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Dorsal Longitudinal T-Myelotomy for Pain Management Post-SCI

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Table 34: Dorsal Longitudinal T-Myelotomy Post-SCI Pain

Discussion

Livshits et al. (2002) conducted a case control study comparing two approaches of dorsal longitudinal T-myelotomy (i.e., Pourpre vs. Bischof II) with respect to their effectiveness in reducing pain and spasticity in people with SCI, initially refractory to more conservative approaches (N=40). Systematic follow-up assessments at 6 months, 5 and 10 years were conducted. In this study, significant pain reduction was obtained with either of these surgical techniques, as measured using scores obtained from the Short Form – McGill Pain Questionnaire, the Present Pain Intensity scale, and a visual analog scale, but this appeared to be more notable with the Pourpre versus the Bischof II procedure.

Conclusion

There is level 3 evidence (from one case control study; Livshits et al. 2002) to support the use of dorsal longitudinal T-myelotomy procedures, in particular Pourpre’s technique, to reduce spastic pain post SCI.

  • Dorsal longitudinal T-myelotomy procedures reduce pain post SCI.