Biportal Endoscopic Spinal Cord Stimulation Paddle Lead Implantation: Technical Note and Preliminary Clinical Results

作者全名："Miao, Xi-Zi; Gao, Ding-Zhi; Yang, Shao-Mei; Guo, Xiao-Li; Wen, Ya-Feng; Shi, Lei; Chu, Lei"

作者地址："[Miao, Xi-Zi; Guo, Xiao-Li; Shi, Lei; Chu, Lei] Chongqing Med Univ, Affiliated Hosp 2, Dept Pain Med, 288 Astron Ave, Chongqing 400060, Peoples R China; [Miao, Xi-Zi; Gao, Ding-Zhi; Yang, Shao-Mei; Wen, Ya-Feng; Shi, Lei; Chu, Lei] Chongqing Med Univ, Affiliated Hosp 2, Dept Spine Surg, Chongqing, Peoples R China"

通信作者："Chu, L (通讯作者)，Chongqing Med Univ, Affiliated Hosp 2, Dept Pain Med, 288 Astron Ave, Chongqing 400060, Peoples R China."

来源：NEUROMODULATION

ESI学科分类：NEUROSCIENCE & BEHAVIOR

WOS号：WOS:001290064500001

JCR分区：Q2

影响因子：2.8

年份：2024

卷号：27

期号：6

开始页：1062

结束页：1067

文献类型：Article

关键词：Biportal endoscopic; minimally invasive; paddle lead; spinal cord stimulation; technical note

摘要："Objective: This study aims to elucidate a novel, minimally invasive surgical technique using a biportal endoscope for the implantation of spinal cord stimulation (SCS) paddle leads and to report the preliminary results of its clinical application. Materials and Methods: The perioperative data of patients who underwent the biportal endoscopic SCS paddle lead implantation in our department were collected; the surgical procedure was delineated, and the clinical outcomes were assessed. Results: From February 2022 to December 2023, six patients underwent biportal endoscopic SCS paddle lead implantation. The median follow-up time was nine months (range one to three months). The median intraoperative blood loss was 30 mL (range 25-50 mL), and the median operative time was 87.5 minutes (range 75-110 minutes). One patient experienced severe neck pain during the operation, whereas the other five patients experienced no surgical complications. One patient was found to have a slight lead migration three months after surgery, which did not affect the therapeutic effect. The median visual analogue scale (VAS) of the surgical area was 0.5 (range 0-2), 2.5 (range 1-4), and 0.5 (range 0-1) during the operation and one day and one week after the operation, respectively. The median VAS of the six patients' primary disease was 8 (range 7-9) before surgery and 2.5 (range 1-4) at the last postoperative follow-up (pain reduction >= 50%). Conclusion: Paddle lead systems for SCS can be implanted successfully using a biportal endoscopic technique."

基金机构："Fundamental Research and Frontier Exploration Project of Chongqing Yuzhong Science and Technology Bureau [20210135]; Program for Youth Innovation in Future Medicine, Chongqing Medical University [W0001]"

基金资助正文："<BOLD>Acknowledgements</BOLD> Source (s) of financial support: This study was supported by Fundamental Research and Frontier Exploration Project of Chongqing Yuzhong Science and Technology Bureau (number 20210135) ; Program for Youth Innovation in Future Medicine, Chongqing Medical University (number W0001) ."