Summary
A total of 50 patients with chronic pain syndromes were selected for treatment with spinal cord stimulation. Correct positioning of electrodes was obtained in 44 patients, leading to an initial alleviation of pain in 25 patients. In 6 patients, electrodes (though still effective in 4) had to be removed because of surgical complications within the first 5 months of use. Only 8 patients had at least some beneficial effect lasting for more than 3 years. The long-term results in patients with more severe psychological disturbances were no worse than those of the other patients.
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References
Burton C (1975) Dorsal column stimulation: optimization of application. Surg Neurol 4:171–176
Campbell JN (1981) Examination of possible mechanisms by which stimulation of the spinal cord in man relieves pain. Appl Neurophysiol 44:181–186
Cashion EL, Lynch WJ (1979) Personality factors and results of lumbar disc surgery. Neurosurgery 4:141–145
Demirel T, Braun W, Reimers CD (1984) Results of spinal cord stimulation in patients suffering from chronic pain after a two year observation period. Neurochirurgia 27:47–50
Dooley DM, Sharkey J (1977/88) Electrostimulation of the nervous system for patients with demyelinating and degenerative diseases of the nervous system and vascular diseases of the extremities. Appl Neurophysiol 40:208–217
Erickson DL, Long DM (1983) Ten-year follow-up of dorsal column stimulation. Adv Pain Res Ther 5:583–589
Illis LS, Read DJ, Sedguvick EM, Tallis RC (1983) Spinal cord stimulation in the United Kingdom. J Neurol Neurosurg Psychiatry 46:299–304
Keel PJ (1984) Psychosocial criteria for patient selection: review of studies and concepts for understanding chronic back pain. Neurosurgery 15:935–941
Krainick J-U, Thoden U, Riechert T (1980) Pain reduction in amputees by long-term spinal cord stimulation. J Neurosurg 52:346–350
Kütemeyer M (1979) Psychosomatische Aspekte bei Patienten mit Lumbago-Ischias-Syndrom. Verh Dtsch Ges Inn Med 85:1384–1387
Leavitt F, Garron DC (1979) The detection of psychological disturbance in patients with low back pain. J Psychosom Res 23:149–154
Leavitt F, Garron DC, Bieliauskas LA (1979) Stressing life events and the experience of low back pain. J Psychosom Res 23:49–55
Leclercq TA, Russo E (1981) La stimulation épidurate dans le traitement des douleurs chroniques. Neurochirurgie 27:125–128
LeRoy PL (1981) Stimulation of the spinal neuraxis by biocompatible electrical current in the human. Appl Neurophysiol 44:187–193
Long DM, Erickson D, Campbell J, North R (1981) Electrical stimulation of the spinal cord and peripheral nerves for pain control. Appl Neurophysiol 44:207–217
Melzack R, Wall PD (1965) Pain mechanisms: a new theory. Science 150:971–979
Nielson KD, Adams JE, Hosobuchi Y (1975) Experience with dorsal column stimulation for relief of chronic intractable pain. Surg Neurol 4:148–152
Oostdam EMM, Duvenvoorden HJ, Pondaag W (1981) Predictive value of some psychological tests on the outcome of surgical intervention in low back pain patients. J Psychosom Res 25:227–235
Oppel F, Schramm J (1981) Therapieresistente Schmerzen nach lumbaler Bandscheibenoperation. Arch Psychiatr Nervenkr 230:63–70
Pineda A (1975) Dorsal column stimulation and its prospects. Surg Neurol 4:157–161
Shealy CN, Mortimer JT, Reswick J (1967) Electrical inhibition of pain by stimulation of the dorsal columns. Preliminary report. Anaesth Analg Res 46:489–491
Sternbach RA, Timmermann G (1975) Personality changes associated with reduction of pain. Pain 1:177–181
Strassberg DC, Reinherr F, Ward M, Russel S, Cole A (1981) The MMPI and chronic pain. J Consult Clin Psychol 49:220–226
Sweet WH, Wepsic J (1974) Stimulation of the posterior columns of the spinal cord for pain control: indications, technique, and results. Clin Neurosurg 21:278–310
Tallis RC, Illis LS, Sedgwick EM, Chardwidge C, Garfield JS (1983) Spinal cord stimulation in peripheral vascular disease. J Neurol Neurosurg Psychiatry 46:478–484
Urban BJ, Nashold BS (1978) Percutaneous epidural stimulation of the spinal cord for relief of pain. J Neurosurg 48:323–328
Wall PD, Sweet WH (1967) Temporary abolition of pain in man. Science 155:108–109
Young RF (1978) Evaluation of dorsal column stimulation in the treatment of chronic pain. Neurosurgery 3:373–379
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Vogel, H.P., Heppner, B., Hümbs, N. et al. Long-term effects of spinal cord stimulation in chronic pain syndromes. J Neurol 233, 16–18 (1986). https://doi.org/10.1007/BF00313984
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DOI: https://doi.org/10.1007/BF00313984