Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko
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Zh Vopr Neirokhir Im N N Burdenko · Oct 2005
[Chronic spinal cord electrostimulation in the management of neurogenic pain].
According to the data of epidemiological surveys made in Russia, the prevalence of chronic pain (without cancer diseases being kept in mind) accounts for less than 40% of the adult population and these figures tend to grow steadily. Despite a continuous increase in the potentialities of pharmacotherapy, physiotherapy, and psychotherapy, the efficiency of treatment in patients suffering from various pains has remained ineffective so far. Surgical treatments for pain include anatomic, destructive (neuroablation), and non-destructive (electrical stimulation and neuromodulation) operations. ⋯ Two patients were observed to have complications as displacement of an epidural electrode, which required surgical correction of its position. Resurgery restored the antipain effect of stimulation. Chronic epidural stimulation can be the method of choice in treating neurogenic pain since it is minimally invasive and more effective than other surgical treatments.