Clinical aspects of epidural adhesiolysis

Abstract

AbstractEpiduroscopy is a minimally invasive procedure of the lumbar spine that is performed using a fibre-optic device which is inserted through the sacral hiatus into the lower epidural space. Indications for the epiduroscopy include patients with epidural inflammation, adhesions, or other tissue obstructions which are directly or indirectly causing pain in the back or leg. Epiduroscopy can be recommended as a valuable, safe, and cost-effective technique for relieving chronic, intractable pain non-responsive to all other conservative modalities of treatments. In this review, the development and clinical aspects of epidural adhesiolysis and epiduroscopy will be discussed.