Combined epidural adhesiolysis and balloon decompression can be effective in intractable lumbar spinal stenosis patients unresponsive to previous epidural adhesiolysis
نویسندگان
چکیده
منابع مشابه
epiDUral aDhesiolysis anD DeCompression : ZineU® Catheter
a considerable number of patients complaining of pain after spinal surgery reportedly have adhesions and fibrosis in the epidural space [1, 2]. Also, patients with chronic low back pain and/or radicular pain may have perineural adhesions due to perineural and neurogenic inflammation from mechanical or chemical irritation, while they don't have any history of surgery [3, 4]. Parke et al. [5] dis...
متن کاملA Novel Balloon-Inflatable Catheter for Percutaneous Epidural Adhesiolysis and Decompression
Epidural adhesions cause pain by interfering with the free movement of the spinal nerves and increasing neural sensitivity as a consequence of neural compression. To remove adhesions and deliver injected drugs to target sites, percutaneous epidural adhesiolysis (PEA) is performed in patients who are unresponsive to conservative treatments. We describe four patients who were treated with a newly...
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Epidural injections are common. An estimated 10 million to 11 million injections (2.2 million in the Medicare population) are administered annually in the United States.1 Although many injections are used for indications other than spinal stenosis, epidural injections have become almost an expected part of a comprehensive nonoperative treatment protocol in patients with this condition. Yet, evi...
متن کاملLumbar interlaminar epidural injections are superior to caudal epidural injections in managing lumbar central spinal stenosis.
BACKGROUND Epidural injections are performed to manage lumbar central spinal stenosis pain utilizing caudal, interlaminar, and transforaminal approaches. The literature on the efficacy of epidural injections in managing lumbar central spinal stenosis pain is sparse; lacking multiple, high quality randomized trials with long-term follow-up. METHODS Two randomized controlled trials of the cauda...
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Degenerative lumbar stenosis is a common source of pain and disability in the elderly. It presents clinically with a variety of symptoms, though neurogenic claudication is the hallmark. There is a multifactorial pathogenesis to lumbar stenosis and its symptoms, and thus, there are multiple management approaches available. Epidural steroid injections (ESIs) are a popular choice in management, ho...
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ژورنال
عنوان ژورنال: Medicine
سال: 2019
ISSN: 0025-7974,1536-5964
DOI: 10.1097/md.0000000000015114