Treatment of glenohumeral arthritis pain utilizing spinal cord stimulation

BACKGROUND: Dorsal column stimulation may be utilized to treat non-neuropathic pain attributed to glenohumeral arthritis. CASE DESCRIPTION: An 84-year-old female presented with right shoulder pain for 3 years. She was diagnosed with glenohumeral arthritis and a complete loss of the joint space. She...

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Detalles Bibliográficos
Autores principales: Susa, Stephen T., Karas, Chris S., Long, Nathaniel K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
General Neurosurgery: Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858052/
https://www.ncbi.nlm.nih.gov/pubmed/29576905
http://dx.doi.org/10.4103/sni.sni_347_17
Descripción
Sumario:BACKGROUND: Dorsal column stimulation may be utilized to treat non-neuropathic pain attributed to glenohumeral arthritis. CASE DESCRIPTION: An 84-year-old female presented with right shoulder pain for 3 years. She was diagnosed with glenohumeral arthritis and a complete loss of the joint space. She was treated with a dorsal column stimulator, requiring the electrodes to be placed from the inferior aspect of C3 to the superior aspect of T1. Six weeks postoperatively, she reported >90% coverage of her shoulder pain, demonstrated increased right arm function, and a reduction in her use of narcotics. CONCLUSION: Dorsal column stimulation of C3–T1 proved to be an effective alternative treatment for drug-resistant glenohumeral arthritis in an 84-year-old female with a complete loss of the joint space.

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