Dorsal root entry zone lesion: nuances of the technique and long-term results

The treatment of deafferentation pain is a primary goal of a referral center for peripheral nerve surgery. DREZ is an important asset in the neurosurgeon’s armamentarium. The surgical technique and long-term results are analyzed in two series, with or without intraoperative monitoring (IOM). DREZoto...

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Autores principales: Ferraresi, Stefano, Basso, Elisabetta, Maistrello, Lorenzo, Scerrati, Alba, Di Pasquale, Piero
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2020
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9542238/
https://www.ncbi.nlm.nih.gov/pubmed/36285263
http://dx.doi.org/10.3171/2020.7.FOCVID2031
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author Ferraresi, Stefano
Basso, Elisabetta
Maistrello, Lorenzo
Scerrati, Alba
Di Pasquale, Piero
author_facet Ferraresi, Stefano
Basso, Elisabetta
Maistrello, Lorenzo
Scerrati, Alba
Di Pasquale, Piero
author_sort Ferraresi, Stefano
collection PubMed
description The treatment of deafferentation pain is a primary goal of a referral center for peripheral nerve surgery. DREZ is an important asset in the neurosurgeon’s armamentarium. The surgical technique and long-term results are analyzed in two series, with or without intraoperative monitoring (IOM). DREZotomy is highly effective in lumbar root avulsive injuries but is ineffective in resolving pain due to spinal cord injuries. Cervical DREZotomy for cancer pain is not superior to intrathecal morphine. In brachial plexus avulsive injuries, the largest series shows a 74% success rate, but the efficacy of the procedure is lost over time. No relevant difference has been observed since the introduction of IOM. The video can be found here: https://youtu.be/uG_kkQj5m1U
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spelling pubmed-95422382022-10-24 Dorsal root entry zone lesion: nuances of the technique and long-term results Ferraresi, Stefano Basso, Elisabetta Maistrello, Lorenzo Scerrati, Alba Di Pasquale, Piero Neurosurg Focus Video Article The treatment of deafferentation pain is a primary goal of a referral center for peripheral nerve surgery. DREZ is an important asset in the neurosurgeon’s armamentarium. The surgical technique and long-term results are analyzed in two series, with or without intraoperative monitoring (IOM). DREZotomy is highly effective in lumbar root avulsive injuries but is ineffective in resolving pain due to spinal cord injuries. Cervical DREZotomy for cancer pain is not superior to intrathecal morphine. In brachial plexus avulsive injuries, the largest series shows a 74% success rate, but the efficacy of the procedure is lost over time. No relevant difference has been observed since the introduction of IOM. The video can be found here: https://youtu.be/uG_kkQj5m1U American Association of Neurological Surgeons 2020-10-01 /pmc/articles/PMC9542238/ /pubmed/36285263 http://dx.doi.org/10.3171/2020.7.FOCVID2031 Text en © 2020 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the CC BY-NC-ND license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Ferraresi, Stefano
Basso, Elisabetta
Maistrello, Lorenzo
Scerrati, Alba
Di Pasquale, Piero
Dorsal root entry zone lesion: nuances of the technique and long-term results
title Dorsal root entry zone lesion: nuances of the technique and long-term results
title_full Dorsal root entry zone lesion: nuances of the technique and long-term results
title_fullStr Dorsal root entry zone lesion: nuances of the technique and long-term results
title_full_unstemmed Dorsal root entry zone lesion: nuances of the technique and long-term results
title_short Dorsal root entry zone lesion: nuances of the technique and long-term results
title_sort dorsal root entry zone lesion: nuances of the technique and long-term results
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9542238/
https://www.ncbi.nlm.nih.gov/pubmed/36285263
http://dx.doi.org/10.3171/2020.7.FOCVID2031
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AT scerratialba dorsalrootentryzonelesionnuancesofthetechniqueandlongtermresults
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