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Prevention of scar tissue formation in spinal surgery: state of the art and review of the literature

Recurrent radicular pain after lumbar micro-discectomy may lead to reduced quality of life of the patient. Lumbar epidural fibrosis is believed to be one of the mechanisms involved in the genesis of the pain. The use of absorbable gel temporarily separating disc remnants, muscle or bone structures from the nerve roots could reduce the amount of scar tissue surrounding the nerve, reduce tethering and therefore pain, improve outcomes and facilitate revision surgery. The author reviews the literature on prevention techniques for lumbar epidural fibrosis. The most recent studies on new compounds are encouraging in terms of safety and clinical efficacy

Keywords : Cicatrix,Failed Back Surgery Syndrome,Fibrosis,Humans,Intervertebral Disc Displacement,Lumbar Vertebrae,methods,Neurosurgery,Neurosurgical Procedures,Pain,Pain,Postoperative,pathology,prevention & control,Quality of Life,Radiculopathy,Safety,surgery,trends,, Scar,Tissue,Formation, paravertebral muscles spasm

Date of Publication : 2011 Sep

Authors : Fransen P;

Organisation : Brussels Neurosurgery Center, Clinique du Parc Leopold, Brussels, Belgium. p.fransen@neurobrussels.be

Journal of Publication : J Neurosurg Sci

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21968590

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