Die epidurale Rückenmarkstimulation

Bei der epiduralen Rückenmarkstimulation (SCS) erfolgt eine elektrische Stimulation des Rückenmarks durch epidural implantierte Elektroden. Die SCS ist eine seit vielen Jahren etablierte invasive Therapie zur Behandlung von chronischen Schmerzen und darüber hinaus eine Behandlungsmöglichkeit für unterschiedliche vaskuläre Erkrankungen. Dieser Artikel beschreibt die Technik, die Indikationsstellung und die Anwendungsmöglichkeiten der SCS bei den unterschiedlichen Krankheitsbildern und skiiert kurz die Möglichkeiten der peripheren Nervenstimulation und der peripheren Nervenfeldstimulation.

Schlüsselwörter

Spinal Cord Stimulation - Rückenmarkstimulation - Neuromodulation - chronischer Rückenschmerz

• Literatur

• 1 Shealy CN, Mortimer JT, Reswick JB. Electrical inhibition of pain by stimulation of the dorsal columns: preliminary clinical report. Anesth Analg 1965; 46: 489-491
• 2 Eldabe S, Chb MB, Buchser E. Review article complications of spinal cord stimulation and peripheral nerve stimulation techniques: a review of the literature. Pain Med Pain Med 2016; 17 : 325-336
• 3 Merskey H, Bogduk N. (eds.) Klassification of Chronic Pain, Second Edition , IASP Task Force on Taxonomy. Seattle: IASP Press; 1994
• 4 Kumar K, Taylor RS, Jacques L. et al. Spinal cord stimulation versus conventional medical management for neuropathic pain: A multicentre randomised controlled trial in patients with failed back surgery syndrome. Pain 2007; 132: 179-188
• 5 Deer TR, Skaribas IM, Haider N. et al. Effectiveness of cervical spinal cord stimulation for the management of chronic pain. Neuromodulation 2013; 16: 265-271
• 6 Veizi E, Hayek SM, Vucetic H. et al. Neuromodulation & Intervention Section. Original research article. Spinal cord stimulation (SCS) with anatomically guided (3D) Neural targeting shows superior chronic axial low back pain relief compared to traditional SCS – LUMINA Study. Pain Medicine 2017; 18: 1534-1548
• 7 Xu J, Liu A, Cheng J. New advancements in spinal cord stimulation for chronic pain management. Curr Opin Anaesthesiol 2017; 30: 710-717
• 8 Deer TR, Mekhail N, Provenzano D. et al. The appropriate use of neurostimulation of the spinal cord and peripheral nervous system for the treatment of chronic pain and ischemic diseases: The neuromodulation appropriateness consensus committee. Neuromodulation 2014; 17: 515-550
• 9 Provenzano DA, Williams JR, Jarzabek G. et al. Treatment of neuropathic pain and functional limitations associated with multiple sclerosis using an mri-compatible spinal cord stimulator : a case report with two year follow-up and literature review. Neuromodulation 2016; 19: 406-413
• 10 Graybill J, Conermann T, Kabazie AJ. et al. Spinal cord stimulation for treatment of pain in a patient with post thoracotomy pain syndrome. Pain Physician 2011; 14 : 441-445
• 11 De Vos CC, Meier K, Zaalberg PB. et al. Spinal cord stimulation in patients with painful diabetic neuropathy: A multicentre randomized clinical trial. Pain 2014; 155: 2426-2431
• 12 Pluijms WA, Slangen R, Joosten EA. et al. Electrical spinal cord stimulation in painful diabetic polyneuropathy, a systematic review on treatment efficacy and safety. Eur J Pain 2011; 15: 783-788
• 13 Dong D, Yu X, Wan C. et al. Efficacy of short-term spinal cord stimulation in acute/subacute zoster-related pain: a retrospective study. Pain Physician 2017; 20: E633-E645 (im Internet: http://www.painphysicianjournal.com/linkout?issn=1533–3159&vol=20&page=E633)
• 14 Harke H, Gretenkort P, Ladleif HU. et al. Spinal cord stimulation in postherpetic neuralgia and in acute herpes zoster pain. Anesth Analg 2002; 94: 694-700 (im Internet: http://www.ncbi.nlm.nih.gov/pubmed/11867400)
• 15 Ubbink DT, Vermeulen H. Spinal cord stimulation for non-reconstructable chronic critical leg ischaemia (Review). Cochrane Database Syst Rev 2013; 2 CD004001.
• 16 Deer T, Slavin KV, Amirdelfan K. et al. Success prospective using neuromodulation with BURST (SUNBURST) Study : results from a randomized controlled trial using a novel burst waveform. Neuromodulation 29.09.2017; (Epub ahead of print).
• 17 Pan X, Bao H, Yanna S. et al. Spinal cord stimulation for refractory angina pectoris characteristics of eligible studies. Clin J Pain 2017; 33: 543-551
• 18 Mironer YE, Hutcheson JK, Satterthwaite JR. et al. Prospective, two-part study of the interaction between spinal cord stimulation and peripheral nerve field stimulation in patients with low back pain : development of a new spinal-peripheral neurostimulation method. Neuromodulation 2011; 14: 151-154
• 19 Hamm-Faber TE, Aukes H, van Gorp E-J. Subcutaneous Stimulation as an Additional Therapy to Spinal Cord Stimulation for the Treatment of Low Back Pain and Leg Pain in Failed Back Surgery Syndrome: Four-Year Follow-Up. Neuromodulation 2005; 18: 618-622
• 20 Keifer OP Jr, Diaz A, Campbell M. et al. Occipital nerve stimulation for the treatment of refractory occipital neuralgia: a case series. World Neurosurg 2017; 105: 599-604
• 21 Klein J, Sandi-gahun S, Schackert G. Peripheral nerve field stimulation for trigeminal neuralgia , trigeminal neuropathic pain, and persistent idiopathic facial pain. Cephalalgie 2016; 36: 445-453
• 22 Harrison C, Epton S, Bojanic S. et al. The efficacy and safety of dorsal root ganglion stimulation as a treatment for neuropathic pain : a literature review. Neuromodulation 28.09.2017; (Epub ahead of print).