Publications by authors named "J M Remacle"
Purpose: Electrical stimulation of the sub-thalamic nucleus (STN-DBS) is well established to alleviate motor fluctuations in advanced Parkinson's disease but little is known about its very long-term efficacy.
Methods: We followed over 12 years 15 parkinsonian patients having undergone STN-DBS and compared them to a matched group of 14 patients with best medical drug therapy. All had been considered as good candidates for surgery.
Objective: The use of multicolumn-lead spinal cord stimulation (SCS) to control back pain (BP) and leg pain (LP) in patients with failed back surgery syndrome (FBSS) in the short term and mid-term has been well documented. Our study investigated whether SCS remained efficient after 72 months.
Methods: In an observational, single-center study, we assessed SCS efficacy in 62 patients with FBSS patients.
Article Synopsis
- The PROMISE study investigated spinal cord stimulation (SCS) for low back pain, revealing a higher infection rate in Belgium compared to other countries, which led to a review of infections post-study.
- Among the 174 participants, 9 infections (5.2%) were documented, and a significant correlation was found between longer trial duration and infection rates, with a marked increase in risk for trials over 10 days.
- The findings suggest that limiting SCS trial duration to 10 days may reduce the risk of infection, supporting a cause-effect relationship between prolonged trials and infections.
Failed back surgery syndrome (FBSS) refers to persistent, chronic pain following spinal surgery. Spinal cord stimulation with dorsal epidural leads can be used to treat back and leg pain in FBSS patients. This paper presents a detailed protocol for using spinal cord stimulation with surgical leads in FBSS patients.
View Article and Find Full Text PDFObjectives: Spinal cord stimulation (SCS) remains poorly efficient at reducing back pain in failed back surgery syndrome (FBSS) patients. We aimed at determining whether a new multicolumn lead SCS technique was efficient at durably reducing their leg (LP) and back (BP) pain.
Materials And Methods: Sixty-two consecutive refractory FBSS patients received multicolumn SCS.