Percutaneous lysis of epidural adhesions

Pain Physician

Volumn 3, Issue 1, 2000, Pages 46-64

  Manchikanti, L ^a   Bakhit, C E ^a  

^a PAIN MANAGEMENT CENTER OF PADUCAH   (United States)

Author keywords

Chronic low back pain; Epidural fibrosis; Hypertonic saline neurolysis; Percutaneous lysis of epidural adhesions

Indexed keywords

BETAMETHASONE ACETATE PLUS BETAMETHASONE SODIUM PHOSPHATE; BUPIVACAINE; LIDOCAINE; METHYLPREDNISOLONE ACETATE; MORPHINE; SODIUM CHLORIDE; TRIAMCINOLONE; TRIAMCINOLONE ACETONIDE;

CATHETERIZATION; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; EPIDURAL SPACE; FIBROSIS; HUMAN; INFECTION; NERVE BLOCK; NEUROLYSIS; PAIN; PARAPLEGIA; PERCUTANEOUS EPIDURAL NEUROLYSIS; QUADRIPLEGIA; QUALITY OF LIFE; RETINA HEMORRHAGE; REVIEW; SCAR; SPINAL CORD DISEASE; TREATMENT INDICATION; VISUAL IMPAIRMENT;

EID: 0034435434     PISSN: 15333159     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (183)

