Summary
In order to analyse the ratio of costs to clinical benefit of the implantation of a neurostimulator (type Medtronic SE-4) we examined a group of 14 patients who required treatment for chronic lumboischialgia after repeated surgery for herniated discs. Over a period of two years we evaluated the pre and postimplantation costs. The implantation of a DC-Stimulator resulted in a striking decrease in drug requirements, in the total time of clinical treatment, and in the degree of disability. The DCS provides a satisfying method of treatment for chronic lumboischialgia after repeated surgery for herniated discs. Despite relatively high primary costs, treatment with a DCS results in a significant decrease in the accumulated expenses in comparison to other methods of medical treatment in similar cases.
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References
Davis R, Gray E (1981) Technical factors important to dorsal column stimulation. Appl Neurophysiol 44: 160–170
Demirel T, Braun W, Reimes CD (1984) Results of spinal cord stimulation in patients suffering from chronic pain a two year observation period. Neurochirurgia 27: 47–50
Dimitrijevic MR, Faganet J, Sherwood AM (1983) Spinal cord stimulation as a tool for physiological research. Appl Neurophysiol 46: 245–253
Erikseo DL, Long DM (1983) Ten years follow-up of dorsal column stimulation. In Bonica JJ et al (eds) Advances in pain research and therapy. Vol 5, Raven Press, New York, pp 583–590
Halter J, Dolenc V, Dimitrijevic MR, Sharkey PC (1983) Neurophysiological assessment of electrode placement in the spinal cord. Appl Neurophysiol 46: 124–128
Nashold BS, Friedman H (1972) Dorsal column stimulation for control of pain. J Neurosurg 36: 590–597
Nielson KD, Adams JE, Hosobuchi Y (1975) Experience with dorsal column stimulation for relief of chronic intractable pain. Surg Neurol 4: 148–152
de La Porte Ch, Siegfried J (1983) Lumbosacral spinal fibrosis (spinal arachnoiditis). Its diagnosis and treatment by spinal cord stimulation. Spine 8: 593–603
Richardson R, Signeira E, Cerullo L (1979) Spinal epidural neurostimulation for treatment of acute and chronic intractable pain: initial and long term results. Neurosurgery 5(3): 344–348
Shatin D, Mullet K, Hults G (1986) Totally implantable spinal cord stimulation for chronic pain: disain and efficiency. PACE 9: 577–583
Zimmermann M (1975) Neurophysiological models for nociception, pain and pain trerapy. Springer, Berlin Heidelberg New York Tokyo. Adv Neurosurg 3: 199–225
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© 1991 Springer-Verlag/Wien
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Bel, S., Bauer, B.L. (1991). Dorsal Column Stimulation (DCS): Cost to Benefit Analysis. In: Hitchcock, E.R., Broggi, G., Burzaco, J., Martin-Rodriguez, J., Meyerson, B.A., Tóth, S. (eds) Advances in Stereotactic and Functional Neurosurgery 9. Acta Neurochirurgica Supplementum, vol 52. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9160-6_33
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DOI: https://doi.org/10.1007/978-3-7091-9160-6_33
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