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Prior to making a
resurgery decision, the use of Epiduroscopy should be considered for the
treatment of failed back surgery syndrome
and prognosis of the intensity of scar tissue.
Epiduroscopic adhesiolysis control pain more efficiently among nonstabilized patients with FBSS symptoms than stabilized patients, evident from a recently conducted analysis by the researchers of Gülhane Education and Research Hospital and Ankara University Faculty of Medicine Hospital.
The condition of failed back surgery syndrome (FBSS) not only worsen pain but also scar tissue around spinal nerve roots and muscle spasm. The problem of scar tissue can be controlled using the epiduroscopy. Therefore, researchers led this study and performed mechanical lysis and steroid hylase injection via epiduroscopy among 82 FBSS patients.
The patients were categorized into stabilized and nonstabilized groups and assessed before and 1, 3, 6, and 12 months following the therapy by using visual analogue scale (VAS) and Oswestry disability index (ODI). Patient satisfaction scale was applied 12 months postoperatively. Visual and mechanical signs of epidural scar tissue were also assessed.
A notable decrease in ODI and VAS scores were seen in both the groups; however,
the nonstabilized group showed more significant outcomes. 78.06% of the
patients were satisfied with the treatment, and 86.58% of the participants
showed severe or moderate fibrous tissue. Further, the incidence of dura
rupture was lower in the nonstabilization group (2 patients) as compared to the
stabilization group (4 patients). Although, no incidence of notable permanent
complication and the spinal headache was noticed. These outcomes suggest the
therapy can provide substantial information regarding the intensity of the scar
tissue, accuracy of diagnosis, and quality of life among nonstabilized
patients.
Turkish Journal of Medical Sciences
Evaluation of the efficacy of epiduroscopic adhesiolysis in failed back surgery syndrome
Ayşegül CEYLAN et al.
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