{"id":2905,"date":"2024-03-01T07:17:25","date_gmt":"2024-03-01T07:17:25","guid":{"rendered":"https:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=2905"},"modified":"2024-03-01T07:17:25","modified_gmt":"2024-03-01T07:17:25","slug":"ijar-2023-271","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2023-271","title":{"rendered":"IJAR.2023.271"},"content":{"rendered":"
<\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div>
<\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n

Type of Article:<\/strong> \u00a0Original Research<\/h3>\n

Volume 12; Issue 1 (March 2024)<\/strong><\/h3>\n

Page No.:<\/strong> 8855-8861<\/h3>\n

DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2023.271<\/h3>\n

Anatomical Considerations for Placing Spinal Cord Stimulators in Patients with Coronary Vascular Disease and Cardiomegaly<\/h3>\n

Cheryl Melovitz-Vasan *1<\/sup>, Susan Huff 2<\/sup>, Nagaswami Vasan 3<\/sup>.<\/strong><\/p>\n

1<\/sup> Associate Professor, Department of Biomedical Sciences, Cooper Medical School of Rowan University, Camden, 08103.New Jersey, USA.\u00a0<\/p>\n

2 <\/sup>Medical Education Research Collaborator; Rowan University Division of Global Learning and Partnerships, Glassboro, New Jersey, USA. ORCiD: <\/strong>0009-0002-7265-6773<\/p>\n

3 <\/sup>Professor of Anatomy Department of Biomedical Sciences, Cooper Medical School of Rowan University, Camden, New Jersey 08103, USA. ORCiD: <\/strong>0000-0002-3853-7263<\/p>\n

Corresponding Author: \u00a0<\/strong>Cheryl Melovitz-Vasan, PT., DPT., Ph.D., Associate Professor. Department of Biomedical Sciences, Cooper Medical School of Rowan University, 401 South Broadway, Camden, New Jersey 08103, USA. Phone: 1-856-361-2889.\u00a0E-Mail:<\/strong> Melovitz-Vasan@rowan.edu<\/p>\n

ABSTRACT<\/strong>\u00a0<\/p>\n

Background:<\/strong> The Spinal Column Stimulator (SCS) of the dorsal columns was first used in 1967 as a nonpharmacologic option for treating chronic intractable cancer pain.\u00a0 It works by blocking pain signals before they reach the brain.\u00a0 The device sends electrical pulses to electrodes placed over the spinal cord.\u00a0 These pulses modify the pain signals, which either make them imperceptible or replace them with a tingling sensation.\u00a0 It is important to note that spinal cord stimulation does not eliminate the source of pain, but rather changes how the brain perceives it.\u00a0 The placement of the electrode leads varies depending on the conditions being treated.\u00a0 SCS has become widely used both as an effective and practical option for the management of refractory chronic pain that is unresponsive to conventional treatments.\u00a0\u00a0\u00a0<\/p>\n

Results:<\/strong> While medical students were dissecting the body of a 91-year-old male donor who died of atherosclerotic coronary vascular disease and cardiomegaly, they encountered an implanted SCS device.\u00a0 Further dissection showed electrodes from the pulse generator reaching midthoracic level; the anodes and cathode leads were in the dorsal epidural space.\u00a0 The fact that the leads were in the midthoracic region and the donor had chronic atherosclerotic coronary vascular disease and cardiomegaly, he was probably treated for pain related to his cardiac conditions (refractory angina pectoris).<\/p>\n

Conclusions:<\/strong> In the SCS procedure, numerous anatomical structures within the spinal canal, such as the fatty tissue inside the epidural space, membranes of the dural sac, cerebrospinal fluid (CSF), and spinal cord nerve roots and rootlets, could affect the outcome for the patient.<\/p>\n

Keywords:<\/strong> Spinal Cord Stimulators, Anatomy of the spinal canal, Treating chronic intractable pain, Neural mechanism of pain perception.<\/p>\n

REFERENCES<\/strong><\/p>\n

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\n\t\t\t

\n \t Cite this article:<\/strong><\/span> Cheryl Melovitz-Vasan, Susan Huff, Nagaswami Vasan. Anatomical Considerations for Placing Spinal Cord Stimulators in Patients with Coronary Vascular Disease and Cardiomegaly. Int J Anat Res 2024;12(1):8855-8861. DOI:\u00a0<\/strong>10.16965\/ijar.2023.271\u00a0 \n <\/div>\t\n\t\t\n\n\n

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Type of Article: \u00a0Original Research Volume 12; Issue 1 (March 2024) Page No.: 8855-8861 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2023.271 Anatomical Considerations for Placing Spinal Cord Stimulators in Patients with Coronary Vascular Disease and Cardiomegaly Cheryl Melovitz-Vasan *1, Susan Huff 2, Nagaswami Vasan 3. 1 Associate Professor, Department of Biomedical Sciences, Cooper Medical School of Rowan University, Camden, 08103.New Jersey,
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