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Sacral Anterior Root Stimulation (SARS) and visceral function outcomes in spinal cord injury - a systematic review of literature over four decades

dc.rights.licenseopenen_US
dc.contributor.authorGUIHO, Thomas
dc.contributor.authorAZEVEDO-COSTE, Christine
dc.contributor.authorBAUCHET, Luc
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorDELLECI, Claire
IDREF: 132650967
dc.contributor.authorVIGNES, Jean Rodolphe
dc.contributor.authorGUIRAUD, David
dc.contributor.authorFATTAL, Charles
dc.date.accessioned2021-11-22T10:39:11Z
dc.date.available2021-11-22T10:39:11Z
dc.date.issued2021-09-18
dc.identifier.issn1878-8769 (Electronic) 1878-8750 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/123901
dc.description.abstractEnOBJECTIVES: The sacral anterior root stimulator (SARS) was developed 40 years ago to restore urinary and bowel functions to individuals with spinal cord injury (SCI). Mostly used to restore lower urinary tract function, SARS implantation is coupled with sacral deafferentation to counteract the problems of chronic detrusor sphincter dyssynergia and detrusor overactivity. In this article, we systematically review 40 years of SARS implantation and assess the medical added-value of this approach in accordance with the PRISMA guidelines (Preferred Reporting Items for Systematic reviews and Meta-Analyses). We identified four axes of investigation: i) impact on visceral functions, ii) implantation safety and device reliability, iii) individuals quality of life, and iv) additional information about the procedure. METHODS: Three databases were consulted: Pubmed, EBSCOhost and Pascal. 219 abstracts were screened and 38 publications were retained for analysis (1,147 implantations). RESULTS: The SARS technique showed good clinical results (85.9% of individuals used their implant for micturition and 67.9% to ease bowel movements) and improved individual quality of life. Conversely, several sources of complications were reported after implantation (surgical complications, failures etc.). CONCLUSIONS: Despite promising results, a decline in implantations was observed. This decline can be linked to the complication rate, as well as to the development of new therapeutics (botulinum toxin, etc.) and directions for research (spinal cord stimulation) that may have an impact on people. Nevertheless, the lack of alternatives in the short-term suggests that the SARS implant is still relevant for the restoration of visceral functions after SCI.
dc.language.isoENen_US
dc.subject.enLiterature review
dc.subject.enNeuroprosthesis
dc.subject.enSacral anterior root stimulation
dc.subject.enSpinal cord injury
dc.subject.enVisceral functions
dc.title.enSacral Anterior Root Stimulation (SARS) and visceral function outcomes in spinal cord injury - a systematic review of literature over four decades
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.wneu.2021.09.041en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed34547528en_US
bordeaux.journalWorld Neurosurgeryen_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamHACSen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.exportfalse
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=World%20Neurosurgery&rft.date=2021-09-18&rft.eissn=1878-8769%20(Electronic)%201878-8750%20(Linking)&rft.issn=1878-8769%20(Electronic)%201878-8750%20(Linking)&rft.au=GUIHO,%20Thomas&AZEVEDO-COSTE,%20Christine&BAUCHET,%20Luc&DELLECI,%20Claire&VIGNES,%20Jean%20Rodolphe&rft.genre=article


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