Yıl: 2023 Cilt: 35 Sayı: 1 Sayfa Aralığı: 39 - 43 Metin Dili: İngilizce DOI: 10.14744/agri.2020.38243 İndeks Tarihi: 07-06-2023

The effect of cervical spinal cord stimulation on cervical spinal nerve root/brachial plexus injury

Öz:
Spinal cord stimulation (SCS) has been used for the treatment of chronic pain for almost 50 years. There have been several reports regarding to thoracic and lumbar SCS, while fewer publications have been documented for cervical SCS administration. In this article, we presented patient satisfaction after cervical SCS application in patients with chronic upper extremity pain. Three patients with cervical spinal nerve root or brachial plexus injury who reported no pain relief with the previous treatment modalities were identified. The patients were performed percutaneous cervical SCS. Cervical SCS implantation was successful in the first and the second patients, and with respect to decrease in VAS scores, analgesic drug requirements, and an increase in their quality of life, while the third patient had no pain relief. Cervical SCS may be an effective treatment option in upper extremity chronic pain syndromes as in the lower extremity pain syndromes treated with thoracolumbar SCS.
Anahtar Kelime:

Servikal spinal kord stimülasyonunun servikal spinal sinir kökü/brakiyal pleksus yaralanması üzerine etkisi

Öz:
Spinal kord stimülasyonu (SKS), yaklaşık 50 yıldır kronik ağrı tedavisinde kullanılmaktadır. Torakal ve lomber SKS ile ilgili birçok yayın bildirilmiş iken, servikal SKS ile ilgili daha az yayına rastlanmaktadır. Bu yazımızda servikal SKS uygulamasının üç hastamızdaki sonuçlarını sunmayı amaçladık. Servikal spinal sinir veya brakiyal pleksus hasarı olan, diğer konservatif tedavi yöntemleri ile ağrı palyasyonu sağlanamayan üç hastaya perkütan servikal SKS implantasyonu uygulandı. Birinci ve ikinci hastada VAS skorlarında, ilaç gereksiniminde azalma, yaşam kalitesinde artış gözlenirken, üçüncü hastada yeterli ağrı palyasyonu gözlenmemiştir. Torakolomber SKS ile tedavi edilen alt ekstremite ağrı sendromlarında olduğu gibi, kronik üst ekstremite ağrısı olan hastalarda da servikal SKS’nin tedavi seçeneği olabileceği düşünülmektedir. Gelecekteki çalışmalar servikal SKS etkinliği ve uygulanabilirliği açısından yol gösterici olacaktır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • 1. Shealy CN, Mortimer JT, Reswick JB. Electrical inhibition of pain by stimulation of the dorsal columns: Preliminary clinical report. Anesth Analg 1967;46:489–91. [CrossRef ]
  • 2. Erdine S. Algolojide girişimsel yöntemler. Istanbul: Nobel Medical Publishers; 2012. p. 511.
  • 3. Manca A, Kumar K, Taylor RS, Jacques L, Eldabe S, Meglio M, et al. Quality of life, resource consumption and costs of spinal cord stimulation versus conventional medical management in neuropathic pain patients with failed back surgery syndrome (PROCESS trial). Eur J Pain 2008;12:1047–58.
  • 4. Tomycz ND, Deibert CP, Moossy JJ. Cervicomedullary junction spinal cord stimulation for head and facial pain. Headache 2011;51:418–25. [CrossRef ]
  • 5. Caylor J, Reddy R, Yin S, Cui C, Huang M, Huang C, et al. Spinal cord stimulation in chronic pain: Evidence and theory for mechanisms of action. Bioelectron Med 2019;5:12.
  • 6. Costantini A, Buchser E, Van Buyten JP. Spinal cord stimulation for the treatment of chronic pain in patients with lumbar spinal stenosis. Neuromodulation 2010;13:275– 80. [CrossRef ]
  • 7. Soldati E. National Italian register of implantable systems for spinal cord stimulation (SCS): Analysis of preliminary data. Neuromodulation 2002;5:7–15. [CrossRef ]
  • 8. Wolter T, Kieselbach K. Cervical spinal cord stimulation: An analysis of 23 patients with long-term follow-up. Pain Physician 2012;15:203–12. [CrossRef ]
  • 9. Vallejo R, Kramer J, Benyamin R. Neuromodulation of the cervical spinal cord in the treatment of chronic intractable neck and upper extremity pain: A case series and review of the literature. Pain Physician 2007;10:305–11. [CrossRef ]
