The Korean Journal of Pain

  • 제29권1호
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  • Pages.23-28
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  • 2016
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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Caudal Neuromodulation with the Transforaminal Sacral Electrode (InterStimⓇ): Experience in a Pain Center Regarding 12 Implants

  • Guardo, Laura Alonso (Pain Management Department, Anesthesiology and Perioperative Medicine Department, Health Center Complex of Salamanca) ;
  • Gala, Carlos Cano (Trauma and Orthopaedic Surgery Department, Health Center Complex of Salamanca) ;
  • Poveda, David Sanchez (Pain Management Department, Anesthesiology and Perioperative Medicine Department, Health Center Complex of Salamanca) ;
  • Juan, Pablo Rueda (Bioingeneer Medtronic Latinoamerica) ;
  • Sanchez Montero, Francisco Jose (Pain Management Department, Anesthesiology and Perioperative Medicine Department, Health Center Complex of Salamanca) ;
  • Garzon Sanchez, Jose Carlos (Pain Management Department, Anesthesiology and Perioperative Medicine Department, Health Center Complex of Salamanca) ;
  • Lamas, Juan Ignacio Santos (Pain Management Department, Anesthesiology and Perioperative Medicine Department, Health Center Complex of Salamanca) ;
  • Sanchez Hernandez, Miguel Vicente (Pain Management Department, Anesthesiology and Perioperative Medicine Department, Health Center Complex of Salamanca)
  • 투고 : 2015.05.06
  • 심사 : 2015.12.08
  • 발행 : 2016.01.01
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초록

Background: Sacral nerve stimulation is a therapeutic option with demonstrated efficacy for conditions presenting with perineal pain caused by different etiologies. We aimed to assess whether a sacral electrode ($Interstim^{(R)}$, Medtronic, Minneapolis, MN, USA) inserted through the caudal pathway is able to offer an acceptable level of sacral stimulation and rate of catheter migration. Methods: We present 12 patients with pelvic pain who received sacral neuromodulation via the sacral hiatus with the InterStim electrode. We evaluated patient satisfaction as well as migration and removal of the electrode, if necessary. Results: Our experience included 12 patients, 10 women and two men, with a mean age of 60 years. In eight of the 12 patients, the initial therapy was effective, and the final system implantation was performed. During subsequent follow-up, patient satisfaction was good. To date, there have been no cases of electrode displacement or migration. Conclusions: The caudal insertion of the InterStim electrode, with its own fixation system, and initially designed for transsacral insertion, appears in our experience to be a satisfactory option which can minimize electrode displacements, achieving similar results in therapeutic efficacy and causing no difficulties in removal.

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참고문헌

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  1. Sacral neuromodulation for pelvic pain and pelvic organ dysfunction: A case series vol.58, pp.1, 2018, https://doi.org/10.1111/ajo.12752
  2. Sacral Burst Neuromodulation via Caudal Approach as a Treatment for Chronic Coccydynia pp.10947159, 2018, https://doi.org/10.1111/ner.12808
  3. Neuromodulation for Chronic Pelvic Pain vol.19, pp.5, 2018, https://doi.org/10.1007/s11934-018-0783-2
  4. Effect of transforaminal epidural polydeoxyribonucleotide injections on lumbosacral radiculopathy : A case report vol.96, pp.25, 2016, https://doi.org/10.1097/md.0000000000007174
  5. Sacral neuromodulation treating chronic pelvic pain: a meta-analysis and systematic review of the literature vol.30, pp.7, 2016, https://doi.org/10.1007/s00192-019-03898-w