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- W3021848872 abstract "Publisher SummaryThis chapter explores the use of an implantable neuromodulation system for spinal cord stimulation (SCS) as an aid in the management of chronic, intractable pain of the trunk and/or limbs. Patient selection is the most important aspect for impacting a good outcome in those who undergo SCS. The most relevant issues are patient characteristics, and disease state causing the pain syndrome. The other major issue involved in the selection process is choosing the patient with the proper disease state and indication. The achievement of parasthesia in the area of pain is thought to be an essential component in achieving a good outcome with relief of pain. Caretaker should be made aware of the risk of infection, bleeding, epidural hematoma, epidural abscess, lead failure, generator failure, and failure of the therapy. Placement of the lead(s) must be performed with fluoroscopic guidance. It is recommended that the practitioner use a low-dose, pulsed technique or intermittent fluoroscopy to reduce radiation exposure. Placement of the internal programmable generator and tunneling of the leads is an important part of the percutaneous permanent implant. The physician should closely examine the patient to determine the ideal location for the generator." @default.
- W3021848872 created "2020-05-13" @default.
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- W3021848872 date "2011-01-01" @default.
- W3021848872 modified "2023-09-25" @default.
- W3021848872 title "Spinal – Extradural" @default.
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- W3021848872 doi "https://doi.org/10.1016/b978-0-12-381409-8.00004-8" @default.
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