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Croat Med J. 2007 Feb;48(1):22-34.

Implantable intrathecal pumps for chronic pain: highlights and updates.

Author information

1
Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio 44108, USA. khknight@earthlink.net

Abstract

Management of chronic pain by intrathecal delivery is gaining increasing use. The aim of this article is to review the literature pertinent to implantable devices used for treatment of chronic pain, and to highlight what is known. Articles were obtained from Medline database and reviewed. Practical patient selection criteria, trial management, and surgical technique are described. Expert consensus guidelines for intrathecal medication use are also reviewed. Finally, an exhaustive description of known complications and future implications is discussed. We concluded that intrathecal pump seems to be overused, while there is still weak evidence to support its outcome. It is also recommended that future research focus on the outcome, measured by functional parameters rather than commonly used pain scores.

PMID:
17309136
PMCID:
PMC2080496
[Indexed for MEDLINE]
Free PMC Article

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