Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko · 2025
[Chronic electrical stimulation in patients with traumatic sciatic neuropathy].
СтатьяРандомизированное исследованиеАннотация на английскомНазвание и аннотация: Перевод в очереди
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Dekopov A V, Tomskiy A A, Kondratyev V P, Isagulyan E D, Kozlova A B, Ogurtsova A A
Аннотация
OBJECTIVE: To evaluate the effectiveness of neurolysis combined with chronic electrical stimulation in patients with post-traumatic sciatic neuropathy.
MATERIAL AND METHODS: A prospective randomized study enrolled 14 patients with post-traumatic sciatic neuropathy. Patients were divided into two groups: group A (neurolysis+chronic electrical stimulation) and group B (neurolysis). Group A included 6 patients. All ones had severe neurogenic pain syndrome (VAS score 7.16±0.75). In five patients, pain syndrome was accompanied by muscle weakness. Group B included 8 patients with severe neurogenic pain syndrome (VAS score 7.42±0.78). Muscle weakness was noted in seven cases. We assessed pain and muscle strength before surgery, in early postoperative period, 3, 6 and 12 months after surgery.
RESULTS: In group A, pain decreased in all cases (from 7.16±0.75 points before surgery to 2.33±1.36 points after 12 months). All patients with muscle weakness experienced higher muscle strength and range of voluntary movements after 12 months. In group B, pain decreased only in 4 out of 8 patients. Dynamics of pain ranged from 7.42±0.78 points before surgery to 5±3.02 points after 12 months. Higher muscle strength and range of movements were observed in only two patients.
CONCLUSION: Neurolysis combined with chronic electrical stimulation is followed by better outcomes in patients with post-traumatic sciatic neuropathy. Chronic peripheral electrical stimulation probably has an effect on recovery of motor functions.
MATERIAL AND METHODS: A prospective randomized study enrolled 14 patients with post-traumatic sciatic neuropathy. Patients were divided into two groups: group A (neurolysis+chronic electrical stimulation) and group B (neurolysis). Group A included 6 patients. All ones had severe neurogenic pain syndrome (VAS score 7.16±0.75). In five patients, pain syndrome was accompanied by muscle weakness. Group B included 8 patients with severe neurogenic pain syndrome (VAS score 7.42±0.78). Muscle weakness was noted in seven cases. We assessed pain and muscle strength before surgery, in early postoperative period, 3, 6 and 12 months after surgery.
RESULTS: In group A, pain decreased in all cases (from 7.16±0.75 points before surgery to 2.33±1.36 points after 12 months). All patients with muscle weakness experienced higher muscle strength and range of voluntary movements after 12 months. In group B, pain decreased only in 4 out of 8 patients. Dynamics of pain ranged from 7.42±0.78 points before surgery to 5±3.02 points after 12 months. Higher muscle strength and range of movements were observed in only two patients.
CONCLUSION: Neurolysis combined with chronic electrical stimulation is followed by better outcomes in patients with post-traumatic sciatic neuropathy. Chronic peripheral electrical stimulation probably has an effect on recovery of motor functions.