Next, a pocket was created for the battery in the area of the right hip pad.
![dorsal column stimulator implant dorsal column stimulator implant](https://assets.yourpractice.online/2269/3d-images/spinal-cord-dcs-peripheral-stimulation.jpg)
The electrode was inserted into the spinal canal, pointing it upwards. After localization of the operated level, the vertebral arches and flavoplegia were made at the Th10 level. Disinfection and occupancy of the operating field were performed. The patient was qualified for surgical treatment: namely implantation of the SCS spinal cord stimulator. From 2015, the patient’s pain prevented daily activities. The interview demonstrated the state after multiple surgical treatment of the L-S spine (decompression of the spinal canal in the L4-L5 segment, stabilization by the epiphyseal TPF L4-S1), FBSS (failed back surgery syndrome). 1 in Bydgoszcz, where it was necessary to remove the anal spinal cord stimulator due to a local skin allergic reaction the analysis also included articles from the world literature available on the subject.Ī 47-year-old patient was admitted to the Department of Neurosurgery in 2016 for the purpose of implanting a SCS. The authors carried out an analysis of the clinical case of a surgical patient undergoing surgery at the Department of Neurosurgery, Neurotraumatology and Children’s Neurosurgery, Antoni Jurasz University Hospital No. However, in a small percentage of clinical cases, there is a local allergic reaction of the skin after implantation of a spinal cord analgesic stimulator (SCS). Neuromodulation techniques allow to reduce pain sensations and are relatively safe for patients. Electrical stimulation can stimulate or inhibit the neuronal activity, thanks to which it is possible to obtain a change of pain to cover paraesthesia. The system for stimulating the core consists of three elements: a pulse generator, an electrode placed in the spinal canal and a connector.
![dorsal column stimulator implant dorsal column stimulator implant](https://www.bostonscientific.com/content/dam/bostonscientific/neuro/portfolio-group/Precision_Spectra/Precision_Spectra_System_Infinion_940x940.png)
Stimulation blocks the pain signal so that it does not reach the brain or is not read by the brain as a sensation of pain. An electric pulse acting on the nerve cell causes a change in the voltage on its surface, so-called depolarization. Neurostimulation is a modern method of treatment using electrical impulses. Spinal cord stimulation is used in CRPS type I and CRPS type II syndromes, after neurosurgical operations in the failed back surgery syndrome and post-laminectomy syndrome, in angina pectoris, multiple sclerosis, peripheral vascular disease, arachnoiditis, shoulder plexus injuries and spinal cord injuries.
![dorsal column stimulator implant dorsal column stimulator implant](http://comprehensivepainmanagementcenter.com/wp-content/uploads/2013/01/spinal-cord-stimulator.jpg)
diabetic neuropathy) and postinfectious (e.g. The main indication for spinal cord stimulation is neuropathic pain, which arises as a result of nerve compression, trauma, ischemic, metabolic (e.g. Another mechanism explaining the action of SCS is a segmental blockade of neural transmission of pain stimuli, resulting from local changes in the spinal cord and spinal neurons, which are responsible for the conduction and modulation of pain. Based on this theory, in March 1967, an American neurosurgeon Norman Shealy, by Th1-Th3 laminectomy, implanted a device for stimulating the posterior columnar spinal column in a 70-year-old patient with a pulmonary pain syndrome. The first clinical applications were based on the gate control theory of pain proposed by Melzack and Wall in 1965, which is about the central inhibition of pain by non-painful stimuli. The mechanism of its operation is not fully understood. One of the methods of treating chronic pain is the neuromodulatory procedure – spinal cord stimulation (SCS).