The efficacy of epiduroscopic adhesiolysis in patients with chronic back pain after surgery

Authors : Hakki OLCULU, Kursat GUL, Seniyye Ulgen ZENGIN

Pages : 307-311

Doi:10.5472/marumj.1013319

View : 16 | Download : 11

Publication Date : 2021-10-27

Article Type : Research Paper

Abstract :Objective:Chronic back pain is a common problem with unwanted effects on the quality of life. The choice of treatment is usually patient-specific, but the use of epiduroscopic minimal invasive procedure is increasing. Epiduroscopy avoids surgical complications and improves patient comfort. This study was conducted to compare the efficacy of epiduroscopy in patients with failed back surgery syndrome insert ignore into journalissuearticles values(FBSS); and in patients without previous back surgery. Patients and Methods: Forty-one ASA I-II-III patients aged 18–80 years old, with chronic back pain, radiologically and clinically diagnosed with lumbar spinal stenosis insert ignore into journalissuearticles values(LSS);, and FBSS after laminectomy, hemilaminectomy, lumbar discectomy or lumbar spinal stabilization were included retrospectively. Patients were stratified as Group insert ignore into journalissuearticles values(O); with FBSS and Group insert ignore into journalissuearticles values(N); without previous back surgery. Baseline visual analogue scale insert ignore into journalissuearticles values(VAS); scores were obtained before treatment. During the 1st, 2nd and 3rd follow-ups, VAS scores of patients were measured. Results: Visual analogue scale scores decreased significantly at 1, 2, and 3 months after epiduroscopic adhesiolysis in both groups. The differences in VAS scores of patients with and without previous back surgery were not statistically significant. Conclusion: Epiduroscopic adhesiolysis neuroplasty was followed by a significant decrease in chronic back pain in LSS and FBSS patients .
Keywords : Epiduroscopic adhesiololysis, Failed back surgery syndrome, Back pain