  • 10. Feirabend HK, Choufoer H, Ploeger S, Holsheimer J, van Gool JD. Morphometry of human superficial dorsal and dorsolateral column fibres: Significance to spinal cord stimulation. Brain 2002;125:1137–49. [CrossRef ]
  • 11. Deer TR, Skaribas IM, Haider N, Salmon J, Kim C, Nelson C, et al. Effectiveness of cervical spinal cord stimulation for the management of chronic pain. Neuromodulation 2014;17:265–71. [CrossRef ]
  • 12. Chivukula S, Tempel ZJ, Weiner GM, Gande AV, Chen CJ, Ding D, et al. Cervical and cervicomedullary spinal cord stimulation for chronic pain: Efficacy and outcomes. Clin Neurol Neurosurg 2014;127:33–41. [CrossRef ]
  • 13. Kumar K, Rizvi S, Bnurs SB. Spinal cord stimulation is effective in management of complex regional pain syndrome I: Fact or fiction. Neurosurgery 2011;69:566–80. [CrossRef ]
  • 14. Garg A, Danesh H. Neuromodulation of the cervical dorsal root ganglion for upper extremity complex regional pain syndrome-case report. Neuromodulation 2015;18:765–8.
  • 15. Brill S, Aryeh IG. Neuromodulation in the management of pain from brachial plexus injury. Pain Physician 2008;11:81–5. [CrossRef ]
APA Kanar M, Koknel Talu G, Cetingok H (2023). The effect of cervical spinal cord stimulation on cervical spinal nerve root/brachial plexus injury. , 39 - 43. 10.14744/agri.2020.38243
Chicago Kanar Meltem,Koknel Talu Gul,Cetingok Halil The effect of cervical spinal cord stimulation on cervical spinal nerve root/brachial plexus injury. (2023): 39 - 43. 10.14744/agri.2020.38243
MLA Kanar Meltem,Koknel Talu Gul,Cetingok Halil The effect of cervical spinal cord stimulation on cervical spinal nerve root/brachial plexus injury. , 2023, ss.39 - 43. 10.14744/agri.2020.38243
AMA Kanar M,Koknel Talu G,Cetingok H The effect of cervical spinal cord stimulation on cervical spinal nerve root/brachial plexus injury. . 2023; 39 - 43. 10.14744/agri.2020.38243
Vancouver Kanar M,Koknel Talu G,Cetingok H The effect of cervical spinal cord stimulation on cervical spinal nerve root/brachial plexus injury. . 2023; 39 - 43. 10.14744/agri.2020.38243
IEEE Kanar M,Koknel Talu G,Cetingok H "The effect of cervical spinal cord stimulation on cervical spinal nerve root/brachial plexus injury." , ss.39 - 43, 2023. 10.14744/agri.2020.38243
ISNAD Kanar, Meltem vd. "The effect of cervical spinal cord stimulation on cervical spinal nerve root/brachial plexus injury". (2023), 39-43. https://doi.org/10.14744/agri.2020.38243
APA Kanar M, Koknel Talu G, Cetingok H (2023). The effect of cervical spinal cord stimulation on cervical spinal nerve root/brachial plexus injury. Ağrı, 35(1), 39 - 43. 10.14744/agri.2020.38243
Chicago Kanar Meltem,Koknel Talu Gul,Cetingok Halil The effect of cervical spinal cord stimulation on cervical spinal nerve root/brachial plexus injury. Ağrı 35, no.1 (2023): 39 - 43. 10.14744/agri.2020.38243
MLA Kanar Meltem,Koknel Talu Gul,Cetingok Halil The effect of cervical spinal cord stimulation on cervical spinal nerve root/brachial plexus injury. Ağrı, vol.35, no.1, 2023, ss.39 - 43. 10.14744/agri.2020.38243
AMA Kanar M,Koknel Talu G,Cetingok H The effect of cervical spinal cord stimulation on cervical spinal nerve root/brachial plexus injury. Ağrı. 2023; 35(1): 39 - 43. 10.14744/agri.2020.38243
Vancouver Kanar M,Koknel Talu G,Cetingok H The effect of cervical spinal cord stimulation on cervical spinal nerve root/brachial plexus injury. Ağrı. 2023; 35(1): 39 - 43. 10.14744/agri.2020.38243
IEEE Kanar M,Koknel Talu G,Cetingok H "The effect of cervical spinal cord stimulation on cervical spinal nerve root/brachial plexus injury." Ağrı, 35, ss.39 - 43, 2023. 10.14744/agri.2020.38243
ISNAD Kanar, Meltem vd. "The effect of cervical spinal cord stimulation on cervical spinal nerve root/brachial plexus injury". Ağrı 35/1 (2023), 39-43. https://doi.org/10.14744/agri.2020.38243