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首页> 外文期刊>Coluna/Columna >ESTIMULACIóN DE LA MéDULA ESPINAL PARA EL SíNDROME DE CIRUGíA DE ESPALDA FALLIDA: REVISIóN DE LA LITERATURA Y ESTUDIO CLíNICOESTIMULA??O DA MEDULA ESPINHAL PARA SíNDROME DE CIRURGIA DE RETORNO: REVIS?O DA LITERATURA E ESTUDO CLíNICO
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ESTIMULACIóN DE LA MéDULA ESPINAL PARA EL SíNDROME DE CIRUGíA DE ESPALDA FALLIDA: REVISIóN DE LA LITERATURA Y ESTUDIO CLíNICOESTIMULA??O DA MEDULA ESPINHAL PARA SíNDROME DE CIRURGIA DE RETORNO: REVIS?O DA LITERATURA E ESTUDO CLíNICO

机译：脊柱脊髓刺激对失败的外科手术综合征的影响：文献复习和临床研究刺激或给予脊髓脊髓回流手术的综合征：回顾与临床研究

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Objective: Fail back surgery syndrome (FBSS) is a common cause of pain following spine surgery, and is associated with persistent or recurrent pain despite anatomically correct intervention. Spinal cord stimulation (SCS) is regarded as one of the most effective methods of treatment for fail back surgery syndrome. Methods: We studied 34 patients who underwent test stimulation and chronic SCS for FBSS. Results: Six months postoperatively, mean improvement by the visual analog scale (VAS) of average and maximum daily pain, and the painDETECT score, were 54.4%, 50.7% and 57.3%, respectively. This meets the criteria for effectiveness of the method, according to the literature. Most of patients reported significant improvements in life quality and less need for analgesics. Complications were seen in nine patients (26.4%) and included: intraoperative dura injury (one patient, 2.9%), wound infection (one patient, 2.9%), and electrode displacement (seven patients, 20.5%). No cases of postoperative neurological deterioration were seen. Conclusions: SCS is safe and effective for the treatment of neuropathic pain caused by FBSS. Level of Evidence IV; Case series.
机译：目的：失败后手术综合征（FBSS）是脊柱手术后疼痛的常见原因，尽管解剖学正确，但仍与持续性或复发性疼痛相关。脊髓刺激（SCS）被认为是治疗失败手术综合征的最有效方法之一。方法：我们研究了34例接受测试刺激和慢性SCS的FBSS患者。结果：术后六个月，平均和最大每日疼痛的视觉模拟量表（VAS）的平均改善以及painDETECT评分分别为54.4％，50.7％和57.3％。根据文献，这符合该方法有效性的标准。大多数患者报告生活质量显着改善，对止痛药的需求减少。发生并发症的有9例（26.4％），包括：术中硬脑膜损伤（1例，2.9％），伤口感染（1例，2.9％）和电极移位（7例，20.5％）。术后未见神经系统恶化的病例。结论：SCS治疗FBSS引起的神经性疼痛安全有效。证据级别IV;案例系列。

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