Approach for epiduroscopic laser neural decompression in case of the sacral canal stenosis.

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.

• Authors: Dae Hyun Jo, Hun Ju Yang, Jae Jung Kim
• Journal: The Korean journal of pain (Korean J Pain) Vol. 26 Issue 4 Pg. 392-5 (Oct 2013) ISSN: 2005-9159 [Print] Korea (South)
• PMID: 24156007 (Publication Type: Case Reports)