Epidural spinal cord stimulation for XXXX : a neurosurgical multicentric Italian data collection and analysis.

@entity1 @entity602 @entity158 @entity1118 @entity9
BACKGROUND: @entity602 ( @entity602 ) is a technique used worldwide to treat several types of chronic @entity9 refractory to any conservative treatment. The aim of this data collection is to enforce evidence of @entity602 effectiveness on neuropathic @entity1118 reported in the literature and to speculate on the usefulness of the trial period in determining the long-term efficacy. Moreover, the very low percentage of undesired side effects and complications reported in our case series suggests that all implants should be performed by similarly well-trained and experienced professionals. METHOD: A multicentric data collection on a common database from 11 Italian neurosurgical departments started 3   years ago. Two different types of electrodes (paddle or percutaneous leads) were used. Of 122 @entity1 , 73  % (N   =   89) were submitted to a trial period, while the remaining @entity1 underwent the immediate permanent implant (N   =   33). Statistical comparisons of continuous variables between groups were performed. RESULTS: Most of the @entity1 (80  %) had predominant @entity158 to their lower limbs, while only 17  % of @entity1 had prevalent @entity158 . Significant reduction in @entity158 , as measured by variation in visual analogue scale (VAS) score, was observed at least 1  year after implantation in 63.8  % of the cases, 59.5  % of @entity1 who underwent a test trial and 71.4  % of @entity1 who underwent permanent implant at once. No statistical differences were found between the lower-limb @entity158 group and the @entity158 group. CONCLUSIONS: No relevant differences in long-term outcomes were observed in previously tested @entity1 compared with @entity1 implanted at once. Through this analysis we hope to recruit new centres, to give more scientific value to our results.
