作者
Ehsan Dowlati
发表日期
2017/9/1
期刊
Seminars in spine surgery
卷号
29
期号
3
页码范围
136-146
出版商
WB Saunders
简介
The effectiveness and mechanisms of spinal cord stimulation described in literature rely on a proper understanding of spinal cord anatomy and pain theory. In this article we provide an overview of relevant spinal cord anatomy, pain mechanisms, and theories of pain perception. This includes the gate control theory that is the foundation for spinal cord stimulation as a treatment for chronic pain. Thereafter, we describe the different mechanisms of spinal cord stimulation. Specifically, there are considerations in anatomy, electrophysiology, neurochemistry, and neurophysiology of the central nervous system that play a role in how spinal cord stimulation modulates the pain “gate” system.
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