Case report: Use of peripheral nerve stimulation for treatment of pain from vertebral plana fracture

Vertebral plana fractures are a severe form of compression fractures that can cause significant morbidity due to incapacitating pain. Due to the flattening of the vertebrae in a plana fracture, accessing the vertebral body transpedicularly can be difficult, making traditional vertebral augmentation...

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Main Authors: Saba Javed, Kenneth Perry, Steven Mach, Billy Huh
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Pain Research
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpain.2022.1088097/full
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author Saba Javed
Kenneth Perry
Steven Mach
Billy Huh
author_facet Saba Javed
Kenneth Perry
Steven Mach
Billy Huh
author_sort Saba Javed
collection DOAJ
description Vertebral plana fractures are a severe form of compression fractures that can cause significant morbidity due to incapacitating pain. Due to the flattening of the vertebrae in a plana fracture, accessing the vertebral body transpedicularly can be difficult, making traditional vertebral augmentation treatment dangerous. These injuries also typically occur in elderly patients with contraindications to invasive procedures. Peripheral nerve stimulation is a relatively new and minimally invasive treatment that uses electrical stimulation to inhibit pain signals from reaching the somatosensory cortex. Our case describes an 80 Year old female with multiple comorbidities and refractory pain due to a vertebral planar fracture successfully treated with a 60 day course of peripheral nerve stimulation as evidenced by over 50% reduction in symptoms and discontinuation of opioid pain medication use.
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spelling doaj.art-6d65256df39343f79ca6e2420ca0510e2023-01-12T06:52:53ZengFrontiers Media S.A.Frontiers in Pain Research2673-561X2023-01-01310.3389/fpain.2022.10880971088097Case report: Use of peripheral nerve stimulation for treatment of pain from vertebral plana fractureSaba Javed0Kenneth Perry1Steven Mach2Billy Huh3Department of Pain Medicine, University of Texas MD Anderson Cancer Center, Houston, United StatesDepartment of Anesthesiology, Critical Care and Pain Medicine, University of Texas Health Science Center at Houston, Houston, United StatesDepartment of Pain Medicine, University of Texas MD Anderson Cancer Center, Houston, United StatesDepartment of Pain Medicine, University of Texas MD Anderson Cancer Center, Houston, United StatesVertebral plana fractures are a severe form of compression fractures that can cause significant morbidity due to incapacitating pain. Due to the flattening of the vertebrae in a plana fracture, accessing the vertebral body transpedicularly can be difficult, making traditional vertebral augmentation treatment dangerous. These injuries also typically occur in elderly patients with contraindications to invasive procedures. Peripheral nerve stimulation is a relatively new and minimally invasive treatment that uses electrical stimulation to inhibit pain signals from reaching the somatosensory cortex. Our case describes an 80 Year old female with multiple comorbidities and refractory pain due to a vertebral planar fracture successfully treated with a 60 day course of peripheral nerve stimulation as evidenced by over 50% reduction in symptoms and discontinuation of opioid pain medication use.https://www.frontiersin.org/articles/10.3389/fpain.2022.1088097/fullperipheral nerve stimulation (PNS)compression fracturevertebral fracturepaincancer painminimally in vasive therapy
spellingShingle Saba Javed
Kenneth Perry
Steven Mach
Billy Huh
Case report: Use of peripheral nerve stimulation for treatment of pain from vertebral plana fracture
Frontiers in Pain Research
peripheral nerve stimulation (PNS)
compression fracture
vertebral fracture
pain
cancer pain
minimally in vasive therapy
title Case report: Use of peripheral nerve stimulation for treatment of pain from vertebral plana fracture
title_full Case report: Use of peripheral nerve stimulation for treatment of pain from vertebral plana fracture
title_fullStr Case report: Use of peripheral nerve stimulation for treatment of pain from vertebral plana fracture
title_full_unstemmed Case report: Use of peripheral nerve stimulation for treatment of pain from vertebral plana fracture
title_short Case report: Use of peripheral nerve stimulation for treatment of pain from vertebral plana fracture
title_sort case report use of peripheral nerve stimulation for treatment of pain from vertebral plana fracture
topic peripheral nerve stimulation (PNS)
compression fracture
vertebral fracture
pain
cancer pain
minimally in vasive therapy
url https://www.frontiersin.org/articles/10.3389/fpain.2022.1088097/full
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