Servikal spinal kord stimülatörü takılmış hastaların retrospektif değerlendirilmesi

Amaç: Kronik ağrı, hayat kalitesi ve fonksiyonel kapasiteyi olumsuz etkileyen bir nedendir. Spinal kord stimülatörü başa- rısız bel cerrahisi, kompleks bölgesel ağrı sendromu, periferik vasküler hastalıklar gibi ağrılı durumlarda uygulanan bir te- davi yöntemidir. Bu çalışmanın amacı, dokuz hastada servikal spinal kord stimülatörü tedavi etkinliğini retrospektif olarak araştırmaktır. Gereç ve Yöntem: Yapılan medikal (farmakolojik, fizik tedavi vs.), algolojik girişimsel işlemlerden (sinir blokları gibi) fayda gör- memiş üst ekstremite lokalizasyonlu kronik ağrısı olan dokuz hasta çalışmaya dahil edildi. Bu hastalara 01 Ocak 2016–01 Ocak 2019 tarihleri arasında ağrı kliniğimizde servikal spinal kord stimülatörü uygulandı. Hastaların işlemden önce ve sonraki ağrı düzeyleri, kullandıkları antiepileptik ve analjezik ilaç dozları analiz edildi. Bulgular: Ortalama hasta yaşı 51,8±14,6 yıl (29–76) olup, %44,4’ü (n=4) kadın, %55,6’sı (n=5) erkekti. Servikal spinal kord sti- mülatörü takılma endikasyonları sırasıyla; kompleks bölgesel ağrı sendromu tip 1 (n=5), kompleks bölgesel ağrı sendromu tip 2 (n=2), geçirilmiş boyun cerrahisi (n=1) ve periferik vasküler hastalığa bağlı ağrı sendromu (n=1) idi. İşlemden sonra çalışma hastalarının ağrı düzeylerinde ve kullandıkları ilaç dozlarında istatistiksel olarak azalma olduğu görüldü. Verilerin değerlen- dirilmesinde SPSS 22.0 istatistik paket programı kullanıldı. Karşılaştırmalar için NPar ve Friedman testleri kullanıldı. Sürekli değişkenler ortalama±standart sapma olarak verildi. p

Retrospective evaluation of patients with cervical spinal cord stimulator

Objectives: Chronic pain is a cause that negatively affects quality of life and functional capacity. Spinal cord stimulation is used for various painful indications such as failed back surgery syndrome, complex regional pain syndrome (CRPS), and peripheral vascular disease (PVD). Our aim is to retrospectively investigate the effectiveness of cervical spinal cord stimulator therapy in nine patients. Methods: Nine patients with chronic pain in the upper extremity who did not benefit from medical (pharmacological, physical therapy, etc.) and algological interventional procedures (such as nerve blocks) were included in the study. Cervical spinal cord stimulator was applied to these patients in our pain clinic between January 1, 2016, and January 1, 2019. The pain levels and analgesic and antiepileptic drug doses of the patients before and after the procedure were analyzed. Results: The mean age of patients was 51.8±14.6% (29–76), 44.4% (4) were female and 55.6% (5) were male. Indications for cervical spinal cord stimulator insertion were CRPS type 1 (five patients), CRPS type 2 (two patients), previous neck surgery (one patient), and pain syndrome due to PVD (one patient). After the procedure, we saw a statistical decrease in the pain levels and drug doses of the study patients. SPSS 22.0 statistics package program was used to evaluate the data. NPar and Friedman tests were used for comparisons. Continuous variables are given as mean±standard deviation. p

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