Clinical results of a brindley procedure: sacral anterior root stimulation in combination with a rhizotomy of the dorsal roots.
Clinical results of a brindley procedure: sacral anterior root stimulation in combination with a rhizotomy of the dorsal roots.
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DOI：
10.1155/2011/709708
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发表时间：
2011
影响因子：
1.4
通讯作者：
Heesakkers JP
中科院分区：
文献类型：
--
作者：
Martens FM;Heesakkers JP
Brindley手术包括骶前根刺激器和骶后根切断术，以消除神经源性逼尿肌过度活动。刺激骶神经前根可使排尿、排便和勃起。本文综述了Brindley手术的技术、患者选择和临床结果。Brindley手术适用于一组选定的完全性脊髓损伤和逼尿肌过度活动的患者。总体而言，Brindley手术显示出良好的临床结果，并提高了生活质量。然而，为了在未来保持有价值的治疗选择，该技术需要进行一些适当的变更，以分析植入部件，改善植入部件的翻修技术，并取消骶神经背根切断术。
The Brindley procedure consists of a stimulator for sacral anterior-root stimulation and a rhizotomy of the dorsal sacral roots to abolish neurogenic detrusor overactivity. Stimulation of the sacral anterior roots enables micturition, defecation, and erections. This overview discusses the technique, selection of patients and clinical results of the Brindley procedure. The Brindley procedure is suitable for a selected group of patients with complete spinal cord injury and detrusor overactivity. Overall, the Brindley procedure shows good clinical results and improves quality of life. However, to remain a valuable treatment option for the future, the technique needs some adequate changes to enable analysis of the implanted parts, to improve revision techniques of the implanted parts, and to abolish the sacral dorsal rhizotomy.