Lysis of Epidural Adhesions

When patients have back surgery most have very good results, the unfortunate few of have a condition caused post laminectomy syndrome. The term refers to the most common type of back surgery whereby a portion of the vertebral bone, the lamina is cut out to relieve pressure on the nerve root that is causing pain. Post-laminectomy syndrome describes a condition where patients have a return of the after surgery, the cause can be multifaceted but there is strong evidence that scar tissue proliferation after surgery can cause irritation around those same nerve roots and the pain rappears. The lysis of adhesion treatment begins with placement of small tube in the epidural space once inside the epidural space and confirmed with x-ray guidance a substance called hyaluronidase is injected to lyse these scar tissue adhesions around nerve roots. The technique and the levels to approach is patient specific.

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