Detail
Článek
Článek online
FT
Medvik - BMČ
  • Je něco špatně v tomto záznamu ?

Neuromodulation in the treatment of postoperative epidural fibrosis: comparison of the extent of epidural fibrosis and the effect of stimulation

V. Masopust, J. Holubová, P. Skalický, R. Rokyta, J. Fricová, J. Lacman, D. Netuka, J. Patríková, K. Janoušková

. 2021 ; 70 (3) : 461-468. [pub] 20210512

Jazyk angličtina Země Česko

Typ dokumentu srovnávací studie, časopisecké články, pozorovací studie

Perzistentní odkaz   https://www.medvik.cz/link/bmc22000847

The goal was to prove that when a cohort of patients is chosen precisely, dorsal column stimulation provides significant improvement to quality of life. We studied a cohort of 50 patients with the history of failed back surgery syndrome coupled with epidural fibrosis (EF). A percutaneous implantation technique was used in each of the 50 patients. The study group was composed of 20 women and 28 men aged 26-67 years (mean age 49). A prospective observational questionnaire-based study was used. According to the methods, Ross's classification was adjusted to four degrees of scar size for our study objective. Despite this adjustment, it was not possible to statistically evaluate our research, due to very similar results in Groups I, III and IV. Patients without epidural fibrosis were assigned to Group 0, and patients with EF of different ranges were assigned to Group 1. The mean change in visual analogue scale DeltaVAS after our division into Group 0 was 4.82; for Group 1 it was 6.13. Evaluation of EF and DeltaVAS correlation by paired t-test shows a statistically higher effect of spinal cord stimulation (SCS) in the epidural fibrosis group, compared to group 0 without postoperative epidural fibrosis (p=0.008). The extent of epidural fibrosis is an important factor for Failed back surgery syndrome (FBSS). FBSS is the basis for the existence of neuropathic pain after lumbar spinal surgery. There is clear evidence of a correlation between patients with epidural scar formation on MR scan and the effect of dorsal column stimulation.

Citace poskytuje Crossref.org

Bibliografie atd.

Literatura

000      
00000naa a2200000 a 4500
001      
bmc22000847
003      
CZ-PrNML
005      
20220202102446.0
007      
ta
008      
220106s2021 xr d f 000 0|eng||
009      
AR
024    7_
$a 10.33549/physiolres.934617 $2 doi
035    __
$a (PubMed)33982586
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xr
100    1_
$a Masopust, Václav $7 xx0061196 $u Department of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University and Military University Hospital, Prague, Czech Republic
245    10
$a Neuromodulation in the treatment of postoperative epidural fibrosis: comparison of the extent of epidural fibrosis and the effect of stimulation / $c V. Masopust, J. Holubová, P. Skalický, R. Rokyta, J. Fricová, J. Lacman, D. Netuka, J. Patríková, K. Janoušková
504    __
$a Literatura
520    9_
$a The goal was to prove that when a cohort of patients is chosen precisely, dorsal column stimulation provides significant improvement to quality of life. We studied a cohort of 50 patients with the history of failed back surgery syndrome coupled with epidural fibrosis (EF). A percutaneous implantation technique was used in each of the 50 patients. The study group was composed of 20 women and 28 men aged 26-67 years (mean age 49). A prospective observational questionnaire-based study was used. According to the methods, Ross's classification was adjusted to four degrees of scar size for our study objective. Despite this adjustment, it was not possible to statistically evaluate our research, due to very similar results in Groups I, III and IV. Patients without epidural fibrosis were assigned to Group 0, and patients with EF of different ranges were assigned to Group 1. The mean change in visual analogue scale DeltaVAS after our division into Group 0 was 4.82; for Group 1 it was 6.13. Evaluation of EF and DeltaVAS correlation by paired t-test shows a statistically higher effect of spinal cord stimulation (SCS) in the epidural fibrosis group, compared to group 0 without postoperative epidural fibrosis (p=0.008). The extent of epidural fibrosis is an important factor for Failed back surgery syndrome (FBSS). FBSS is the basis for the existence of neuropathic pain after lumbar spinal surgery. There is clear evidence of a correlation between patients with epidural scar formation on MR scan and the effect of dorsal column stimulation.
650    _2
$a dospělí $7 D000328
650    _2
$a senioři $7 D000368
650    _2
$a jizva $7 D002921
650    _2
$a kohortové studie $7 D015331
650    _2
$a epidurální prostor $x diagnostické zobrazování $x patologie $7 D004824
650    _2
$a failed back surgery syndrom $x komplikace $7 D055111
650    _2
$a ženské pohlaví $7 D005260
650    _2
$a fibróza $x terapie $7 D005355
650    _2
$a lidé $7 D006801
650    _2
$a lumbalgie $7 D017116
650    _2
$a lumbosakrální krajina $7 D008161
650    _2
$a magnetická rezonanční tomografie $7 D008279
650    _2
$a mužské pohlaví $7 D008297
650    _2
$a lidé středního věku $7 D008875
650    _2
$a neuralgie $x terapie $7 D009437
650    _2
$a měření bolesti $7 D010147
650    _2
$a pooperační komplikace $x diagnostické zobrazování $x terapie $7 D011183
650    _2
$a prospektivní studie $7 D011446
650    _2
$a míšní stimulace $x metody $7 D062187
650    _2
$a výsledek terapie $7 D016896
655    _2
$a srovnávací studie $7 D003160
655    _2
$a časopisecké články $7 D016428
655    _2
$a pozorovací studie $7 D064888
700    1_
$a Holubová, Jana $7 xx0239449 $u Department of Otorhinolaryngology, Military University Hospital, Prague, Czech Republic
700    1_
$a Skalický, Petr $7 xx0255110 $u Department of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University and Military University Hospital, Prague, Czech Republic
700    1_
$a Rokyta, Richard, $d 1938- $7 nlk19990073780 $u Department of Normal, Pathological and Clinical Physiology, Third Faculty of Medicine, Charles University, Prague, Czech Republic
700    1_
$a Fricová, Jitka, $d 1971- $7 xx0105524 $u Department of Normal, Pathological and Clinical Physiology, Third Faculty of Medicine, Charles University, Prague, Czech Republic
700    1_
$a Lacman, Jiří $7 xx0061409 $u Department of Radiology, Military University Hospital, Prague, Czech Republic
700    1_
$a Netuka, David $7 xx0061783 $u Department of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University and Military University Hospital, Prague, Czech Republic
700    1_
$a Patríková, Jitka $7 xx0269038 $u Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic
700    1_
$a Janoušková, Karla $7 xx0248433 $u Department of Otorhinolaryngology, Military University Hospital, Prague, Czech Republic
773    0_
$w MED00003824 $t Physiological research $x 1802-9973 $g Roč. 70, č. 3 (2021), s. 461-468
856    41
$u https://pubmed.ncbi.nlm.nih.gov/33982586 $y Pubmed
910    __
$a ABA008 $b A 4120 $c 266 $y p $z 0
990    __
$a 20220106 $b ABA008
991    __
$a 20220202102436 $b ABA008
999    __
$a ok $b bmc $g 1755678 $s 1151993
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2021 $b 70 $c 3 $d 461-468 $e 20210512 $i 1802-9973 $m Physiological research $n Physiol. Res. (Print) $x MED00003824
LZP    __
$b NLK118 $a Pubmed-20220106

Najít záznam

Citační ukazatele

Možnosti archivace