دورية أكاديمية
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Anatomical-related factors and outcome of percutaneous short-term spinal cord stimulation electrode shift in patients with disorders of consciousness: a retrospective study.

التفاصيل البيبلوغرافية
العنوان: Anatomical-related factors and outcome of percutaneous short-term spinal cord stimulation electrode shift in patients with disorders of consciousness: a retrospective study.
المؤلفون: He Q; Brain Computer Interface Transitional Research Center, Beijing Tiantan Hospital, Capital Medical University, Beijing, China., Yang C; Department of Neurosurgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China., Xu Y; Department of Neurosurgery, The People's Hospital of Liaoning Province, Shengyang, China., Niu H; Department of Neurosurgery, Peking University International Hospital, Beijing, China., Wu H; Department of Neurosurgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China., Huang H; Department of Neurosurgery, The People's Hospital of Liaoning Province, Shengyang, China., Chai X; Brain Computer Interface Transitional Research Center, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.; China National Center for Neurological Disorders, Beijing, China., Cao T; Brain Computer Interface Transitional Research Center, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.; Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China., Wang N; Brain Computer Interface Transitional Research Center, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.; Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China., Wong P; Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University, Hsinchu, Taiwan., He J; Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China., Yang Y; Brain Computer Interface Transitional Research Center, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.; China National Center for Neurological Disorders, Beijing, China.; Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.; Chinese Institute for Brain Research, Beijing, China.; Beijing Institute of Brain Disorders, Beijing, China., Zhao J; China National Center for Neurological Disorders, Beijing, China.; Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.; China National Clinical Research Center for Neurological Diseases, Beijing, China.
المصدر: Frontiers in aging neuroscience [Front Aging Neurosci] 2024 Jul 02; Vol. 16, pp. 1403156. Date of Electronic Publication: 2024 Jul 02 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Frontiers Research Foundation Country of Publication: Switzerland NLM ID: 101525824 Publication Model: eCollection Cited Medium: Print ISSN: 1663-4365 (Print) Linking ISSN: 16634365 NLM ISO Abbreviation: Front Aging Neurosci Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Lausanne : Frontiers Research Foundation
مستخلص: Background: Disorders of consciousness (DoC) represent a spectrum of neurological conditions that pose significant treatment challenges. Percutaneous short-term spinal cord stimulation (SCS) has emerged as a promising experimental diagnostic treatment to assess and potentially improve consciousness levels. However, the effectiveness of this intervention is frequently compromised by the shift of electrodes, particularly in the cervical region, which can negatively affect therapeutic outcomes.
Methods: This retrospective study aimed to study if electrodes shift in percutaneous short-term SCS in patients with DoC would affect the outcome. We analyzed the relationship between electrode shift length and patient outcome, as well as the correlation with various anatomical parameters, including the actual length of the cervical spine, linear length, spinal canal transverse diameter, spinal canal diameter, and C2 cone height, in a cohort of patients undergoing the procedure.
Results: Our findings revealed that in patients with better outcome, there are significant less patient with electrode shift ( p  = 0.019). Further, a linear correlation was found between the length of electrode shift and patients' outcome (Rho = 0.583, p  = 0.002), with longer shift lengths associated with poorer outcomes. Contrary to our expectations, there was no significant association between the measured anatomical parameters and the extent of electrode shift. However, a trend was found between the actual length of the cervical spine and the shift of the electrode ( p  = 0.098). Notably, the shorter spinal canal transverse diameter was found to be significantly associated with better outcome in patients with DoC receiving percutaneous short-term SCS ( p  = 0.033).
Conclusion: These results highlight the clinical importance of electrode stability in the cervical region during SCS treatment for patients with DoC. Ensuring secure placement of electrodes may play a crucial role in enhancing patients' outcome and minimize postoperative complications. Given the lack of association with expected anatomical parameters, future research should investigate other factors that could impact electrode stability to optimize this therapeutic intervention.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2024 He, Yang, Xu, Niu, Wu, Huang, Chai, Cao, Wang, Wong, He, Yang and Zhao.)
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فهرسة مساهمة: Keywords: anatomical factor; disorders of consciousness; electrode shift; outcome; percutaneous; short-term; spinal cord stimulation
تواريخ الأحداث: Date Created: 20240717 Latest Revision: 20240718
رمز التحديث: 20240718
مُعرف محوري في PubMed: PMC11249574
DOI: 10.3389/fnagi.2024.1403156
PMID: 39015472
قاعدة البيانات: MEDLINE
الوصف
تدمد:1663-4365
DOI:10.3389/fnagi.2024.1403156