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Master Thesis

Traitement des douleurs neuropathiques par la stimulation médullaire implantée par voie chirurgicale : étude observationnelle rétrospective

Abstract : Introduction: Spinal cord stimulation is a surgical treatment for chronic neuropathic pain which are resistant to conventional treatments. Its working is largely based on the "gateway theory" described by Wall and Melzack in 1967. Purpose: The aim is to evaluate the effectiveness, safety and functional impact of spinal cord stimulation on neuropathic pain. Materials and methods: This is a retrospective observational study from Caen University Hospital. Results: Out of the 15 patients evaluated, 7 of the patients had pain relief ≥ 50%. The average satisfaction was 74.6% and 13 of the patients would repeat the intervention if they were offered it again. The complication rate was 23.5%, for two of these patients the material was removed. 60% of the patients had an improvement in their walking range, 47% resumed physical activity and had better sleep. Conclusion: The evaluation shows that spinal cord stimulation seems to be an effective treatment to relieve neuropathic pain and to improve functional parameters.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03219491
Contributor : Ufr Santé Unicaen <>
Submitted on : Thursday, May 6, 2021 - 2:24:16 PM
Last modification on : Friday, June 25, 2021 - 3:31:56 AM

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  • HAL Id : dumas-03219491, version 1

Citation

Sophie Stchepinsky. Traitement des douleurs neuropathiques par la stimulation médullaire implantée par voie chirurgicale : étude observationnelle rétrospective. Médecine humaine et pathologie. 2020. ⟨dumas-03219491⟩

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