Epiduroscopy in treatment of degenerative chronic low back pain: A prospective analysis and follow-up at 60 months

Donato, A. Di; Fontana, C.; Alemanno, D.; Giacomo, A. Di

doi:10.3109/10601333.2010.485317

Cited by 11 publications

(21 citation statements)

References 11 publications

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“…Pain relief was reflected in an improvement in functional status assessed by the ODI, as in previous studies on the same topic . The impact of this improvement was less evident on SF‐36 Health Survey.…”

Section: Discussionsupporting

confidence: 61%

“…A previous retrospective study by Manchikanti et al., including only patients with failed back surgery syndrome, reported lower rates of significant pain relief (97% at 1 month, 52% at 3 months, 22% at 6 months, and 8% at 12 months). Either in such study or in another by Di Donato et al., all patients experienced significant pain relief after the procedure. On the contrary, in our study, 4 patients (16.7%) did not achieve a pain relief > 50% on the first day after the intervention.…”

Section: Discussionmentioning

confidence: 88%

“…Another contemporary review made a positive recommendation for epiduroscopy in patients with chronic lumbosacral radicular pain refractory to conservative or minimally invasive therapies . Different techniques have been used for adhesiolysis during epiduroscopy, namely mechanical, laser, radiofrequency, and chemical . Most often, steroids and local anesthetics are injected in the epidural space after adhesiolysis, but other substances have been used, namely clonidine, hyaluronidase, ciprofloxacin, and ozone …”

Section: Introductionmentioning

confidence: 99%

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Results of Lumbar Endoscopic Adhesiolysis Using a Radiofrequency Catheter in Patients with Postoperative Fibrosis and Persistent or Recurrent Symptoms After Discectomy

et al. 2014

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Endoscopic adhesiolysis is a potentially useful treatment for the relief of chronic intractable low back and lower limb pain in patients with previous lumbar spine surgery and epidural fibrosis. The use of larger volumes of saline during endoscopy and the employment of radiofrequency for the lysis of epidural adhesions are safe procedures, which may provide an additional benefit to the intervention.

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Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

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Results of Lumbar Endoscopic Adhesiolysis Using a Radiofrequency Catheter in Patients with Postoperative Fibrosis and Persistent or Recurrent Symptoms After Discectomy

et al. 2014

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“…Most often steroids and local anesthetics are injected into the epidural space after adhesiolysis [12,13,20] while other substances such as clonidine [12], hyaluronidase [14,19], ciprofloxacin [14] and ozone [14] have also been used.…”

Section: Methodsmentioning

confidence: 99%

“…Table 2 shows studies examining the effectiveness of endoscopic procedure's effectiveness, non-radiofrequency procedure [14][15][16]30].…”

Section: Effectivenessmentioning

confidence: 99%

A comparison of non-endoscopic and endoscopic adhesiolysis of epidural fibrosis

Bellini

Barbieri

2016

Anaesthesiol Intensive Ther

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Low back and leg pain may be due to many causes, one of which is scarring in the epidural space. Epidural scarring may provoke this pain for many reasons: nerves may be trapped by scars, while veins in the epidural space press down upon the nerves and become enlarged, putting pressure on the nerves. Endoscopic and percutaneous epidural adhesiolysis allows one to eliminate the deleterious effects of scar formation, which can both physically prevent the direct application of drugs to nerve and provide relief in patients who have not responded to epidurals, physical therapy or medication. A search of the MEDLINE and Embase databases was conducted for the period between 1970 and 2014 using the search terms "adhesiolysis", "lysis of adhesions", "epiduroscopy", "epidural neuroplasty", "epidural adhesions", "radiofrequency lysis adhesion" and "epidural scar tissue" in order to identify articles relevant for this review. The purpose of this review is to describe the effectiveness and complications present in a comparison of nonendoscopic, endoscopic and pulsed radiofrequency endoscopic procedures in lysis of adhesions in epidural fibrosis.

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EQ-5D-5L questionnaire as suitable assessment of quality of life after epiduroscopy

Rapčan¹,

Kočan²,

Witkovský

et al. 2020

Wien Klin Wochenschr

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Epiduroscopy in treatment of degenerative chronic low back pain: A prospective analysis and follow-up at 60 months

Cited by 11 publications

References 11 publications

Results of Lumbar Endoscopic Adhesiolysis Using a Radiofrequency Catheter in Patients with Postoperative Fibrosis and Persistent or Recurrent Symptoms After Discectomy

Results of Lumbar Endoscopic Adhesiolysis Using a Radiofrequency Catheter in Patients with Postoperative Fibrosis and Persistent or Recurrent Symptoms After Discectomy

A comparison of non-endoscopic and endoscopic adhesiolysis of epidural fibrosis

EQ-5D-5L questionnaire as suitable assessment of quality of life after epiduroscopy

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