Epidural fibrosis with chronic low back pain, nonresponsive to traditional measures of treatment including surgery, is a common entity in modern medicine. Traditionally, epidural steroid injections have been employed to treat chronic low back pain and radiculopathy associated with failed back surgery. Due to the poor effectiveness of epidural steroid injections in post lumbar laminectomy syndrome, epidural adhesiolysis was introduced in the early 1980s. Caudal epidural adhesiolysis with hypertonic saline neurolysis has been described extensively in the literature and has been proven to be relatively successful and safe. To improve the results and reach the target area with steroid, transforaminal ventral epidural adhesiolysis has been utilized. This retrospective case analysis included 14 patients. Transforaminal ventral epidural adhesiolysis was performed on an outpatient basis in all patients. The results showed 93% improvement initially, which decreased to 71% at 1 month, 57% at 3 months, 43% at 6 months and 21% at 1 year. The results of this case study show that ventral epidural lysis of adhesions with hypertonic saline neurolysis is safe and effective in managing chronic low back and lower extremity pain in patients who failed to respond to other conservative modalities of treatments, including fluoroscopically directed transforaminal epidural steroid injections
Keywords : analysis,Back,Back Pain,Fibrosis,Injections,Laminectomy,Low Back Pain,Lower Extremity,Pain,Patients,Radiculopathy,surgery,Syndrome,, Ventral,Epidural,Adhesiolysis, chiropractor harley street london
Date of Publication : 2001 Jul
Authors : Hammer M;Doleys DM;Chung OY;
Organisation : St. Vincent’s Hospital, Comprehensive Pain Treatment Center, Birmingham, AL 35205, USA
Journal of Publication : Pain Physician
Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/16900254
The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery
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