Extradural implantation of sacral anterior root stimulators.
Open accessAbstract
A technique for extradural deafferentation of the S2 to S5 segments and extradural implantation of stimulating electrodes is described, and its application to twelve patients with spinal cord lesions is reported. Nine patients use their implants for micturition, and seven are fully continent. The advantages and disadvantages of this technique compared with the more usual intrathecal procedure are discussed.
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An epidural implantation procedure was developed to increase the group of patients who may benefit from this neural prosthesis.
“Besides the intradural surgical implantation, an epidural implantation procedure was developed (Sauerwein et al., 1990) to enhance the group of patients who may benefit from this kind of neural prosthesis.”
From A critical review of interfaces with the peripheral nervous system for the control of neuroprostheses and hybrid bionic systems (2005) · cites this paper as Sauerwein et al., 1990
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Research works printed but not linked: 6
- Brindley GS, Polkey CE, Rushton DN. Sacral anterior root stimulators for bladder control in paraplegia. Paraplegia 1982;20:365-81.
- Brindley GS, Polkey CE, Rushton DN, Cardozo L. Sacral anterior root stimulators for bladder control in paraplegia: the first 50 cases. J Neurol Neurosurg Psychiatry 1986; 94:1104-14.
- Schmidt RA. Advances in genitourinary neurostimulation. Neurosurgery 1986;18:1041-4.
- Tanagho EA, Schmidt RA. Electrical stimulation in the clinical management of the neurogenic bladder. Journal of Urology 1988;140:1331-9.
- Sauerwein D. Funktionelle Elektrostimulation (FES) der Harnblase. Erste Erfahrungen mit sakraler Deafferen- tation (SDAF) und Vorderwurzelstimulation (SARS) nach Brindley in Deutschland. Verhandlungsberichte der Deutschen Gesellschaftfuir Urologie 1987;39:595-7.
- Egon G, Colombel P, des Roseaux F, Philippi R, Herlant M. Electrostimulation des racines sacrees anterieures chez le paraplegique. A propos de 13 observations. Annales des Readaptation et de Medicine physique 1989;32:47-57.
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Navarro, X., Krueger, T. B., Lago, N., Micera, S., Stieglitz, T., & Dario, P. (2005) · Journal of the Peripheral Nervous System · doi:10.1111/j.1085-9489.2005.10303.x · Cited by 845 · see citing works
The first 500 patients with sacral anterior root stimulator implants: general description
Brindley, G. S. (1994) · Spinal Cord · doi:10.1038/sc.1994.126 · Cited by 318 · see citing works
Self-citationControl of urinary bladder function with devices: successes and failures
Gaunt, R. A., & Prochazka, A. (2006) · Progress in Brain Research · doi:10.1016/s0079-6123(05)52011-9 · Cited by 105 · see citing works
Electrical stimulation of sacral roots for micturition after spinal cord injury
Creasey, G. H. (1993) · Urologic Clinics of North America · doi:10.1016/s0094-0143(21)00511-5 · Cited by 80 · see citing works
- Authors
- Sauerwein, D., Ingunza, W., Fischer, J., Madersbacher, H., Polkey, C. E., Brindley, G. S., Colombel, P., & Teddy, P.
- Affiliations
- Werner-Wicker-Klinik (DE)
- Venue
- Journal of Neurology, Neurosurgery & Psychiatry
- Publisher
- BMJ
- Published
- 1990-08-01
- Volume
- 53
- Issue
- 8
- Pages
- 681-684
- ISSN
- 0022-3050 (ISSN-L)
- PMC
- PMC488172
- OpenAlex
- W2017016472
- Cited by
- 62
- References
- 0
- Citations by year
- 2025: 1 · 2023: 4 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 3 · 2016: 1 · 2015: 1 · 2013: 3 · 2012: 5
- FWCI
- 4.77
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Neurology Neurosurgery & Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Health Sciences › Medicine › Pathology and Forensic Medicine › Spinal Cord Injury Research
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- sacral anterior root stimulation, deafferentation, spinal cord lesions, micturition, urinary continence, sacral neuromodulation
- MeSH terms
- Adult, Afferent Pathways, Urinary Bladder, Urinary Bladder, Neurogenic, Electrodes, Implanted, Electric Stimulation Therapy, Female, Humans, Male, Middle Aged, Paraplegia, Postoperative Complications, Spinal Cord Injuries, Spinal Cord Neoplasms, Spinal Nerve Roots, Urinary Incontinence
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