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Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Vol. 73 No. Suplement 1, 2019.

Review article

PATIENT SELECTION FOR SPINAL CORD STIMULATION

DARIJA VENŽERA-AZENIĆ orcid id orcid.org/0000-0002-1445-341X ; Osijek University Hospital Centre, Pain Clinic and Josip Juraj Strossmayer University in Osijek, School of Medicine Osijek, Department of Anesthesiology, Resuscitation and Intensive Medicine, Osijek, Croatia
IVAN RADOŠ ; Osijek University Hospital Centre, Pain Clinic and Josip Juraj Strossmayer University in Osijek, School of Medicine Osijek, Department of Anesthesiology, Resuscitation and Intensive Medicine, Osijek, Croatia
MARICA KRISTIĆ ; Osijek University Hospital Centre, Pain Clinic and Josip Juraj Strossmayer University in Osijek, School of Medicine Osijek, Department of Anesthesiology, Resuscitation and Intensive Medicine, Osijek, Croatia
IVANA HARŠANJI-DRENJANČEVIĆ orcid id orcid.org/0000-0003-0871-8562 ; Osijek University Hospital Centre, Pain Clinic and Josip Juraj Strossmayer University in Osijek, School of Medicine Osijek, Department of Anesthesiology, Resuscitation and Intensive Medicine, Osijek, Croatia
OZANA KATARINA TOT ; Osijek University Hospital Centre, Pain Clinic and Josip Juraj Strossmayer University in Osijek, School of Medicine Osijek, Department of Anesthesiology, Resuscitation and Intensive Medicine, Osijek, Croatia
HRVOJE ČERNOHORSKI ; Osijek University Hospital Centre, Pain Clinic, Osijek, Croatia
IVAN OMRČEN orcid id orcid.org/0000-0001-8210-1953 ; Osijek University Hospital Centre, Pain Clinic, Osijek, Croatia
DINO BUDROVAC orcid id orcid.org/0000-0002-9572-4831 ; Osijek University Hospital Centre, Pain Clinic and Josip Juraj Strossmayer University in Osijek, School of Medicine Osijek, Department of Anesthesiology, Resuscitation and Intensive Medicine, Osijek, Croatia

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Abstract

Spinal cord stimulation (SCS) as a neuromodulation procedure not only reduces pain but also improves function and quality of life in patients with chronic pain. However, SCS is an expensive and invasive procedure with possible complications. Early treatment with SCS led to disappointing results due to, among other factors, poor patient selection. Proper selection of patients for SCS implantation is a critical factor for good short-term and long-term outcomes. The selection process includes two main areas, underlying medical condition and patient characteristics, such as their health status, comorbidities and psychological status. A multidisciplinary approach in patient evaluation is essential for achieving the best results.

Keywords

spinal cord stimulation; patient selection; chronic pain

Hrčak ID:

224661

URI

https://hrcak.srce.hr/224661

Publication date:

14.7.2019.

Article data in other languages: croatian

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