Evaluation of Prognostic Predictors of Percutaneous Adhesiolysis Using a Racz Catheter for Post Lumbar Surgery Syndrome or Spinal Stenosis

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Evaluation of prognostic predictors of percutaneous adhesiolysis using a Racz catheter for post lumbar surgery syndrome or spinal stenosis.

BACKGROUND Percutaneous adhesiolysis (PA) is considered to be a reasonable nonoperative treatment for herniation of intervertebral disc (HIVD), spinal stenosis, and post-lumbar-surgery syndrome (PLSS). The success of PA depends on the removal of epidural fibrosis and drug delivery to the target region. However, prognostic predictors of the effects of PA are not well known. OBJECTIVE The aim o...

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efficacy of percutaneous adhesiolysis in the treatment of lumbar post surgery syndrome

results the search criteria yielded 16 manuscripts on percutaneous adhesiolysis assessing post-surgery syndrome. of these, only 4 randomized trials met inclusion criteria for methodological quality assessment, 3 of them were of high quality; and the fourth manuscript was of low quality. based on these 3 randomized controlled trials, 2 of them with one-day procedure and one with a 3-day procedur...

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Efficacy of Percutaneous Adhesiolysis in the Treatment of Lumbar Post Surgery Syndrome

CONTEXT Lumbar post-surgery syndrome is common and often results in chronic, persistent pain and disability, which can lead to multiple interventions. After failure of conservative treatment, either surgical treatment or a nonsurgical modality of treatment such as epidural injections, percutaneous adhesiolysis is often contemplated in managing lumbar post surgery syndrome. Recent guidelines and...

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Prognostic factors in lumbar spinal stenosis surgery

BACKGROUND AND PURPOSE A considerable number of patients who undergo surgery for spinal stenosis have residual symptoms and inferior function and health-related quality of life after surgery. There have been few studies on factors that may predict outcome. We tried to find predictors of outcome in surgery for spinal stenosis using patient- and imaging-related factors. PATIENTS AND METHODS 109...

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Spinal endoscopic adhesiolysis in post lumbar surgery syndrome: an update of assessment of the evidence.

BACKGROUND Post lumbar surgery syndrome refers to pain occurring or present after lumbar surgery. While the causes of pain after lumbar surgery are multi-factorial, scarring is a significant source of that pain. Low back and/or leg pain after lumbar surgery can persist despite appropriate conservative therapy. Spinal endoscopy allows direct visual evaluation of the epidural space, along with me...

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ژورنال

عنوان ژورنال: September 2013

سال: 2013

ISSN: 2150-1149,1533-3159

DOI: 10.36076/ppj.2013/16/e531