椎脊髓刺激器故障是导致骨折的次要原因
Laxmaiah Manchikanti1, Mahendra Sanapati2, Joshua A Hirsch3,4
1Pain Management Center of Paducah, Paducah, KY.
Pain medicine case reports
|July 3, 2025
概括
不寻常的椎脊髓刺激器 (SCS) 骨折导致两名患者出现了新的神经症状和不舒服的感觉. 这些案例强调了在诊断SCS并发症时需要保持警,即使设备看起来功能正常.
科学领域:
- 神经外科手术 神经外科手术
- 疼痛管理 疼痛管理
- 医疗器械并发症 医疗器械并发症
背景情况:
- 脊髓刺激 (SCS) 是一种常见的治疗慢性难治疼痛的方法,特别是在椎.
- 潜在的并发症包括位移,迁移和骨折,这可能会影响设备的有效性和患者安全.
- 介绍了两个不同的宫SCS并发症病例,涉及到完整性问题和意外的患者症状.
研究的目的:
- 报告两起异常的宫脊髓刺激器骨折病例.
- 要突出与SCS并发症相关的各种临床表现和诊断挑战.
- 强调在出现新的或改变的神经症状的患者中考虑完整性的重要性.
主要方法:
- 对两名患有宫SCS的患者的病例报告分析.
- 检查患者病史,症状,器械功能和移植后成像.
- 详细描述每个病例的临床过程和管理.
主要成果:
- 案例1:一名患者出现了无法解释的神经症状 (头,头痛,平衡问题),需要通过保留的电极碎片进行SCS探索.
- 案例2:患者在SCS激活时经历了不舒服的,类似电击的感觉,导致了扩张,并且在移植后发现了保留的电极碎片.
- 在这两种情况下,在移植后证实了骨折,部脊柱中保留了碎片.
结论:
- 宫SCS骨折可能会出现异常的神经症状或与刺激相关的不适.
- 这些并发症可能会发生,尽管设备的持续功能或完整性最初看起来完好无损.
- 移植后成像对于识别保留的碎片至关重要,这些碎片可能在移植前并不明显.
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