[Modern potentialities of minimally invasive management of chronic non-malignant pain].
In this retrospective investigation we demonstrated our results of treatment of chronic pain of nonmalignant etiology. The long-term effects of neuromodulation systems were examined in 215 patients with chronic nonmalignant pain syndromes. The mean follow-up period was 4 years. Most of the patients were satisfied with the therapy and have had good pain reduction throughout the follow-up period. In this study we analyzed the indications, selection of patients and the test phase for this kind of therapy. Neuromodulation included spinal cord stimulation (SCS) and intrathecal opioid therapy. We reported about the standards of implantation, the side effects and complications and failures of treatment. Our experience with the long-term administration of spinal opioid medications and SCS for nonmalignant pain encouraged us to use methods of neuromodulation for carefully selected patients. Good results with significant pain reduction demonstrated the consideration this kind of treatment about the conservative therapy.
Seeleger
Andre
A
D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000627:therapeutic use*; D001416:Back Pain / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D004599:Electric Stimulation Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D007278:Injections, Spinal; D008297:Male; D008875:Middle Aged; D009020:Morphine / Q000008:administration & dosage / Q000627:therapeutic use*; D010146:Pain / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology; D059408:Pain Management; D010147:Pain Measurement; D012189:Retrospective Studies; D013116:Spinal Cord / Q000503:physiopathology*; D016896:Treatment Outcome
D000701:Analgesics, Opioid; D009020:Morphine