Differential approach to selection of surgical treatment method of neuropathic pain syndrome at patients with consequences of traumatic and non-traumatic spinal cord injuries

Authors

DOI:

https://doi.org/10.25305/unj.89652

Keywords:

neuropathic pain syndrome, surgical treatment

Abstract

The results of surgical treatment of neuropathic pain syndrome at 51 patients with different pathologies of the spinal cord and its’ roots have been analyzed. The patients were divided into different groups in dependence of spinal cord pathology type (spinal trauma consequences — at 33, viral infections — at 11, brachial plexus roots’ avulsion — at 7) and pain expansion (segmental — at 41, diffuse — at 8, radicular — at 2). Spinal epidural electrostimulation was effective in 75%, DREZ-tomy, sympathectomy and anterior comissurotomy — in all cases.
Thus differential approach for selection of surgical treatment method of neuropathic pain syndrome at patients with consequences of spinal cord traumatic and non-traumatic injuries allows to improve treatment results.

References

Cetas J.S. Destructive procedures for the treatment of nonmalignant pain: a structured literature review / J.S. Cetas, T. Saedy, K.J. Burchiel // Neurosurgery. — 2008. — V.109. — P.389–404.

Coffey R.J. Neurostimulation for chronic noncancer pain: an evaluation of the clinical evidence and recomendatioins for future trial designs / R.J. Coffey, A.M. Lozano // J. Neurosurg. — 2006. — V.105. — Р.175–189.

Richard K. Motor cortex stimulation for intractable pain / K. Richard, M.D. Osenbach // Neurosurg. Focus. — 2006. — V.21. — Р.7–19.

Sindou M. Neurochirurgie de la douleur / M. Sindou, P. Mertens, Y. Keravel // Encyclopedie Medico-Chirurgical. — 1996. — 17–700–B–10.

Sindou M. Surgical procedure for neuropathic pain / M. Sindou, P. Martens, L. Garcia-Larrea // Neurosurg. Qurterly. — 2001. — V.11, N1. — P.45–64.

Taylor R.S. Spinal cord stimulation for chronic back and leg pain and failed back surgery syndrome: a systematic review and analysis of prognostic factors / R.S. Taylor, J.P. Van Buyten, E. Buchser // Spine. — 2005. — V.30. — P.152–160.

Van Roost D. Myelotomies for chronic pain / D. Van Roost, J. Gybels // Acta Neurochir. (Wien). — 1989. — V.46, suppl. — P.69–72.

Oakley J.C. Spinal сord stimulation: mechanisms of action / J.C. Oakley, J.P. Prager // Spine. — 2002. — V.27. — P.2574–2583.

Neuromodulation of the cingulum for neuropathic pain after spinal cord injury / J. Spooner, H. Yu, C. Kao et al. // J. Neurosurg. — 2007. — V.107. — P.169–172.

Leriche R. De la traitement de la douleur dans les cancers abdominaux et pelviens inoprables ou rcidivs / R. Leriche // Gaz. Hop. Civils. Milit. — 1936. — P.109–117.

Melzach R. Pain mechanisms. A new theory / R. Melzach, P.D. Wall // Science. — 1964. — V.150. — P.971–979.

Doleys D.M. Psychological factors in spinal cord stimulation therapy: brief review and discussion / D.M. Doleys // Neurosurg. Focus. — 2006. — V.21. — Е1.

Jeanmonod D. Intraoperative unit recordings in human dorsal horn with a simplified floating microelectrode/ D. Jeanmonod, M. Sindou, M. Marnin // Elecroencephalogr. Clin. Neurophysiol. — 1989. — V.72. — P.450–454.

Doleys D.M. Psychological evaluation in spinal cord stimulation / D.M. Doleys, J.C. Klapow, M. Hammer // Pain Review. — 1997. — V.4. — P.189–204.

Published

2010-06-09

How to Cite

Tsymbalyuk, V. I., & Yaminsky, Y. Y. (2010). Differential approach to selection of surgical treatment method of neuropathic pain syndrome at patients with consequences of traumatic and non-traumatic spinal cord injuries. Ukrainian Neurosurgical Journal, (2), 45–50. https://doi.org/10.25305/unj.89652

Issue

Section

Original articles