Spinal Cord Stimulation

1. Front Matter

   Pages I-X

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2. Anatomy, physiology and pharmacology of pain

   1. Front Matter

      Pages 1-1

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   2. Basic neurophysiological mechanisms of pain and pain control

      • M. Zimmermann

      Pages 3-18

   3. The endogenous neuromodulatory system

      • E. S. Krames

      Pages 19-25

   4. Some aspects on pathophysiology of pain in clinical angiology

      • H. Rieger

      Pages 27-33

3. Spinal cord stimulation for chronic pain

   1. Front Matter

      Pages 35-35

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   2. Spinal cord stimulation in patients: Basic anatomical and neurophysiological mechanisms

      • W Jänig

      Pages 37-58

   3. Neuropathic pain and stimulation of the nervous system

      • J. Gybels

      Pages 59-64

   4. Spinal cord stimulator: Design and function

      • K. R. Mullett, W. Starkebaum

      Pages 65-73

   5. Epidural spinal cord stimulation (ESCS): Implantation technique

      • K. Ktenidis, L. Claeys, S. Horsch

      Pages 75-79

4. Critical limb ischemia

   1. Front Matter

      Pages 81-81

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   2. Definition, epidemiology, and pathophysiology of critical limb ischemia

      • C. Diehm

      Pages 83-93

   3. Pharmacotherapy of critical limb ischaemia

      • J. F. Belch, P. McCollum

      Pages 95-112

   4. Limb salvage, vascular procedures versus primary amputation

      • Klaus Balzer

      Pages 113-121

5. Assessment of the microcirculation

   1. Front Matter

      Pages 123-123

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   2. Evaluation of the skin microcirculation by photoplethysmography, laser Doppler velocimetry, and transcutaneous measurements of pO2

      • J. D. Blankensteijn, William M. Abbott

      Pages 125-133

   3. Laser doppler fluxmetry in peripheral vascular disease

      • A. Scheffler

      Pages 135-141

6. Clinical evaluations

   1. Front Matter

      Pages 143-143

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   2. Transcutaneous oxygen tension in patients with critical limb ischemia treated by spinal cord stimulation

      • L. Claeys, K. Ktenidis, S. Horsch

      Pages 145-152

   3. Vascular disease and spinal cord stimulation

      • M. J. H. M. Jacobs

      Pages 153-155

A pioneering group of authors describes in this book, for the first time, the state of the art of spinal cord stimulation for chronic critical limb ischemia. This method, a progeny of pacemaking in cardiac rhythm disorders, is a promising, innovative procedure; it presents a modern challenge in treatment of endstage peripheral vascular disease or neuropathic pains. Spinal cord stimulation may have a tremendous future if it further develops to become a standard treatment in special indications.

• Laser
• anatomy
• angiology
• circulation
• implant
• nervous system
• physiology
• spinal cord
• treatment
• vascular disease

• Abteilung für Allgemeinchirurgie — Gefäßchirurgie und Traumatologie, Krankenhaus Porz am Rhein Akademisches Lehrkrankenhaus der Universität zu Köln, Köln, Deutschland

  Svante Horsch, Luc Claeys

Policies and ethics