Approach for Epiduroscopic Laser Neural Decompression in Case of the Sacral Canal Stenosis.
10.3344/kjp.2013.26.4.392
- Author:
Dae Hyun JO
1
;
Hun Ju YANG
;
Jae Jung KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Konyang University Hospital, Daejeon, Korea. yusyuni@daum.net
- Publication Type:Case Report
- Keywords:
epiduroscopic laser neural decompression;
hiatus rasp;
sacral canal;
stenosis
- MeSH:
Cicatrix;
Constriction, Pathologic;
Decompression;
Epidural Space;
Failed Back Surgery Syndrome;
Humans;
Intervertebral Disc Displacement;
Low Back Pain
- From:The Korean Journal of Pain
2013;26(4):392-395
- CountryRepublic of Korea
- Language:English
-
Abstract:
Epiduroscopy is very useful in the treatment of not only low back pain caused by failed back surgery syndrome, epidural scar or herniated disc but also by chronic refractory low back pain which does not respond to interventional conservative treatment including fluoroscopically-directed epidural steroid injections and percutaneous adhesiolysis. Because cauterization using a laser fiber has become recently available, a wider opening is required to enter into the sacral canal in the case of epiduroscopic laser neural decompression (ELND). However, in a few patients, it is difficult to insert a device into the epidural space due to stenosis around the opening, and there is no alternative method. Herein, we report a case where a hiatus rasp specially designed for such patients was used to perform the operation.
