The Korean Journal of Pain

  • 제33권2호
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  • Pages.99-107
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  • 2020
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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Spinal cord stimulation in chronic pain: technical advances

  • Isagulyan, Emil (Department of Functional Neurosurgery, Federal State Autonomous Institution (N.N. Burdenko National Scientific and Practical Center for Neurosurgery of the Ministry of Healthcare of the Russian Federation)) ;
  • Slavin, Konstantin (Department of Neurosurgery, University of Illinois at Chicago) ;
  • Konovalov, Nikolay (Department of Spinal Surgery, Federal State Autonomous Institution (N.N. Burdenko National Scientific and Practical Center for Neurosurgery of the Ministry of Healthcare of the Russian Federation)) ;
  • Dorochov, Eugeny (Department of Functional Neurosurgery, Federal State Autonomous Institution (N.N. Burdenko National Scientific and Practical Center for Neurosurgery of the Ministry of Healthcare of the Russian Federation)) ;
  • Tomsky, Alexey (Department of Functional Neurosurgery, Federal State Autonomous Institution (N.N. Burdenko National Scientific and Practical Center for Neurosurgery of the Ministry of Healthcare of the Russian Federation)) ;
  • Dekopov, Andrey (Department of Functional Neurosurgery, Federal State Autonomous Institution (N.N. Burdenko National Scientific and Practical Center for Neurosurgery of the Ministry of Healthcare of the Russian Federation)) ;
  • Makashova, Elizaveta (Departament of Neurology, I.M. Sechenov First Moscow State Medical University) ;
  • Isagulyan, David (Departament of Clinical Science, I.M. Sechenov First Moscow State Medical University) ;
  • Genov, Pavel (Pain Management Clinic, Moscow City Clinical Hospital)
  • 투고 : 2019.12.31
  • 심사 : 2020.02.03
  • 발행 : 2020.04.01
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초록

Chronic severe pain results in a detrimental effect on the patient's quality of life. Such patients have to take a large number of medications, including opioids, often without satisfactory effect, sometimes leading to medication abuse and the pain worsening. Spinal cord stimulation (SCS) is one of the most effective technologies that, unlike other interventional pain treatment methods, achieves long-term results in patients suffering from chronic neuropathic pain. The first described mode of SCS was a conventional tonic stimulation, but now the novel modalities (high-frequency and burst), techniques (dorsal root ganglia stimulations), and technical development (wireless and implantable pulse generator-free systems) of SCS are becoming more popular. The improvement of SCS systems, their miniaturization, and the appearance of new mechanisms for anchoring electrodes results in a significant reduction in the rate of complications and revision surgeries, and the appearance of new waves of stimulation allows not only to avoid the phenomenon of addiction, but also to improve the long-term results of chronic SCS. The purpose of this review is to describe the current condition of SCS and up-to-date technical advances.

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참고문헌

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