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Neurosurg Clin N Am. 2014 Oct;25(4):735-42. doi: 10.1016/j.nec.2014.06.006. Epub 2014 Aug 13.

Intrathecal pain pumps: indications, patient selection, techniques, and outcomes.

Author information

1
Department of Pain Management, Cleveland Clinic, 9500 Euclid Avenue/C25, Cleveland, OH 44195, USA.
2
Evidence Based Pain Medicine Research, Department of Pain Management, Cleveland Clinic, 9500 Euclid Avenue/C25, Cleveland, OH 44195, USA. Electronic address: mekhain@ccf.org.

Abstract

Intrathecal drug delivery represents an advanced modality for refractory chronic pain patients as well as intractable spasticity. This article reviews the advantages and indications for intrathecal therapy, as well as recommendations for proper patient selection using a multidisciplinary team to provide a global assessment of the impact of chronic pain on the patient's well-being. The goals and expectations of trialing are discussed alongside advantages and disadvantages of several trialing techniques. A discussion of outcomes is presented for patients with chronic pain due to both malignant and nonmalignant causes.

KEYWORDS:

Chronic pain; Intractable spasticity; Intrathecal drug delivery; Intrathecal pain pumps

PMID:
25240660
DOI:
10.1016/j.nec.2014.06.006
[Indexed for MEDLINE]

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