Placement of spinal cord stimulation paddle leads in the thoracic spine using en bloc laminoplasty: A technical note

Q1 Medicine

World Neurosurgery: X Pub Date : 2024-09-23 DOI:10.1016/j.wnsx.2024.100400

Samuel D. Stegelmann , Roman Rahmani , Jae Min Yim , Zubair Ahammad

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引用次数: 0

Abstract

Objective

Spinal cord stimulation (SCS) has become a successful treatment option for managing chronic pain syndromes. Conventional methods for placing SCS leads include percutaneous insertion or open laminectomy in cases requiring better visualization. However, achieving accurate placement of paddle leads while minimizing surgical invasiveness remains a challenge in cases with anatomic constraints such as dural scarring.

Methods

We present a novel surgical technique for the placement of SCS paddle leads in the thoracic spine using en bloc laminoplasty, which is currently employed at our institution for patients with chronic pain syndromes.

Conclusions

This technique can provide accurate placement of paddle leads in patients with anatomic constraints or dural scarring that impede percutaneous implantation. Additionally, it offers potential structural advantages over laminectomy by reconstituting posterior stabilization and protection of the paddle leads.

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使用整体板层成形术在胸椎放置脊髓刺激桨导线：技术说明

目的脊髓刺激（SCS）已成为治疗慢性疼痛综合征的一种成功疗法。放置 SCS 导联的传统方法包括经皮插入或在需要更好可视化的病例中进行开放性椎板切除术。然而，在硬脊膜瘢痕等解剖限制的病例中，如何实现桨状导联的精确置入，同时最大限度地减少手术创口，仍然是一项挑战。方法我们介绍了一种新的手术技术，利用整体椎板成形术在胸椎中置入 SCS 桨状导联，该技术目前在我院用于慢性疼痛综合征患者的治疗。此外，与椎板切除术相比，该技术还具有潜在的结构优势，可重建桨状导联的后方稳定和保护。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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