A Randomized, Multicenter, Double-Blind, Parallel Pilot Study Assessing the Effect of Mechanical Adhesiolysis vs Adhesiolysis with Corticosteroid and Hyaluronidase Administration into the Epidural Space During Epiduroscopy
Author(s) -
Róbert Rapčan,
Ladislav Kočan,
Juraj Mláka,
Miroslav Burianek,
Hana Kočanová,
Simona Rapčanová,
Michael G. Hess,
Anthony Hammond,
Martin Griger,
Michal Venglarčík,
Miroslav Gajdoš,
Janka Vašková
Publication year - 2017
Publication title -
pain medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.893
H-Index - 97
eISSN - 1526-4637
pISSN - 1526-2375
DOI - 10.1093/pm/pnx328
Subject(s) - medicine , oswestry disability index , radicular pain , hyaluronidase , methylprednisolone , corticosteroid , epidural space , methylprednisolone acetate , low back pain , back pain , anesthesia , surgery , randomized controlled trial , epidural administration , bupivacaine , lumbar , pathology , enzyme , biochemistry , chemistry , alternative medicine
Epiduroscopy is a proven method of diagnosis and treatment for chronic radicular pain after spinal surgery, which is known as failed back surgery syndrome (FBSS). The aim of the study was to compare the efficacy of drugs (the enzyme hyaluronidase and corticosteroid DEPO-Medrol) administrated into the epidural space during epiduroscopy, performed within the ventral and ventro-lateral epidural space with a focus on releasing foraminal adhesions.
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