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KMID : 0948920030020020144
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Clinical Pain
2003 Volume.2 No. 2 p.144 ~ p.147
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Spinal Canal Endoscopy (Epiduroscopy)
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Lim Kil-Byung
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Abstract
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Low back pain is one of the most common disorders in industrialized countries. About 80% of adults will experience low back pain at some time in their lives. Low back pain is a symptom that can be caused by various disease entities and be affected by various factors. Endoscopy plays a role in the diagnosis and treatment of many different conditions. Direct visualization of the spinal canal and its contents was born in 1931 from the pioneering work of Michael Burman. Epiduroscopy was defined as percutaneous, minimally invasive endoscopic investigation of the epidural space to enable color visualization of the anatomic structures inside the spinal canal. Epiduroscopy is indicated for newly developed radiculopathy and radiculopathy associated with postlaminectomy pain syndrome. However, it is not indicated for patients suffering from biomechanical pain syndromes such as lumbar facet syndrome, sacroiliac joint dysfunction, or myofascial pain syndromes. The technology of epiduroscopy developed slowly over the 20th century. The future may hold the promise of minimally invasive and effective therapy for both radicular and perhaps other forms of disabling back pain.
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KEYWORD
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Low back pain, Endoscope, Epiduroscopy
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