Türk Nöroşirürji Dergisi 2021 , Vol 31 , Num 3
Spinal Cord Stimulation: The Indications and Results
Pınar ESER1,Ahmet BEKAR1
1Bursa Uludağ Üniversitesi Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Bursa, Türkiye The purpose of spinal cord stimulation is to prevent the transmission of pain in the target area to the central nervous system using the low-voltage electrical current applied to the spinal cord. For the application of spinal cord stimulation, the pain must be of a chronic nature and due to an underlying organic cause. Today, spinal cord stimulation is most commonly used for resistant low back/ extremity pain, spinal cord injuries, failed back surgery syndrome, neuropathy, and complex regional pain syndrome. In addition, its use has recently increased in conditions such as reflex sympathetic dystrophy, postherpetic neuralgia, arachnoiditis, epidural fibrosis, phantom pain, malignancy pain due to vertebral metastases, and fecal and urinary incontinence. Appropriate patient selection is an important indicator of success in the application of neurostimulation. Unresolved psychiatric disorders, cognitive disorders, uncontrollable systemic diseases or bleeding diathesis and substance addictions are among general contraindications. Spinal cord stimulation is not recommended in pregnant women, patients with mental retardation, and under 18 years of age. Anahtar Kelimeler : Failed back surgery syndrome, Complex regional pain syndrome, Neurostimulation, Neuropathic pain, Spinal cord stimulation