Spinal endoscopy in chronic low back pain with radiculopathy - A prospective case series

J Richardson, Paul Mcgurgan, S Cheema, R Prasad, S Gupta

    Research output: Contribution to journalArticle

    62 Citations (Scopus)

    Abstract

    All 38 patients listed for day-case spinal endoscopy over a 12-month period (April 1998 - April 1999), who had chronic severe low back pain with a radiculopathic element, were studied prospectively. The mean [range] pain duration before treatment was 10.9 [2-26] 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 adhesions. Mobilisation of adhesions around the nerve root (neuroplasty) 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 randomised studies are required.
    Original languageEnglish
    Pages (from-to)454-460
    JournalAnaesthesia
    Volume56
    DOIs
    Publication statusPublished - 2001

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