约70%~80%的脑卒中患者会遗留偏侧肢体运动功能障碍，导致日常生活能力严重受限。当前针对卒中后偏瘫的治疗方法主要包括药物治疗、康复和矫形外科干预，但均存在明显的局限性。脊髓电刺激（SCS）通过将电极精准植入椎管内硬脊膜外腔来刺激脊髓，调节脊髓和脑的神经网络活动，从而改善患者的运动功能，其安全性和有效性已得到初步验证。本共识对SCS治疗卒中后偏瘫的手术适应证和时机把握、术前评估、手术操作、刺激参数设置、术后管理及康复等方面进行梳理、总结，通过推进其标准化与规范化以促进该技术的推广。

Approximately 70%-80% of stroke survivors experience residual hemiplegic motor dysfunction, significantly impairing their capacity for activities of daily life. Current therapeutic modalities for post-stroke hemiplegia primarily include pharmacological interventions, rehabilitation therapies, and orthopedic surgical procedures; however, these conventional approaches exhibit notable limitations. Spinal cord stimulation (SCS), which involves precise epidural electrode implantation to modulate spinal and cerebral neural network activity, has demonstrated preliminary safety and efficacy in improving motor function. This consensus document systematizes and summarizes key aspects of SCS implementation for post-stroke hemiplegia, including surgical indications, optimal timing, preoperative assessment, surgical techniques, parameter configuration, postoperative management, and rehabilitation protocols. The objective is to establish standardized protocols to facilitate the widespread adoption of this therapeutic technology.