1. Percutaneous epidural neuroplasty: Cutting edge or potentially harmful pain management?
2. The role of neural blockade in the management of chronic low back pain
3. Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States
4. Chronic low back pain in the elderly
5. The Saskatchewan Health and Back Pain Survey
6. The prognosis of low back pain in general practice
7. Outcome of low back pain in general practice: A Prospective Study
8. The intensity of work recovery in low back pain
9. Increasing rates of cervical and lumbar spine surgery in the United States, 1979-1990
10. Persistent pain and well-being: A World Health Organization study in primary care
11. Chronicity of back problems during working life
12. Recurrence and care seeking after acute back pain: Results from a long-term follow-up study
13. Work incapacity from low back pain in the general population
14. Occupational injury and illness in the United States: Estimates of costs, morbidity, and mortality
15. Introduction: Etiology, diagnosis and therapy
16. The role of improper surgery in the etiology of the failed back syndrome
17. Reoperation after lumbar intervertebral disc surgery
18. Redecompression and fusion in failed back syndrome patients
19. Surgery for lumbar spinal stenosis, attempted meta-analysis of the literature
20. Failed lumbar disc surgery and repeat surgery following industrial injury
21. Association between peridural scar and recurrent radicular pain after lumbar discectomy: Magnetic resonance evaluation
22. The failed back surgery syndrome. Reasons, intraoperative findings, and long-term results: A report of 182 operative treatments
23. Adhesions of the ventral lumbar dura. Adjunct source of discogenic pain?
24. Lumbar adhesive arachnoiditis: Etiological and pathological aspects
25. Post operative lumbar epiduroarachnoiditis: Diagnostic and therapeutic aspects
26. Analysis of failures and poor results of lumbar spine surgery
27. The development of low back pain after excision of a lumbar disc
28. Magnitude of the problem
29. Failed lumbar surgery. Principles of management
30. Orthopaedic operations in the United States, 1979-1983
31. The cost of surgical intervention for lumbar disc herniation
32. Causes of failure of surgery on the lumbar spine: Ten-year follow up
33. Causes of failure of surgery on the lumbar spine
34. Failed back surgery syndrome: 5 year follow-up in 102 patients undergoing repeated operation
35. The inflammatory effect of the nucleus pulposus. A posible element in the pathogenesis of low back pain
36. Lysis of adhesions in the epidural space
37. Intractable pain therapy using a new epidural catheter
38. Arachnoiditis and epidural fibrosis: The relationship to chronic pain
39. Diagnosis of epidural scarring and its possible contribution to chronic low back pain syndrome
40. ® membrane sheets
41. Lumbar epidurography with metrizamide
42. Epidurography. Selective catheter technique and review of 53 cases
43. Epidurography in the management of sciatica
44. Role of epidurography in caudal neuroplasty
45. Relevance of epidurography and epidural adhesiolysis in chronic failed back surgery patients
46. Experiences with an improved epidural catheter
47. Percutaneous epidural neuroplasty. Propective one-year follow up
48. Percutaneous epidural neuroplasty. Prospective evaluation of 0.9% NaCI versus 10% NaCI with or without hyaluronidase
49. Role of adhesiolysis and hypertonic saline neurolysis in management of low back pain. Evaluation of modification of Racz protocol
50. Epidural neuroplasty
51. The tissue origin of low back pain and sciatica
52. Injection-intra-et extraudrales de cocaine a dose minime daus le traitment de la sciatique
53. Traitement de al neuralgia sciatique par la mèthode de Sicard. Résultats favorables même dans less cas chroniues par la cocaïne à doses èleveées et répétés á intervalles raproches
54. Méthode readiographique d'exploration de la cavité épidurale par le Lipiodol
55. Hypothermic subarachnoid irrigation for intractable pain
56. Subarachnoid saline perfusion
57. Osmolytic neurolysis for intractable facial pain
58. The use of hyaluronidase in caudal block anesthesia
59. The use of hyaluronidase in local and nerve block analgesia other than spinal block. 1520 cases
60. Treatment of the lumbar spine
61. Pressure caudal anesthesia and back manipulation
62. The management of chronic spinal pain by blockades. A review
63. Epidural space. Identification of filling defects and lysis of adhesions in the treatment of chronic painful conditions
64. Non endoscopic and cost effective analysis
65. Distribution of radiographic contrast media in the epidural space of normal volunteers using a midline transligamentum flavum vs a selective epidural nerve injection technique
66. Epidural use of steroids in the management of back pain. Report of working party on epidural use of steroids in the management of back pain
67. Epidural steroids for low back pain and sciatica
68. Selective lumbosacral radiculography and block
69. Comparison of three routes of epidural steroid injections in low back pain
70. Response to steroid and duration of radicular pain as predictors of surgical outcome
71. Foraminal injection for lateral lumbar disc herniation
72. Transforaminal nerve root sleeve injection with corticosteroids, hyaluronidase, and local anesthetic in the failed back surgery sydrome
73. Fluoroscopic transforaminal lumbar epidural steroids. An outcome study
74. Symptom provocation of fluoroscopically guided cervical nerve root stimuolation. Are dynatomal maps identical to dermatomal maps?
75. Flouroscopic transforaminal lumbar epidural steroids. An outcome study
76. Can nerve root injection obviate the need for operative treatment of lumbar radicular pain? A prospective, randomized, controlled, double/blind study
77. Arachnoiditis following epidural adhesiolysis with hypertonic saline report of two cases
78. Removal of torn Racz catheter from lumbar epidural space
79. Myelopathy after intrathecal administration of hypertonic saline
80. Hypertonic saline in management of intrable pain
81. Adverse reactions to intrathecal saline injections for control of pain
82. Comments on myelopathy after the intrathecal administration of hypertonic saline
83. Experiments with anesthetics. IV. Lesions produced in the spinal cord of dogs by a dose of procaine hydrochloride sufficient to cause permanent and fatal paralysis
84. Electrolyte-induced demyelination in rats. Ultrastructural evolution
85. Protive effect of steroids in electrolyte-induced demyelination
86. Effects of changes in osmolality on spinal cord activity
87. Complications associated with epidural steroid injections
88. Intraspinal therapy using methylprednisolone acetate
89. Vision loss after lumbar epidural steroid injection
90. Bilateral retinal hemorrhages following epidural injection
91. Transient blindness following epidural analgesia
92. Transient blindness following epidural analgesia
93. Intraocular hemorrhage after epidural injection
94. Epidural pressure and its relation to spread of anesthetic solution in epidural space
