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KMID : 1148120150050020065
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Journal of Advanced Spine Surgery
2015 Volume.5 No. 2 p.65 ~ p.69
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Simple Neurolysis Technique of Adhesiolysis and Direct Drug Injection to Root and Intervertebral Disc Lesion at Anterior Dural Site: A Technical Note
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Park Sang-Wook
Yang Cheol-Jung
Paik Sang-Hoon
Shin Jae-Hyuk
Chang Ho-Geun
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Abstract
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Injection therapy is a major component of conservative management for spinal disorders like herniated nucleus pulposus (HNP) and spinal stenosis. The most common problem faced during the injection ? transforaminal, interlaminar or caudal epidural block is delivering the drug at the exact site of lesion due to adhesions more so when there has been a previous open spinal surgery. Conventional neurolysis effect was limited because adhesiolysis and drug delivery were in the posterior epidural space. So, we report a simple neurolysis technique which can inject drugs directly to nerve roots and intervertebral discs at anterior epidural space through the caudal approach using conventional neurolysis devices.
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KEYWORD
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Lumbar, Herniated nucleus pulposus, Anterial dural approach, Neurolysis
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