Recent advances in epiduroscopy

Kitahata, Luke M.

doi:10.1007/s005400200029

Cited by 12 publications

(12 citation statements)

References 32 publications

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“…All patients responded well to the epidural blocks, but the symptoms relapsed within 1 week regardless of whether we used steroids. The median (range) time between the latest epidural steroid=local anaesthetic injection and epiduroscopy was 4 (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) weeks. All patients used NSAIDs, but none had been treated with opioids or spinal cord stimulation, or received psychotherapeutic management.…”

Section: Patientsmentioning

confidence: 99%

Lysis of adhesions and epidural injection of steroid/local anaesthetic during epiduroscopy potentially alleviate low back and leg pain in elderly patients with lumbar spinal stenosis

Igarashi

Hirabayashi

Seo

et al. 2004

British Journal of Anaesthesia

113

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Section: Patientsmentioning

confidence: 99%

Lysis of adhesions and epidural injection of steroid/local anaesthetic during epiduroscopy potentially alleviate low back and leg pain in elderly patients with lumbar spinal stenosis

Igarashi

Hirabayashi

Seo

et al. 2004

British Journal of Anaesthesia

113

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“…Furthermore, the technique allows the application of antiinflammatory drugs directly into the pathological area. An antiinflammatory response is targeted with the medications used during an epiduroscopy (19)(20)(21). In particular, steroidal antiinflammatory activity and an epidural washout with saline may suppress the inflammatory mediators that cause pain.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the efficacy of epiduroscopic adhesiolysis in Failed Back Surgery Syndrome

Ceylan¹,

Asik²,

Özgencil³

et al. 2019

Turk J Med Sci

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Backgraund and Aim: We aimed to compare the results of the treatment of the patients with failed back surgery syndrome (FBSS) by mechanical lysis and steroid hylase injection via epiduroscopy due to their stabilization status and to detect the effect of pathological diagnostic markers on prognosis and ongoing tretment protocol. Methods: Eighty-two patients with FBSS symtoms were included. Two groups were composed as group I (stabilized) and group II (non-stabilized). All patients were evaluated using the oswestry disability index (ODI) and visual analogue scale (VAS) scores before and after treatment at 1, 3, 6, and 12 months and using the Patient Satisfaction Scale at 12 months following treatment. Epidural scar tissue visual and mechanical signs were also recorded. Results: Mean VAS scores were as 7.8 and 3.28 points in group I (p<0.001) and as 7.51 and 2.74 points in group II (p<0.001) at the beginning and 12th months, respectively. Mean ODI scores were as 34.05 and 22.16 points in group I (p<0.001) and as 30.74 and 19.46 points in group II (p<0.001) at the beginning and 12th months. VAS and ODI scores decreased significantly in both groups, but were more significant in non-stabilized group (p<0.001). Moderate or severe fibrous tissue was observed in 86.58% and patient satisfaction scores were very good or good in 78.06%. During the procedure, a dura rupture developed in four patients in the stabilization group and in two patients in the non-stabilization group, although none of these patients developed a spinal headache, and no significant permanent complication arose. Conclusion: We suggest that epidural adhesiolysis, hyaluronidase and steroid injection in patients with FBSS chronic low back pain and/or radicular symptoms may give reliable information about the quality of life, accuracy of diagnosis and the possible course of the present findings and may be more effective in unstabilized patients. Key Words: Failed back surgery syndrome, epiduroscopic adhesiolysis, hyaluronidase.

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“…Normal nerve roots when touched cause paraesthesia, diseased ones pain, so patient report is essential while gently performing adhesiolysis. The technique allows examination of the epidural space and its contents, targeted injection of medication, lysis of scar tissue (adhesiolysis) and (potentially) retrieval of foreign bodies (Kitahata, 2002). As technology grows new possibilities such as minimally invasive surgery, intraoperative nerve stimulation and immunobiological interference evolve, promising an important role of spinal endoscopy in the treatment of spinal pain.…”

Section: B)mentioning

confidence: 99%