Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/28817
Title: Retrograde Placement of High Cervical Electrodes: A Technical Refinement and Case Series
Authors: Oosterbos, Christophe
Vanvolsem, Steven
DUYVENDAK, Wim 
DONKERSLOOT, Peter 
Wissels, Maarten
PUT, Eric 
Roosen, Gert
PLAZIER, Mark 
Issue Date: 2018
Publisher: WILEY
Source: NEUROMODULATION, 21(8), p. 755-761
Abstract: Introduction Cervical cord stimulation is used in the treatment of chronic (neuropathic) pain syndromes refractory to conservative treatments. Several authors describe different techniques for the placement of cervical electrodes. Electrodes can be placed retrogade [Correction added on 03 April 2018 after first online publication: the word "plased" has been changed to "placed".]. In this article, we describe a refinement on how to dissect the dorsal meningo-vertebral ligaments to decrease the risk of complications. Patients and Methods Twenty-eight patients received a permanent cervical spinal cord stimulator. A C0-C1 retrograde insertion was performed with careful dissection of the meningo-vertebral ligaments. Complications were registered during the follow-up (mean 44.6 months [SD = 43, range 1-162 months]). Results Six complications were observed 93% of the patients reported a significant reduction in pain. Conclusions We describe an additional surgical detail for the known procedure for retrograde placement of high cervical plate electrodes. This surgical detail might result in a lower risk of complications. We present a case series of 28 patients to support this hypothesis.
Notes: [Oosterbos, Christophe] Univ Hosp Leuven, Dept Neurosurg, Leuven, Belgium. [Vanvolsem, Steven; Duyvendak, Wim; Donkersloot, Peter; Wissels, Maarten; Put, Eric; Roosen, Gert; Plazier, Mark] Jessa Hosp, Dept Neurosurg, Stadsomvaart 10, B-3500 Hasselt, Belgium. [Vanvolsem, Steven; Duyvendak, Wim; Donkersloot, Peter; Wissels, Maarten; Put, Eric; Plazier, Mark] Studie & Opleidingsctr Neurochirurg Virga Jesse, Hasselt, Belgium. [Plazier, Mark] Univ Hasselt, Fac Med & Life Sci, Hasselt, Belgium.
Keywords: Cervical cord stimulation; cervical pain; chronic pain; complications; technical report; upper limb pain;Cervical cord stimulation; cervical pain; chronic pain; complications; technical report; upper limb pain
Document URI: http://hdl.handle.net/1942/28817
ISSN: 1094-7159
e-ISSN: 1525-1403
DOI: 10.1111/ner.12770
ISI #: 000453727700005
Rights: 2018 International Neuromodulation Society
Category: A1
Type: Journal Contribution
Validations: ecoom 2020
Appears in Collections:Research publications

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