Epiduroscopy: Review of technique and results

Krasuski, P.; Poniecka, Anna W.; Gal, E.; Wali, Ashutosh; Truong, Angela T.; Hart, Angelique M. L.

doi:10.1163/15685690152385772

Cited by 10 publications

(9 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most studies utilized post lumbar laminectomy syndrome or epidural fibrosis as inclusion criteria, whereas one study [28] included patients with lumbar spinal stenosis, and another [31] exclusively studied patients without history of surgery. In addition, some studies [26,27,30] specifically described inclusion criteria as patients without long-term improvement following fluoroscopically directed epidural steroid injections and one-day percutaneous adhesiolysis.…”

Section: Introductionmentioning

confidence: 99%

“…Even though multiple authors have described various types of findings, including the identification of inflammation with an endoscope, neither the reliability nor the clinical utility of spinal endoscope as a diagnostic tool has been established [23-25,28,29]. Consequently, no attempt was made to evaluate the diagnostic utility of spinal endoscopy.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A randomized, controlled trial of spinal endoscopic adhesiolysis in chronic refractory low back and lower extremity pain [ISRCTN 16558617]

et al. 2005

View full text Add to dashboard Cite

BackgroundPostoperative epidural fibrosis may contribute to between 5% to 60% of the poor surgical outcomes following decompressive surgery. Correlations have been reported between epidural scarring and radicular pain, poor surgical outcomes, and a lack of any form of surgical treatment. The use of spinal endoscopic adhesiolysis in recent years in the management of chronic refractory low back and lower extremity pain has been described.MethodsA prospective, randomized, double-blind trial was conducted to determine the outcome of spinal endoscopic adhesiolysis to reduce pain and improve function and psychological status in patients with chronic refractory low back and lower extremity pain. A total of 83 patients were evaluated, with 33 patients in Group I and 50 patients in Group II. Group I served as the control, with endoscopy into the sacral level without adhesiolysis, followed by injection of local anesthetic and steroid. Group II received spinal endoscopic adhesiolysis, followed by injection of local anesthetic and steroid.ResultsAmong the 50 patients in the treatment group receiving spinal endoscopic adhesiolysis, significant improvement without adverse effects was shown in 80% at 3 months, 56% at 6 months, and 48% at 12 months. The control group showed improvement in 33% of the patients at one month and none thereafter. Based on the definition that less than 6 months of relief is considered short-term and longer than 6 months of relief is considered long-term, a significant number of patients obtained long-term relief with improvement in pain, functional status, and psychological status.ConclusionSpinal endoscopic adhesiolysis with targeted delivery of local anesthetic and steroid is an effective treatment in a significant number of patients with chronic low back and lower extremity pain without major adverse effects.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A randomized, controlled trial of spinal endoscopic adhesiolysis in chronic refractory low back and lower extremity pain [ISRCTN 16558617]

et al. 2005

View full text Add to dashboard Cite

show abstract

“…Hypertrophy of the ligamentum flavum is usually involved in the pathogenesis of spinal stenosis which can cause loss of disc height, reduce the diameter of the spinal canal and compress the dural sac and nerve roots. A multilevel detailed examination of the epidural space is now possible with epiduroscopy and directly observation of hypertrophied ligamentum flavum can be satisfactorily achieved [28,29].…”

Section: Ligamentum Flavum Hypertrophymentioning

confidence: 99%

Epiduroscopy (Epidural Endoscopy)

Sayhan¹,

Beyaz²

2016

Pain Management

View full text Add to dashboard Cite

Epiduroscopy is a relatively new technique used in the evaluation and treatment of low back pain via advancements in optical fiber technology. As a minimally invasive endoscopic technique, it allows for direct endoscopic imaging of the epidural space and helps the patients for the pain management who having post-lumbar surgery syndrome (PLSS) and other cases of low back pain and radiculopathy. An advanced understanding of the anatomy of epidural space and adjacent structures are also essential for positive and successful clinical outcomes. The use of epiduroscopy in the pain clinic is performed as a day procedure, and the patient is awake and can communicate with the doctor. During an epiduroscopy, thin tubes with a bright light and tiny fiberoptic camera at the end are inserted through the sacral hiatus into the epidural space around the dura and guided up toward the affected site. Anterior epiduroscopy and epiduroscopic laser neural decompression (ELND) have been recently introduced in treating herniated disc decompressions, and chronic low back pain and radicular pain, respectively. The most common complications of epiduroscopic approach are the pain in the intervention point, dural puncture, and headache.

show abstract

“…In 1995, Saberski and Brull [30] started evaluations of several fiberoptic systems for use in clinical epiduroscopy. Numerous publications [32][33][34][35]36•,37••, [38][39][40] have described the various aspects of spinal endoscopy, including clinical basis, safety, and cost effectiveness, in the 20th century.…”

Section: Historymentioning

confidence: 99%

“…In addition, 72% from the spinal canal endoscopy group and only 28% from the laminectomy group returned to work. In a review of 22 cases, Krasuski et al [38] reported initial improvement in 64% of the patients; however, that number declined to 50% after 1 month and 32% after 3 months, coupled with a medication decrease in 32% of the patients.…”

Section: Effectivenessmentioning

confidence: 99%

Epidural lysis of adhesions and myeloscopy

Manchikanti

Singh

2002

Current Science Inc

View full text Add to dashboard Cite

Chronic low back pain is one of the most common ailments in modern medicine, with as many as 79% of patients with acute pain continuing to suffer with chronic or recurrent low back pain 1 year after its onset. Lumbar epidural fibrosis and post-lumbar laminectomy syndrome are increasingly recognized as being responsible for persistent low back pain. Estimations show that approximately 5% to 40% of lumbar surgeries result in failed back surgery syndrome. Epidural adhesiolysis with myeloscopy is an interventional technique based on the premise that the three-dimensional visualization of the contents of the epidural space provides the physician with the ability to directly visualize the structures, perform appropriate adhesiolysis, and administer drugs specifically to the target. This review describes pathophysiologic aspects, purposes and goals, rationale and indications, complications, and effectiveness of epidural lysis of adhesions with myeloscopy.

show abstract

Epiduroscopy: Review of technique and results

Cited by 10 publications

References 6 publications

A randomized, controlled trial of spinal endoscopic adhesiolysis in chronic refractory low back and lower extremity pain [ISRCTN 16558617]

A randomized, controlled trial of spinal endoscopic adhesiolysis in chronic refractory low back and lower extremity pain [ISRCTN 16558617]

Epiduroscopy (Epidural Endoscopy)

Epidural lysis of adhesions and myeloscopy

Contact Info

Product

Resources

About