19 Harley St, London, W1G 9QJ, UK

Mini-surgical approach for spinal endoscopy in the presence of stenosis of the sacral hiatus

Spinal endoscopy is a useful tool for the management of intractable low back or radicular pain originating from post lumbar laminectomy syndrome, epidural scarring, or disc protrusions, and non-responsive to conservative modalities and other interventional techniques including fluoroscopically directed epidural steroid injections and percutaneous adhesiolysis. Spinal endoscopy requires that the caudal canal be entered via the sacral hiatus. However, in a very small proportion of patients, access to the caudal canal is restricted because of stenosis or cartilaginous overgrowth of the hiatus. In such cases, the procedure is stopped because of the absence of an alternative approach to enter the epidural space with the spinal endoscope, resulting in non-availability of this treatment. This report describes a novel method of dealing with the problem of cartilaginous obstruction of the sacral hiatus, using a mini-surgical approach to decompress the hiatus, allowing access into the caudal canal

Keywords : Back,Endoscopy,Epidural Space,Injections,Laminectomy,Pain,Pain Management,Patients,Syndrome,, Approach,Spinal,Endoscopy, walk in doctor london bridge

Date of Publication : 2004 Jul

Authors : Helm S;Gross JD;Varley KG;

Organisation : Pacific Coast Pain Management Medical Center, 23792 Rockfield Blvd., Suite 101, Lake Forest, CA 92630, USA. drhelm@pcpmc.com

Journal of Publication : Pain Physician

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/16858469

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Mini-surgical approach for spinal endoscopy in the presence of stenosis of the sacral hiatus | London pain management

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810