title: Multi-lead spinal cord stimulation for control of motor disorders.
abstract: This report presents observations in 160 patients undergoing chronic spinal cord stimulation for various disorders of the motor system and compares the results obtained using older conventional two-electrode bipolar stimulation with a newly developed four-electrode multiple level system. Improvement was noted in 84% of the 75 patients with cerebral palsy, 67% of the 42 patients with dystonia, 62% of the 21 patients with torticollis and 73% of the 22 patients with post-traumatic neurologic loss. Significant improvements were noted when comparing the two-electrode system with the new multiple level electrode. Marked to moderately improved patients increased from 57 to 84% in cerebral palsy, from 44 to 82% in dystonia, from 53 to 75% in torticollis and from 53 to 80% in dystonia, from 53 to 75% in torticollis and from 53 to 80% in posttraumatic neurologic conditions. There was a corresponding marked drop in unimproved patients in each condition.
mesh_terms: D000293:Adolescent; D000328:Adult; D001930:Brain Injuries / Q000628:therapy; D002547:Cerebral Palsy / Q000628:therapy; D002648:Child; D004422:Dystonia Musculorum Deformans / Q000628:therapy; D004599:Electric Stimulation Therapy / Q000009:adverse effects / Q000379:methods*; D004567:Electrodes, Implanted; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009069:Movement Disorders / Q000503:physiopathology / Q000628:therapy*; D009128:Muscle Spasticity / Q000628:therapy; D004856:Postural Balance; D011187:Posture; D013064:Speech Disorders / Q000628:therapy; D013116:Spinal Cord / Q000503:physiopathology*; D014103:Torticollis / Q000628:therapy