Long-Term Reduction of Sacroiliac Joint Pain With Peripheral Nerve Stimulation.
Oper Neurosurg (Hagerstown)
; 13(5): 634-639, 2017 10 01.
Article
em En
| MEDLINE
| ID: mdl-28922873
ABSTRACT
BACKGROUND:
We recently demonstrated that 86% of the patients treated with peripheral nerve stimulation (PNS) for therapy-refractory sacroiliac joint (SIJ) pain were satisfied with the result after 1 year of treatment.OBJECTIVE:
To investigate the long-term (up to 4 years) response rate of this novel treatment.METHODS:
Sixteen consecutive patients with therapy-refractory SIJ pain were treated with PNS and followed for 4 years in 3 patients, 3 years in 6 patients, and 2 years in 1 patient. Quality of life, pain, and patient satisfaction were assessed using the Oswestry Disability Index 2.0, Visual Analog Scale (VAS), and International Patient Satisfaction Index.RESULTS:
Patients reported a pain reduction from 8.8 to 1.6 (VAS) at 1 year ( P < .001), and 13 of 14 patients (92.9%) rated the therapy as effective (International Patient Satisfaction Index score ≤ 2). At 2 years, average pain score was 1.9 ( P < .001), and 9 of 10 patients (90.0%) considered the treatment a success. At 3 years, 8 of 9 patients (88.9%) were satisfied with the treatment results, reporting an average VAS of 2.0 ( P < .005). At 4 years, 2 of 3 patients were satisfied with the treatment results.CONCLUSION:
We have shown for the first time that PNS is a successful long-term therapy for SIJ pain.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Nervos Periféricos
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Articulação Sacroilíaca
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Terapia por Estimulação Elétrica
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Resultado do Tratamento
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Artralgia
Tipo de estudo:
Observational_studies
Limite:
Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article