Clinical studies on percutaneous epidural spinal cord stimulation in spinal spasticity.

概要

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We studied on clinical effects and problems of percutaneous epidural spinal cord stimulation (PESCS) in spinal spasticity.The subjects were 20 patients, consisting of 14 males and 6 females, ranging in age from 20 to 76 years old. There were 7 cases with spinal cord injury, 6 CSM, 4 OPLL and 3 intramedurally tumor. Under local anesthesia, the electrode was placed into epidural space at T12-L1 revel;, and parameters of stimulus were varied to get much better effect. Judgement of effectiveness was evaluated subjectively and objectively.Reduction of spasticity was objectively recognized in about 50% of the patients, recovery of motor function in 15%, and pain relief in 70%.We think that the application of PESCS to spinal spasticity, especially to postoperative case with paresthesia, is possible.
西日本整形・災害外科学会の論文