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

Pereira, Paulo; Severo, Milton; Monteiro, Pedro; Silva, Pedro Alberto; Rebelo, Virgínia; Castro-Lopes, José Manuel; Vaz, Ruí

doi:10.1111/papr.12266

Cited by 19 publications

(15 citation statements)

References 73 publications

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“…Fourth, adhesiolysis around the nerve root can be performed simultaneously. [10][11][12] This procedure does not require much additional time and is not difficult to perform. It also has the advantage of using commercially available catheters without the need to develop new instruments.…”

Section: Discussionmentioning

confidence: 99%

Epidural Catheter-Assisted Percutaneous Transforaminal Endoscopic Diskectomy: A Technical Note

Kim¹,

Jang²,

Jang

2020

J Neurol Surg A Cent Eur Neurosurg

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Background With advances in techniques and instruments, percutaneous endoscopic transforaminal lumbar diskectomy (PETLD) is now widely used for lumbar disk herniation. Although the indication for PETLD is expanding, the technique still has limitations. To overcome them, we performed the epidural catheter-assisted PETLD described here. Methods A 49-year-old woman had severe radiating pain in a left L5 dermatomal distribution. Magnetic resonance imaging (MRI) revealed left paramedial disk herniation at L4–L5 and a small downward-migrated disk fragment. We performed epidural catheter-assisted PETLD. Mechanical outward pushing and normal saline injection through the epidural catheter were performed for removal of hidden disk remnants. In the second case, a 26-year-old man presented with severe radiating pain in the L5–S1 dermatoms on both sides. MRI revealed massive disk herniation at L4–L5. A unilateral approach was used, and the ruptured disk could be moved using an epidural catheter. Results The patients' pain improved immediately after the procedures. With this method, neural decompression can be performed more easily and effectively. Conclusions Epidural catheter-assisted PETLD has several advantages and can overcome the limitations of conventional PETLD.

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Section: Discussionmentioning

confidence: 99%

Epidural Catheter-Assisted Percutaneous Transforaminal Endoscopic Diskectomy: A Technical Note

Kim¹,

Jang²,

Jang

2020

J Neurol Surg A Cent Eur Neurosurg

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“…Endoscopic adhesiolysis with pulsed radiofrequency (PRF) may be considered as a viable first-line, minimally invasive method, which can be easily repeated and has next to no side effects. Moreover, it is possible to apply a bolus of opioids in addition to the application of PRF [18,31].…”

Section: Discussionmentioning

confidence: 99%

“…Dural puncture [31], subarachnoid block Pain at the site of the procedure/low back pain Dural puncture headache and cerebrospinal fluid leak…”

Section: Discussionmentioning

confidence: 99%

“…Severe visual impairment Bilateral retinal hemorrhage and blindness in an 80-year old with macular degeneration [15] In case of laser-assisted spinal endoscopy: motor paralysis resulting from thermal damage to nerve roots [16] Infections [31], no meningitis…”

Section: Discussionmentioning

confidence: 99%

“…The employment of radiofrequency for the lysis of epidural adhesions may bring an additional benefit to the procedure [17,18,31,32]. Table 3 shows studies examining the effectiveness of the endoscopic radiofrequency procedure.…”

Section: Effectivenessmentioning

confidence: 99%

See 2 more Smart Citations

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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Complications of Epiduroscopic Procedures

Şahin¹

2022

Complications of Pain‐Relieving Procedures

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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

Cited by 19 publications

References 73 publications

Epidural Catheter-Assisted Percutaneous Transforaminal Endoscopic Diskectomy: A Technical Note

Epidural Catheter-Assisted Percutaneous Transforaminal Endoscopic Diskectomy: A Technical Note

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

Complications of Epiduroscopic Procedures

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