案例报告:背部根性节刺激器骨折导致骨折
Suhas Kochat1, Jacob Byers2, Peter K Yi2
1Department of Anesthesiology, Duke University, Durham, North Carolina, USA.
Pain practice : the official journal of World Institute of Pain
|December 16, 2023
概括
背根腺刺激剂 (DRG-S) 可以帮助慢性疼痛,但迁移和骨折是风险. 本病例报告详细介绍了DRG-S骨折和成功的替换,改善了疼痛缓解.
科学领域:
- 神经调节是一种神经调节.
- 疼痛管理 疼痛管理
- 神经外科 神经外科
背景情况:
- 脊髓刺激器 (SCS) 和背根结节刺激器 (DRG-S) 代表了慢性疼痛神经调节的进步.
- 这些设备用于神经病痛,复杂区域性疼痛综合征 (CRPS),失败的背部手术综合征和外围神经病变等疾病.
- 与植入式刺激器相关的并发症包括骨折和迁移.
研究的目的:
- 报告一例迁移,曲和随后骨折的病例,该病例发生在接受背部根性腺刺激器 (DRG-S) 治疗的患者身上.
- 评估神经调节器件中骨折的潜在机制.
- 为医生提供关于评估和管理神经调节疗效和并发症的考虑.
主要方法:
- 一份病例报告,详细介绍患者从神经调节的初始评估到手术安置和随访的过程.
- 通过成像监测疼痛缓解的有效性,并通过成像识别迁移和扭曲.
- 手术干预以去除,替换,以及随后的患者随访.
主要成果:
- 患者经历了迁移和扭曲,在试图去除时导致骨折.
- 在替代治疗后,患者经历了改善的疼痛缓解.
- 该案突出了与DRG-S疗法相关的并发症.
结论:
- 骨折是DRG-S治疗的潜在并发症,可能是由于迁移和扭曲.
- 医生应该仔细评估神经调节的疗效,并考虑潜在的并发症.
- 进一步研究骨折的机制是有必要的,以改善患者的治疗结果.
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