An Anatomy-Informed, Novel Technique for S1 Dorsal Root Ganglion Stimulation Lead Placement.

Pain Medicine: The Official Journal of the American Academy of Pain Medicine Pub Date : 2022-09-30 DOI:10.1093/pm/pnac062

Kenneth B Chapman, Noud van Helmond, Jan Willem Kallewaard, Kris C Vissers, Kiran V Patel, Soriaya Motivala, Jonathan M Hagedorn, Timothy R Deer, David M Dickerson

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引用次数: 0

Abstract

Objective: A heightened and organized understanding of sacral anatomy could potentially lead to a more effective and safe method of dorsal root ganglion stimulation (DRG-S) lead placement. The aim of this technical note is to describe a standardized access method for S1 DRG-S lead placement.

Design: Technical note.

Methods: The described approach utilizes alignment of the lumbosacral prominence and is measurement-based, allowing for standardized sacral access, even when visualization is suboptimal. The medial-to-lateral needle trajectory is designed to limit interaction with the sensitive neural structures and allows for a more parallel orientation of the lead to the DRG and nerve root.

Conclusions: The described technique potentially improves the safety of S1 DRG-S lead placement. The parallel lead orientation to the DRG may also increase efficacy while lowering energy requirements.

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一种以解剖学为依据的 S1 背根神经节刺激导线放置新技术。

目的：加深对骶骨解剖的理解并使之条理化，有可能为背根神经节刺激（DRG-S）导联置入提供更有效、更安全的方法。本技术说明旨在描述 S1 DRG-S 导联置入的标准化入路方法：设计：技术说明：所描述的方法利用腰骶部突出部位的对齐，并以测量为基础，即使在可视性不佳的情况下也能实现标准化的骶骨入路。从内侧到外侧的进针轨迹旨在限制与敏感神经结构的相互作用，并使导线与 DRG 和神经根的方向更加平行：结论：所述技术可提高 S1 DRG-S 导联置入的安全性。与 DRG 平行的导联方向还可提高疗效，同时降低能量需求。

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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Pain Medicine: The Official Journal of the American Academy of Pain Medicine

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