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SPINAL CORD STIMULATION FOR THE TREATMENT OF CHRONIC PAIN – THE INITIAL OSIJEK EXPERIENCE

IVAN RADOŠ ; Sveučilište J. J. Strossmayer u Osijeku, Medicinski fakultet. Osijek i Klinički bolnički centar Osijek, Zavod za liječenje boli, Osijek, Hrvatska
IVANA HARŠANJI DRENJANČEVIĆ ; Sveučilište J. J. Strossmayer u Osijeku, Medicinski fakultet. Osijek i Klinički bolnički centar Osijek, Zavod za liječenje boli, Osijek, Hrvatska
MARICA KRISTIĆ ; Sveučilište J. J. Strossmayer u Osijeku, Medicinski fakultet. Osijek i Klinički bolnički centar Osijek, Zavod za liječenje boli, Osijek, Hrvatska
DARIJA VENŽERA AZENIĆ ; Sveučilište J. J. Strossmayer u Osijeku, Medicinski fakultet. Osijek i Klinički bolnički centar Osijek, Zavod za liječenje boli, Osijek, Hrvatska
HRVOJE ČERNOHORSKI ; Klinički bolnički centar Osijek, Zavod za liječenje boli, Osijek, Hrvatska
OZANA KATARINA TOT ; Sveučilište J. J. Strossmayer u Osijeku, Medicinski fakultet. Osijek i Klinički bolnički centar Osijek, Zavod za liječenje boli, Osijek, Hrvatska
IVAN OMRČEN ; Klinički bolnički centar Osijek, Zavod za liječenje boli, Osijek, Hrvatska
DINO BUDROVAC ; Sveučilište J. J. Strossmayer u Osijeku, Medicinski fakultet. Osijek i Klinički bolnički centar Osijek, Zavod za liječenje boli, Osijek, Hrvatska

Sažetak

Spinal cord stimulation (SCS) is a procedure of incorporating one or two electrodes into the epidural space of the thoracic and lumbar spine. The epidural space is located above the dura that covers the spinal cord. This procedure is performed in patients with pain in the lumbar spine with or without pain spreading to lower extremities, in patients with lower extremity amputation, and pain resulting from complex regional pain syndromes. SCS is indicated in patients with severe chronic pain that cannot be alleviated by other modes of treatment. Total SCS was performed in fi ve patients. Patients fi lled out a numerical scale assessing the intensity of pain, the Oswestry questionnaire assessing the degree of disability, and the SF36 questionnaire assessing the quality of life. The above-mentioned questionnaires were completed by the patients before implantation of permanent SCS, then one month after permanent SCS and 3 months of permanent SCS. The results showed signifi cant improvement in the quality of life at the 4th visit in almost all SF-36 items except for limiting the activity for physical health, emotional problems, and mental health. In the overall values, the improvement in physical health assessment with a median 33 (interquartile range from 30 to 59) was signifi cantly better as compared to the 15 (interquartile range from 11 to 16) on the fi rst visit (Friedman’s test, p=0.007). There was also a signifi cant reduction in the degree of disability, as well as in the current, average and most severe pain intensity lasting for four weeks compared to the fi rst visit.

Ključne riječi

spinal cord stimulation; spinal cord stimulation; scar; radicular pain

Hrčak ID:

223014

URI

https://hrcak.srce.hr/223014

Datum izdavanja:

14.7.2019.

Podaci na drugim jezicima: hrvatski

Posjeta: 2.956 *