95. Relationship of intracranial, optic-nerve sheath, and retinal hemorrahage
96. Spinal epidural abscess: A review of epidemiology, diagnosis, and treatment
97. Incidence of spinal epidural abscess after epidural analgesia
98. Complications and contraindications
99. Paraplegia following intracord injection during attempted epidural anesthesia under general anesthesia
100. Cervical epidural steroid injection with intrinsic spinal cord damage
101. Comments on arachnoiditis following epidural adhesiolysis
102. Comments on arachnoiditis following epidural adhesiolysis
103. Comments on arachnoiditis following epidural adhesiolysis
104. Epidural steroid effects on nerves and meninges
105. Methylprednisolone acetate does not cause inflammatory changes in the epidural space
106. Peripheral nerve injection injury with steroid agents
107. Pathology of propylene glycol administered by perineural and intramuscular injection in rats
108. The effect of polyethylene glycol on mammalian nerve impulses
109. Analgesic and neurotoxic effects of intrathecal corticosteroids in rats
110. The pathologic effects of intrathecal betamethasone
111. Effects of epidural steroids on lumbar dura material properties
112. Systemic side-effects of extradural steroids
113. Morbidity from paraspinal depo corticosteroid injections for analgesia. Cushing's syndrome and adrenal suppression
114. Adrenal suppression following extradural steroids
115. Parenteral long-acting corticosteroid effect on hypothalamic pituitary adrenal function
116. Effect of long-acting parenteral corticosteroids on adrenal function
117. Drug spotlight program. Systemic corticosteroid therapy. Pharmacology and endocrinologic considerations
118. Adrenocorticotropic hormone; adrenocortical steroids and their synthetic analogs; inhibitors of the synthesis and actions of adrenocortical hormones
119. Steroid myopathy induced by epidural triamcinolone injection
120. Symptomatic spinal epidural lipomatosis induced by a long-term steroid treatment
121. The efficacy of solutions used in caudal neuroplasty
122. Effects of methylprednisolone on nucleus pulposus-induced nerve root injury
123. The effect of epidural injection of betamethasone or bupivacaine in a rat model of lumbar radiculopathy
124. Effects of steroids and lipopolysaccharide on spontaneous resorption of herniated intervertebral discs. An experience study in the rabbit
125. Methylprednisolone prevents the development of autotomy and neuropathic edema in rats, but has no effect on nociceptive thresholds
126. Effect of local methylprednisolone on pain in a nerve injury model. A pilot study
127. Treatment of backache with spinal injections of local anesthetics, spinal and systemic steroids
128. Epidural injections. A new survey of complications and analysis of the literature
129. Complications from intrathecal steroid therapy in patients with multiple sclerosis
130. Management of lumbar nerve root pain by intrathecal and epidural injection of depot methylprednisolone acetate
131. Sclerosing spinal pachymeningitis
132. Calcification and ossification of the spinal arachnoid after intrathecal injection of Depo-Medrol
133. Steroid-induced arachnoiditis
134. Chemical meningitis related to intrathecal corticosteroid therapy
135. Intrathecal steroid injection for postherpetic neuralgia. What are the risks?
136. Conus medullaris syndrome following multiple intrathecal corticosteroid injections
137. Complications following intraspinal injections of steroids
138. Tuberculous meningitis after intrathecally administered methylprednisolone acetate
139. Dangers of spinal injections without proper diagnosis
140. The effect of sodium ions on the electrical activity of the giant axon of the squid
141. An examination of the effects of osmotic pressure changes upon transmitter release from mammalian motor nerve terminals
142. Differential blockade of cat dorsal root C-fibers by various chloride solutions
143. Excitation of squid giant axons in hypotonic and hypertonic solutions
144. Conduction block of monkey dorsal rootlets by water and hypertonic saline solutions
145. Hypertonic saline and corticosteroid injected epidurally for pain control
146. Is epidural injection treatment with hypertonic saline solution in intervertebral disk replacement useful?
147. Comments on efficacy of solutions used in caudal neuroplasty
148. Comments on efficacy of solutions used in caudal neuroplasty
149. The effects of extracts of certain organs from normal and immunized animals on the infecting power of vaccine virus
150. Hyaluronidase as an adjuvant in the treatment of cranial arachnoiditis (hydro-cephalus and optochiasmic arachnoiditis) complicating tuberculous meningitis
151. Intrathecal hyaluronidase treatment of chronic spinal archnoiditis of noninfective etiology
152. The spread of solutions injected into the epidural space
153. Outcomes assessment in pain management
154. Outcomes research and otolaryngology
155. Outcome management: A technology of patient experience
156. Outcomes assessment in clinical settings: A consensus statement on principles and best practices in project management
157. The outcomes movement - Will it get us where we want to go?
158. From outcomes research to disease management: A guide for the perplexed
159. The uses of outcomes research for medical effectiveness, quality of care, and reimbursement in Type II diabetes
160. The uses of outcomes research for medical effectiveness, quality of care, and reimbursement in Type II diabetes
161. Outcomes research: Hope for the future or the latest rage?
162. Efficacy of non-operative care for low back pain
163. Outpatient treatment of patients with chronic pain. Analysis of cost savings
164. Cost-effectiveness of lumbar discectomy for the treatment of herniated intervertebral disc
165. Cost effectiveness of intrathecal therapy for pain
166. Efficacy of epidural steroid injections for low back pain and sciatica. A systematic review of randomized clinical trials
167. A meta-analysis on the efficacy of epidural corticosteroids in the treatment of sciatica
168. Lumbar and caudal epidural corticosteroid injections
169. Epidural steroid injections for sciatica and back pain. A meta-analysis of controlled clinical trials
170. Cost-effectiveness of treatment for major depression in primary care practice
171. Here we go again. Outcomes, outcomes, outcomes
172. Treatment of chronic pain patients. Clinical outcomes, cost-effectiveness, and cost-benefits of multidisciplinary pain centers
173. Conservative treatment of acute chronic nonspecific low back pain. A systematic review of randomized controlled trials of the most common interventions
174. Acute low back problems in adults
175. Spinal cord stimulation for chronic low back pain. A systematic literature systhesis
176. The tortoise and the hare. Is there a place in spine surgery for randomized trials?
177. The prospective, randomized, controlled clinical trial in spine surgery. Fact or fiction?
178. Randomized controlled trials in surgery. An essential component of scientific progress
179. Randomized controlled trials in the surgical management of spine problems
180. Point of view