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KMID : 1040020160070010094
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International Journal of Pain
2016 Volume.7 No. 1 p.94 ~ p.99
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Useful Techniques for Epidural Adhesiolysis with Catheter Through Catheter Technique: Cases and Review
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Jeong Soon-Taek
Son Seok-Gon
Shin Young-Duck
Park Sang-Hi
Choi Jung-Hee
Yim Kyoung-Hoon
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Abstract
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Epidural adhesions cause chronic spinal pain due to decreased microcirculation of nerve roots and compression of nerve fibers. Conservative treatments and administration of epidural steroids and local anesthetics only have limited effects in reducing pain. Therefore, epidural adhesiolysis is widely used to remove epidural adherence directly and inject drugs accurately. A steerable catheter is often used for effective treatment. In cases of severe epidural adherence or severe spinal stenosis, a steerable catheter often does not approach the lesion site precisely. In addition, it is not easy to remove the adhesions. Following a review of the literature, we report five successful cases of epidural adhesiolysis in which a steerable catheter was placed close to the adhesion site to act as a guide catheter, making it easier to place the epidural catheter more precisely.
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KEYWORD
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catheter, epidural space, percutaneous epidural adhesiolysis, spinal stenosis
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