A paramedian approach for dorsal root ganglion stimulation placement developed to limit lead migration and fracture,Pain Practice

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A paramedian approach for dorsal root ganglion stimulation placement developed to limit lead migration and fracture
Pain Practice ( IF 2.6 ) Pub Date : 2021-07-30 , DOI: 10.1111/papr.13063
Kenneth B Chapman _{1,

2,

3} , Matthew A Spiegel _{1,

3} , David M Dickerson _{4,

5} , Bart Billet ₆ , Kiran V Patel _{1,

3} , Corey Hunter ₇ , Ajay Antony ₈ , Noud van Helmond ₉ , Timothy Deer ₁₀ , Jan Willem Kallewaard ₁₁ , Jonathan M Hagedorn ₁₂ , Ajax Yang _{1,

3}

Affiliation

The Spine & Pain Institute of New York, New York, New York, USA.
Department of Anesthesiology, NYU Langone Medical Center, New York, New York, USA.
Northwell Health, New York, New York, USA.
Department of Anesthesiology, NorthShore University Health System, Evanston, Illinois, USA.
Department of Anesthesia & Critical Care, University of Chicago, Chicago, Illinois, USA.
Department of Anesthesiology, AZ Delta, Roeselare, Belgium.
Ainsworth Institute of Pain Management, New York, New York, USA.
The Orthopaedic Institute, Gainesville, Florida, USA.
Cooper University Hospital, Cooper Medical School of Rowan University, Camden, New Jersey, USA.
The Spine and Nerve Center of the Virginias, Charleston, West Virginia, USA.
Rijnstate Ziekenhuis, Velp, The Netherlands.
Department of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, Minnesota, USA.

Dorsal root ganglion stimulation (DRG-S), has demonstrated superiority in the treatment of complex regional pain syndrome and causalgia. Lead migration and fracture impact DRG-S therapeutic stability. Lead anchoring reduces DRG-S lead migration without increasing lead fracture. Lead fracture may be related to lead entrapment in the superficial fascial plane. A novel medialized approach for lead placement and anchoring is presented to address these issues.

中文翻译：

一种用于背根神经节刺激放置的旁正中方法，用于限制导线迁移和断裂

背根神经节刺激（DRG-S）在治疗复杂的局部疼痛综合征和灼痛方面显示出优越性。铅迁移和骨折影响 DRG-S 治疗稳定性。铅锚定减少了 DRG-S 铅迁移而不增加铅断裂。引线断裂可能与浅筋膜平面中的引线卡压有关。提出了一种用于引线放置和锚定的新型中介方法来解决这些问题。

更新日期：2021-07-30

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