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Spinal endoscopy in chronic low back pain with radiculopathy. (Bradford Royal Infirmary, Bradford, United Kingdom) Anaesthesia2001;56:454–460.

Spinal endoscopy in chronic low back pain with radiculopathy. (Bradford Royal Infirmary, Bradford, United Kingdom) Anaesthesia2001;56:454–460.

Authors :
Richardson, J.
McGurgan, P.
Cheema, S.
Prasad, R.
Gupta, S.
Source :
Pain Practice; December 2001, Vol. 1 Issue: 4 p370-371, 2p
Publication Year :
2001

Abstract

All 38 patients listed for day‐case spinal endoscopy over a 12‐month period, who had chronic severe low back pain with a radiculopathic element, were studied. The mean pain duration before treatment was 10.9 years and 50% had failed back surgery syndrome. In all patients in whom treatment was completed (n = 34), the pain‐generating nerve roots were located through symptom interaction with the patient. All had epidural scar tissue, 14 (41%) having dense adhesion. Mobilization of adhesions around the nerve root was performed so that a pocket was formed for the subsequent placement of bupivacaine, Depomedrone, and clonidine. No intra‐operative complications occurred and side effects were minimal. Follow‐up over a 12‐month period showed statistically significant reductions in pain scores and disability. Spinal endoscopy may be the diagnostic method of choice for epidural fibrosis. It has substantial therapeutic and research potential. Prospective randomized studies are required.

Details

Language :
English
ISSN :
15307085 and 15332500
Volume :
1
Issue :
4
Database :
Supplemental Index
Journal :
Pain Practice
Publication Type :
Periodical
Accession number :
ejs24049909
Full Text :
https://doi.org/10.1046/j.1533-2500.2001.1039_3.x