Spinal endoscopy

Addison, Robert G.

doi:10.1007/s11916-999-0035-8

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…The results of non-endoscopic adhesiolysis have been encouraging and the procedure was shown to be cost effective, as well as safe (26)(27)(28). Similar results were presented with endoscopic adhesiolysis even though cost effectiveness was not demonstrated (30,31).…”

Section: Discussionsupporting

confidence: 57%

“…Among various procedures available, lysis of epidural adhesions is considered as one of the effective therapeutic modalities of management in these patients. Epidural adhesiolysis is performed either non-endoscopically or endoscopically (22)(23)(24)(25)(26)(27)(28)(29)(30)(31).…”

mentioning

confidence: 99%

“…Non-endoscopic adhesiolysis is performed with a Racz ® epidural tunnel catheter which is a stainless steel, Teflon coated, soft, spiral tipped catheter, presumably passing this into the area of adhesions or the scar on multiple occasions, thus, achieving adhesiolysis (22)(23)(24)(25)(26)(27)(28). In contrast, endoscopic adhesiolysis involves accessing the epidural space using a flexible fiberoptic catheter via the sacral hiatus, thus obtaining three-dimensional visualization of the contents, and with the ability to steer the catheter toward structures of interest, namely adhesions (29)(30)(31). With a non-endoscopic procedure, adhesions are identified as filling defects and subsequent filling of these areas is considered as achieving satisfactory adhesiolysis.…”

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confidence: 99%

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Non-Endoscopic and Endoscopic Adhesiolysis in Post Lumbar Laminectomy Syndrome: A One-Year Outcome Study and Cost Effectiveness Analysis

Manchikanti

Pampati²,

Bakhit³

et al. 1999

Pain Phys

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Post lumbar laminectomy syndrome with its resultant chronic low back pain is estimated to occur in 20% to 50% of the patients. Among various procedures available, lysis of epidural adhesions is considered as one of the effective therapeutic modalities of management in these patients, and may be performed either non-endoscopically or endoscopically. This retrospective evaluation included 120 post lumbar laminectomy patients who underwent either non-endoscopic adhesiolysis (Group I) or endoscopic adhesiolysis (Group II) with 60 consecutive patients in each group. The quality of pain relief when greater than 50% was considered significant. Results showed all patients experienced significant relief following both procedures even though the number of patients experiencing significant relief decreased with both techniques over a time period. Overall relief with the first procedure (mean + SEM) was 12 + 3.2 weeks for Group I, and it was 20 + 2.9 weeks for Group II with significantly longer improvement in Group II than Group I. At one year follow up, the results showed that with repeat procedures, 72% in Group I and 40% in Group II experienced significant relief at 6 months, whereas at 12 months, it decreased

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Section: Discussionsupporting

confidence: 57%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Non-Endoscopic and Endoscopic Adhesiolysis in Post Lumbar Laminectomy Syndrome: A One-Year Outcome Study and Cost Effectiveness Analysis

Manchikanti

Pampati²,

Bakhit³

et al. 1999

Pain Phys

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Epidural Adhesiolysis

Day¹,

Shah²,

Heavner³

et al. 2008

Interventional Spine

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Re-adhesions after Epiduroscopy

Date¹,

Takiguchi²,

Chiba³

et al. 2012

JJSCA

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At our hospital, epiduroscopy is indicated for pain refractory to nerve block and pharmacotherapy, pain that is temporarily relieved by nerve root block, and adhesions demonstrated by sacral epidurography. In 23 patients who obtained sufficient abrasion during epiduroscopy, sacral epidurography was randomly performed between postoperative days 2 and 14. Re-adhesions began forming on postoperative day 3 in early patients and had occurred in approximately 30% of our patients by 2 weeks after surgery. However, there was no observable difference in postoperative analgesic effects between patients with and without re-adhesions. Epiduroscopy may be associated with not only physical abrasion effects on the epidural space, but also the cleansing effect of physiological saline, local drug effects, and so on.

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Spinal endoscopy

Cited by 3 publications

References 12 publications

Non-Endoscopic and Endoscopic Adhesiolysis in Post Lumbar Laminectomy Syndrome: A One-Year Outcome Study and Cost Effectiveness Analysis

Non-Endoscopic and Endoscopic Adhesiolysis in Post Lumbar Laminectomy Syndrome: A One-Year Outcome Study and Cost Effectiveness Analysis

Epidural Adhesiolysis

Re-adhesions after Epiduroscopy

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