Minimally invasive treatment of lumbar epidural lipomatosis with …
2024年1月1日 · We hypothesize that minimally invasive injection of deoxycholic acid (DCA), a medication used for submental fat reduction, may reduce epidural adipose tissue burden, decompress the nerve roots and spinal cord, and reduce symptoms associated with LEL.
Epidural lipomatosis: A dilemma in interventional pain …
When epidural fat accumulates, it can impinge on subarachnoid space and restrict nerve movement within the thecal sac. Exogenous steroid use is the most common cause of epidural lipomatosis (non-neoplastic overgrowth of adipose tissue within the epidural space of spinal canal) and accounts for about 55% of cases.
Percutaneous lysis of epidural adhesions: evidence for safety and ...
All eight studies showed improvement in pain relief with adhesiolysis compared with either epidural steroid injections or after failed treatment with epidural steroid injections. Six studies reported some evidence of subarachnoid block or puncture, infection or abscess, catheter complications and other minor complications such as rash and itching.
Percutaneous Epidural Adhesiolysis with Epidural Steroid Injection…
2016年3月3日 · Percutaneous epidural adhesiolysis (PEA) is known as a minimally invasive, effective, and popular intervention for cases of radiculopathy that are refractory to conventional transforaminal epidural steroid injections (TFESIs).
Epidural neuroplasty/epidural adhesiolysis - Anesth Pain Med
2016年11月1日 · Epidural neuroplasty is a catheterization technique used to treat back pain and/or radiating pain by injecting therapeutic drugs into lesions of epidural space shown as a filling defect in epidurogram. Usually, normal saline, local anesthetics, and steroid are used as therapeutic drugs.
Percutaneous Lysis of Epidural Adhesions—Evidence for Safety …
2008年7月18日 · The focus was on percutaneous entry using catheters via the sacral hiatus to treat pain in the lumbosacral region. Results: The evidence is strong for short-term efficacy (3 months) and moderate for long-term efficacy (greater than 3 months).
Efficacy of Percutaneous Adhesiolysis in Managing Low Back and …
2023年5月25日 · Helm et al. published a systematic review of percutaneous adhesiolysis in 2016 utilizing seven randomized controlled trials (RCTs) and three observational studies, concluding with level I or strong evidence of the efficacy of percutaneous adhesiolysis in the treatment of chronic refractory low back and lower extremity pain.
Percutaneous lysis of epidural adhesions--evidence for safety …
The cumulative evidence through January 2008 show that percutaneous adhesiolysis with targeted drug delivery is an effective treatment for LBP and/or radiculopathy.
Epidural Lysis of Adhesions and Percutaneous Neuroplasty
2016年4月2日 · Epidural adhesiolysis was given an evidence rating of strong, in the most recent American Society of Interventional Pain Physicians evidence-based guidelines, correlating to a 1B or 1C evidence level for postlumbar surgery syndrome. The therapy is supported by observational studies and case series and more recently with randomized-control trials.
Percutaneous Epidural Neuroplasty - SpringerLink
2019年9月4日 · Percutaneous epidural neuroplasty (PEN), also known as percutaneous epidural neurolysis, percutaneous epidural adhesiolysis, or the Racz procedure, is a minimally invasive spine intervention. The purpose of PEN includes lysis of epidural scar, targeted drug delivery, ventral drug instillation, and neural decompression{Oh:2017wv, Ji:2015kra, Lee ...