Thoracic spinal cord stimulation is useful for pain treatment after incomplete cervical spinal cord injury
Central neuropathic pain after spinal cord injury continues to represent a therapeutic challenge, perhaps due to the lack of understanding and consensus as to the neuropatho-physiological symptomatic etiology. Spinal cord stimulation is a sophisticated minimally invasive alternative for the treatment of peripheral neuropathic pain; however, in this case, we present a patient in whom thoracic spinal cord stimulation was the only successful approach to the treatment of lower extremity neuropathic pain after an incomplete cervical spinal cord injury.
2. Eisenberg E, Brecker C. Lumbar spinal cord stimulation for cervical-originated central pain: a case report. Pain. 2002;100:299-301.
3. Lee MG, Choi SS, Lee MK, Kong MH, Lee IO, Oh HR. Thoracic spinal cord stimulation for neuropathic pain after spinal meningioma removal: a case report. Clin J Pain. 2009;25:167-9.
4. Siddall PJ, McClelland JM, Rutkowski SB, Cousins MJ. A longitudinal study of the prevalence and characteristics of pain in the first 5 years following spinal cord injury. Pain.2003;10:249-57.
5. Seki T, Fehlings MG. Mechanistic insights into posttraumatic syringomyelia based on a novel in vivo animal model. Laboratory investigation. J Neurosurg Spine. 2008;8: 365-75.
6. Finnerup NB, Jensen TS. Spinal cord injury pain: mechanisms and treatment. Eur J Neurol. 2004;11:73-82.
7. Wasner G, Lee BB, Engel S, McLachlan E. Residual spinothalamic tract pathways predict development of central pain after spinal cord injury. Brain. 2008;131:2387-400.
8. Vierck CJJ, Siddall P, Yezierski RP. Pain following spinal cord injury: animal models and mechanistic studies. Pain. 2000;89:1-5.
9. Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965;150:971-9.
10. Dubuisson D. Effect of dorsal-column stimulation on gelatinosa and marginal neurons of cat spinal cord. JNerosurg. 1989;70:257-65.
11. Wallin J, Fiska A, Tjolsen A, Linderoth B, Hole K. Spinal cord stimulation inhibits long-term potentiation of spinal wide dynamic range neurons. Brain Res. 2003;973: 39-43.
12. Baba H, Yoshimura M, Nishi S, Shimoji K. Synaptic responses of substantia gelatinosa neurones to dorsal column stimulation in rat spinal cord in vitro. J Physiol. 1994;478:87-99.
13. Meyerson BA, Linderoth B. Mechanisms of spinal cord stimulation in neuropathic pain. Neurol Res. 2000;22:285-92.
14. De Andres J, Van Buyten JP. Neural modulation by stimulation. Pain Pract. 2006;6:39-45.
15. Chou R, Loeser JD, Owens DK, Rosenquist RW, Atlas SJ, Baisden J, et al. American pain society low back pain guideline panel. Interventional therapies, surgery, and interdisciplinary rehabilitation for low back pain: an evidence-based clinical practice guideline from the American Pain Society. Spine. 2009;34:1066-77.
16. Cruccu G, Aziz TZ, Garcia-Larrea L, Hansson P, Jensen TS, Lefaucheur JP, et al. EFNS guidelines on neurostimulation therapy for neuropathic pain. Eur J Neurol. 2007;14:952-70.
17. Taylor RS, Van Buyten JP, Buchser E. Spinal cord stimulation for complex regional pain syndrome: a systematic review of clinical effectiveness and cost effectiveness. Eur J Pain. 2006;10:91-101.
18. North RB, Kidd DH, Farrokhi F, Piantadosi SA. Spinal cord stimulation versus repeated lumbosacral spine surgery for chronic pain: a randomized controlled trial. Neurosurgery. 2002;51:106-16.
19. Stanton-Hicks MD, Burton AW, Bruehl SP. An updated interdisciplinary clinical pathway for CRPS: report of an expert panel. Pain Pract. 2002;2:1-16.
The Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.) is the owner of all copyrights to any articles published in the journal. Published manuscripts become the permanent property of S.C.A.R.E. and may not be published elsewhere without written permission. S.C.A.R.E. keeps the right to use these manuscripts in any form, including print, video, audio and digital.
Creative Commons License
Open-access articles can be read, downloaded and shared on a free basis upon publication. The Journal publishes all articles under the CCBY- NC-ND license. Attribution-NonCommercial-NoDerivs: CC BY- NC-ND. Of the six main licenses, this is the most restrictive because it only allows others to download and share articles as long as they give credit to the author, but they cannot in any way change the paper or use it commercially.