Review article
https://doi.org/10.20471/acc.2023.62.s4.7
The Effect od Epidurolysis in Treatment of Low Back Pain – An Evidence Based Review
Jana Kogler
; Department of Anesthesia and Intensive Care, Clinical Hospital Centre Zagreb, School of Medicine, University of Zagreb, Zagreb, Croatia
Daniel Rajačić
; Department of Surgery, Clinical Hospital Centre Zagreb, School of Medicine, University of Zagreb, Zagreb, Croatia
Dino Bobovec
; Department of Surgery, Clinical Hospital Centre Zagreb, School of Medicine, University of Zagreb, Zagreb, Croatia
Abstract
Low back pain is the most common musculoskeletal condition in the adult population
and still represents a global health problem. The initial and the most common treatment in 80% of all
patients includes conservative management with pharmacotherapy for pain relief. If the symptoms persist
or if there is minimal functional improvement after conservative treatment, minimally invasive interventions
such as epidural steroid injections or percutaneous epidural adhesiolysis can be applied, or, in the
worst cases, the patient should be considered for an open surgery procedure. Failed back surgery syndrome
is a condition with a complex etiology, and many factors that predispose patients towards chronic pain.
Epidural lysis of adhesions (LOA) represents an important element of the interventions for the treatment
of low back pain that is refractory to more conventional methods.
Keywords
chronic low back pain; failed back surgery syndrome; epidurolysis
Hrčak ID:
315958
URI
Publication date:
1.11.2023.
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