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Current Evidence Lacking to Guide Clinical Practice for Spinal Cord Stimulation in the Treatment of Neuropathic Pain in Spinal Cord Injury: A Review of the Literature and a Proposal for Future Study.
Pain Practice ( IF 2.5 ) Pub Date : 2020-02-10 , DOI: 10.1111/papr.12855
Marissa L Dombovy-Johnson 1 , Christine L Hunt 2 , Melissa M Morrow 3 , Tim J Lamer 2 , Thomas P Pittelkow 2
Affiliation  

Chronic pain is commonly reported in individuals with spinal cord injuries (SCIs), with recent prevalence reported as high as 80%. Uncontrolled pain is known to decrease quality of life, attenuate mood, and impact sleep. Spinal cord stimulation (SCS) for the treatment of refractory pain was first used in the SCI population in 1972. To date there have been no randomized controlled trials examining the effect of SCS on neuropathic pain post‐SCI. A literature review in 2009 identified 27 studies, the majority prior to 2000, that included at least 1 patient with SCI. Given the significant advancements in the field of SCS, this review examines the updated evidence of SCS for the treatment of neuropathic pain in individuals with SCI and provides guidance on future investigations.

中文翻译:

当前的证据不足以指导脊髓刺激治疗脊髓损伤的神经性疼痛的临床实践:文献综述和未来研究的建议。

慢性疼痛通常在脊髓损伤(SCI)患者中报告,最近的患病率据报道高达80%。众所周知,无法控制的疼痛会降低生活质量,减弱情绪并影响睡眠。脊髓刺激(SCS)用于治疗难治性疼痛始于1972年的SCI人群。迄今为止,尚无随机对照试验研究SCS对SCI后神经性疼痛的作用。2009年的文献综述确定了27项研究,其中大部分是2000年之前的研究,其中至少包括1名SCI患者。鉴于SCS领域的重大进步,本综述探讨了SCS在SCI患者中治疗神经性疼痛的最新证据,并为以后的研究提供了指导。
更新日期:2020-02-10
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