, degree of pain, number of operations, and duration of pain (p>0.05). Univariate analysis revealed that the type of electrode and presence of severe sensory deficits were significantly associated with the success of trial stimulation (p<0.05). However, the remaining variable, sex, type of pain, main location of pain, degree of pain duration, degree of sensory loss, and presence of motor weakness, were not associated with the trial success of SCS for FBSS. Conclusion : Trial stimulation with paddle leads was more successful. If severe sensory deficits occur in the painful dermatomes in FBSS, trial stimulation were less effective.
목차
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참고문헌 (40)
참고문헌 신청
Allegri M / 2004 / Prospective study of the success and efficacy of spinal cord stimulation / Minerva Anestesiol 70:117~124
Andersson HI / 1999 / Impact of chronic pain on health care seeking, self care, and medication. Results from a population-based Swedish study / J Epidemiol Community Health 53:503~509
Bala MM / 2008 / Systematic review of the (cost-)effectiveness of spinal cord stimulation for people with failed back surgery syndrome / Clin J Pain 24:741~756
Beersen N / 2005 / Quality based social insurance coverage and payment of the application of a high cost medical therapy : the case of spinal cord stimulation for chronic non-oncologic pain in The Netherlands / Health Policy 71:107~115
Bouhassira D / 2005 / Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4) / Pain 114:29~36
Andersson HI / 1999 / Impact of chronic pain on health care seeking, self care, and medication. Results from a population-based Swedish study / J Epidemiol Community Health 53:503~509
Bala MM / 2008 / Systematic review of the (cost-)effectiveness of spinal cord stimulation for people with failed back surgery syndrome / Clin J Pain 24:741~756
Beersen N / 2005 / Quality based social insurance coverage and payment of the application of a high cost medical therapy : the case of spinal cord stimulation for chronic non-oncologic pain in The Netherlands / Health Policy 71:107~115
Bouhassira D / 2005 / Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4) / Pain 114:29~36
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