Email this article First experience with chronic epidural spinal cord stimulation in Khanty-Mansi autonomous okrug — clinical observations
- Authors: Bondarenko O.A.1, Gavrilov G.V.2, Padurets V.A.1, Kasich R.V.1
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Affiliations:
- Surgut clinical trauma hospital
- The first St. Petersburg I.P. Pavlov state medical university
- Issue: Vol LIII, No 2 (2021)
- Pages: 94-100
- Section: Наблюдения из практики
- URL: https://journals.eco-vector.com/1027-4898/article/view/70921
- DOI: https://doi.org/10.17816/nb70921
- ID: 70921
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Abstract
Purpose of the work. The article is devoted to the first experience of epidural stimulation in the Khanty-Mansiysk Autonomous Okrug at the budgetary institution “Surgut Clinical Trauma Hospital”. Clinical examples are presented for two main indications for the application of this technique (disease of the operated spine, a consequence of spinal cord injury in combination with chronic neuropathic pain syndrome).
Research methods. An assessment of the intensity of pain syndrome was given according to a visual analogue scale, the “Pain Detect” questionnaire; indicators of anxiety, depression on the HADS scale; quality of life according to the Oswestry questionnaire for a follow-up period of 6-12 months in patients with chronic epidural stimulation.
Results. A positive assessment of the action during test neurostimulation was 63.3% (38 patients). Of the established permanent systems, a good result was achieved and persisted for 12 months or more in 96% (24 patients). It was necessary to change the stimulation parameters in 13% (3 patients). Revision of permanent systems was performed in 20% (5 patients), due to the progression of the degenerative-dystrophic process of the spine, damage and migration of system elements.
Conclusions. Chronic epidural spinal cord stimulation has established itself as a personalized, highly effective, minimally invasive and safe method of treating chronic neuropathic pain syndromes. Multicomponent corrective action is of scientific interest and requires further study.
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About the authors
Olga A. Bondarenko
Surgut clinical trauma hospital
Author for correspondence.
Email: bondolaa@mail.ru
ORCID iD: 0000-0002-2652-8909
Russian Federation, 628418, Surgut, Nefteuganskoe highway, 20
Gaspar V. Gavrilov
The first St. Petersburg I.P. Pavlov state medical university
Email: gaspar_gavrilov@mail.ru
ORCID iD: 0000-0002-8594-1533
Russian Federation, 197022, St. Petersburg, Leo Tolstoy str., 6–8
Vadim A. Padurets
Surgut clinical trauma hospital
Email: Vadik-09@yandex.ru
Russian Federation, 628418, Surgut, Nefteuganskoe highway, 20
Roman V. Kasich
Surgut clinical trauma hospital
Email: r_kasich@list.ru
Russian Federation, 628418, Surgut, Nefteuganskoe highway, 20
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).