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- W1601691903 abstract "This chapter reviews that the methodology and the technology of the spinal cord stimulation (SCS) in the treatment of rebel chronic pains has not stop evolving, in particular with regard to neuropathic pains. The quality of the long-term effects has been significantly improved by a rigorous multi-field clinical selection confirmed by a prolonged percutaneous test and a precise implant technique and technological innovations allowing to modify the geometry of the electrodes and the induced electric field so as to optimize the covering of the painful territories by the paresthesias induced by the neurostimulation. The chapter explores that the vast pluricentric clinical experience currently available shows the bigger importance of this conservative surgical technique in the treatment of severe neuropathic pains. Stronger methodological studies will promote more definitive data regarding the effectiveness of SCS. It is not necessary that evidence-based medicine have to hinge on randomized controlled trials when this is a surgical alternative suggested after all the other therapies have failed and when the double-blind evaluation proves to be impossible to be carried out." @default.
- W1601691903 created "2016-06-24" @default.
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- W1601691903 date "2006-01-01" @default.
- W1601691903 modified "2023-09-30" @default.
- W1601691903 title "Chapter 60 Spinal cord stimulation for neuropathic pain" @default.
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- W1601691903 doi "https://doi.org/10.1016/s0072-9752(06)80064-3" @default.
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