Spinal Cord Stimulation for Management of Kienbock's Disease: A Case Report.
Bibliographic record
Abstract
BACKGROUND: Kienbock's disease, or osteonecrosis of the lunate, is associated with a history of pain and weakness of the affected wrist. To date, no reports have been published demonstrating use of spinal cord stimulation (SCS) for management of this disease. The patient provided HIPAA compliant informed consent for the inclusion of their clinical information in this report. CASE REPORT: A 31-year-old woman presented with a 10-year history of right wrist pain, absent of a history of trauma, that did not improve with conservative therapy, found to be secondary to avascular necrosis of the right lunate bone. A spinal cord stimulator trial and implant were subsequently performed, demonstrating a 75% reduction in pain intensity with paresthesia-free stimulation at 8-week follow-up and return to work. CONCLUSIONS: SCS can help significantly improve symptoms and function in patients with Kienbock's disease.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.008 | 0.003 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".