The use of spinal cord stimulation in the treatment of comorbid patients with post-laminectomy syndrome and cardiovascular pathology

INTRODUCTION. In the treatment of patients with failed back surgery syndrome (FBSS), especially in older age groups burdened with concomitant multi-organ pathology, the method of spinal cord stimulation (SCS) is increasingly used. AIM. To show the effect of spinal cord stimulation on pain syndrome and on cardiovascular function. MATERIALS AND METHODS. The study included patients with chronic vertebrogenic pain syndrome who had previously undergone reconstructive surgery on the spine and had concomitant cardiovascular pathology that carries high surgical risks. RESULTS. The obtained data demonstrated not only the neurological and analgesic effects of spinal cord stimulation, but also positive neuromodulatory effects on a number of important parameters of the cardiovascular system, such as the functional class of heart failure, heart rhythm disturbances, and pulmonary artery pressure. CONCLUSION. SCS shows a high degree of effectiveness in achieving an analgesic effect, improving the quality and duration of life in patients with FBSS who are not considered candidates for repeated surgical intervention. This approach forms a new multidisciplinary principle of patient treatment with the participation of specialists in neurosurgery and cardiology.