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首页> 外文期刊>Journal of anesthesia >Percutaneous electrode placement for spinal cord stimulation in a patient with spinal fusion: a technical report.
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Percutaneous electrode placement for spinal cord stimulation in a patient with spinal fusion: a technical report.

机译：经皮电极放置在脊柱融合患者中刺激脊髓的技术报告。

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摘要

A spinal cord stimulation (SCS) trial was attempted to alleviate left knee pain in a patient with spinal fusion from T12 to L4. Good paresthesia coverage for the knee pain was attained with SCS. However, while removing the needle used for electrode placement, the needle became fixed in the bony supplementary tissue. Moreover, while attempting to remove the needle using Kelly forceps, the hub of the needle became blocked. Without the hub, we had no choice but to use a pneumatic drill for removing the needle. Accordingly, the supplementary bone tissue was drilled under real-time imaging, using a pneumatic drill with a 3.2-mm drill bit, and another epidural needle was inserted through the hole. We consider that, in patients with spinal fusion, making a borehole with a pneumatic drill for introducing the epidural needle for percutaneous SCS electrode placement may be advisable in order to avoid the above-mentioned difficulties.
机译：尝试进行脊髓刺激（SCS）试验以减轻T12至L4脊柱融合患者的左膝疼痛。使用SCS可以很好地覆盖感觉异常的膝盖疼痛。但是，在取下用于放置电极的针头的同时，该针头已固定在骨补充组织中。此外，在尝试使用凯利钳拔下针头时，针头的针座被阻塞。没有花鼓，我们别无选择，只能使用气动钻取下针头。因此，使用具有3.2毫米钻头的气动钻在实时成像下钻取补充骨组织，并将另一个硬膜外针穿过该孔。我们认为，在有脊柱融合术的患者中，为避免上述困难，建议使用气动钻在硬膜外针上钻孔以穿刺SCS电极。

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