脊髓电刺激术：以科技和时间之力，助脊髓损伤患者重获功能希望

Core Viewpoint - The case highlights the significant potential of spinal cord stimulation (SCS) in the rehabilitation of spinal cord injury patients, demonstrating improvements in pain management and motor function recovery through advanced neurostimulation techniques [7]. Group 1: Patient Case Overview - A 62-year-old male patient experienced quadriplegia following a rare complication of epidural hematoma after arterial stenting, despite undergoing timely surgical intervention and rehabilitation [1]. - Initial assessment revealed that the patient retained some upper limb strength but had complete paralysis in the lower limbs, with an ASIA classification of B, indicating preserved sensory function below the injury level but no voluntary motor function [2]. Group 2: Treatment and Procedure - The treatment team developed a staged SCS implantation plan, utilizing a specific electrode configuration that significantly alleviated the patient's pain during testing [3]. - A permanent pulse generator was successfully implanted two weeks later, leading to effective pain control and notable improvements in lower limb muscle function and bladder control after six months of combined rehabilitation and neurostimulation therapy [3][6]. Group 3: Mechanism and Implications - SCS not only serves as a pain relief tool but also modulates spinal cord neural networks, enhancing sensory-motor integration and central autonomic control, which may facilitate neural function remodeling [6]. - The ongoing functional improvements underscore the potential of combining neurostimulation with rehabilitation training to promote nerve repair and recovery [6]. Group 4: Expert Commentary - Experts emphasize the critical role of SCS in comprehensive rehabilitation for spinal cord injuries, with advancements in electrode design and stimulation strategies promising to offer hope for more patients with long-term paralysis [7].