Epidural spinal cord stimulation for the control of spasticity in spinal cord injury patients lacks long-term efficacy and is not cost-effective

Epidural spinal cord stimulation for the control of spasticity in spinal cord injury patients lacks long-term efficacy and is not cost-effective
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DOI:
10.1038/sj.sc.3100532
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发表时间:
1998-03-01
期刊:
影响因子:
2.2
通讯作者:
Schmitt, JK
Schmitt, JK
中科院分区:
医学3区
文献类型:
--
作者:
Midha, M;Schmitt, JK

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硬膜外脊髓刺激已用于减少脊髓损伤患者的痉挛和痉挛。然而,该手术的长期益处尚未确定。因此,我们对硬膜外脊髓刺激器缓解症状的可能长期疗效进行了回顾性研究。确定有 17 名患者接受了硬膜外脊柱刺激器植入。这 17 名患者的植入总数为 24 例(其中 7 名患者进行了第二次植入),总共花费 566 400 美元。只有一名患者使用了刺激器来缓解症状。硬膜外脊髓刺激器缺乏缓解痉挛和疼痛的长期功效,并且不具有成本效益。
Epidural spinal cord stimulation has been used to decrease spasticity and spasms in spinal cord injury patients. However, the long-term benefits of this procedure have not been determined. We therefore conducted a retrospective study of the possible long-term efficacy of the epidural spinal cord stimulator for the relief of symptoms. Seventeen patients were identified who had undergone implantation of an epidural spinal stimulator. The total number of implantations in these seventeen patients was 24, (seven patients had undergone a second implantation) costing a total of $566 400. In only one of the patients was stimulator providing symptomatic relief. The epidural spinal cord stimulator lacks long-term efficacy for the relief of spasticity and pain and is not cost effective.