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Chapter-141 Neurosurgical Procedures for Pain

BOOK TITLE: Ramamurthy's Decision Making in Pain Management: An Algorithmic Approach

Author
1. V Bartanusz
ISBN
9789386261458
DOI
10.5005/jp/books/14128_142
Edition
3/e
Publishing Year
2018
Pages
4
Author Affiliations
1. Centre Hospitalier Universitaire, Vaudois, Lausanne, Switzerland
Chapter keywords
Neurosurgical procedure, laminectomy, hemilaminectomy, foraminotomy, cancer pain, chronic nonmalignant pain, neurotomy, sympathectomy, mesencephalotomy

Abstract

Neurosurgical procedures for pain can be nonspecific or specific. The former are not specifically designed to address pain, although the improvement of pain is one of the surgical goals. Nonspecific procedures include nerve root decompressions by laminectomy, hemilaminectomy, or foraminotomy, releasing peripheral nerve entrapments, stabilization of an unstable spine, and correcting major spine deformities with instrumentation. Specific procedures are exclusively designed to address intractable pain and include destructive procedures and central electrical stimulations. Indications for specific procedures are two-fold following as cancer pain and chronic nonmalignant pain.

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