Evidence map›Paper›PMID 41017692›Full record

ArticleNeural regeneration research2026

Spinal cord stimulation: An emerging strategy for chronic pain relief after spinal cord injury.

Qiwen Wang, Ying Zhang, Huifeng Zhang, Zhonghai Li

Abstract read
In one paragraph

Article in Neural regeneration research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Qiwen WangDepartment of Orthopedics, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province, China.
Ying ZhangDepartment of Orthopedics, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province, China.
Huifeng ZhangDepartment of Orthopedics, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province, China.
Zhonghai LiDepartment of Orthopedics, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province, China.ORCID 0000-0003-4735-1193

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic pain following a spinal cord injury refers to pain that persists or recurs after the injury. This pain can manifest as burning, stinging, or sensations similar to electric shocks. Recent studies have shown that spinal cord stimulation is an effective way to treat chronic pain after spinal cord injury. The purpose of this review is to introduce the technique of spinal cord stimulation, the clinical manifestations of spinal cord injury, and the role of spinal cord stimulation in the treatment of spinal cord injury. The mechanism and clinical application of spinal cord stimulation in the treatment of pain after spinal cord injury are discussed. The mechanism of spinal cord stimulation primarily involves three aspects: neuromodulation, neurochemical regulation, and anti-inflammatory effects, along with nerve repair. In terms of neuromodulation, spinal cord stimulation is based on the gate control theory of pain. It activates large-diameter amyloid-β nerve fibers to promote the release of inhibitory neurotransmitters by gamma-aminobutyric acidergic inhibitory interneurons in the spinal cord, thereby blocking the transmission of pain signals from small-diameter C fibers. Neurochemical studies indicate that spinal cord stimulation can regulate the balance of neurotransmitters within the spinal cord, increasing the release of inhibitory neurotransmitters such as gamma-aminobutyric acid, serotonin, and acetylcholine while reducing the levels of excitatory neurotransmitters. Additionally, spinal cord stimulation exhibits significant anti-inflammatory and neuroprotective effects, downregulating pro-inflammatory factor levels, upregulating anti-inflammatory factor expression, alleviating neuroinflammatory responses, and repairing damaged neural circuits by promoting the secretion of neurotrophic factors and axonal regeneration. Spinal cord stimulation have demonstrated remarkable efficacy in the clinical treatment of pain after spinal cord injury, but there are still limitations such as small sample size and high heterogeneity in clinical studies, as well as insufficient long-term efficacy data. Future research should conduct multi-center large-sample randomized controlled trials, and establish long-term follow-up mechanisms to improve evidence-based medical evidence.

Indexed as

chronic painelectric stimulation therapyGABAergic neuronsnerve regenerationneuroinflammatory diseasesneuronal plasticityneuropathic painneuroprotectionpain managementspinal cord injuriesspinal cord stimulation

Identifiers

PMID41017692
PMCPMC13452704

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.