THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA
Online ISSN : 1349-9149
Print ISSN : 0285-4945
ISSN-L : 0285-4945
[Japan Society of Epiduroscopy] Case Reports
A Case of Failed Back Surgery Syndrome Treated with Repeated Epiduroscopy for a Long Period
Tetsuya SAKAIKumiko HIDATetsuya HARA
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2015 Volume 35 Issue 7 Pages 819-823

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Abstract
A seventy-one year-old man had left low back and leg pain and underwent laminectomy for lumbar spinal stenosis 4 years ago. Although his pain improved after surgery, it recurred and he was referred to our clinic. Epidural block and nerve root block at L5 and S1 was effective temporarily for his radicular pain. We therefore decided to perform epiduroscopy. Adhesion in epidural space at L5 and S1 level was found and the lesion near the left L5 intervertebral foramen was severe. Epidural adhesiolysis followed by injection of local anesthetics and steroids was performed carefully, which improved his pain. Over the next 6 years, he was treated with epiduroscopy 6 times in total when his radicular pain was aggravated. His pain improved as it did the first time and complications have not occurred.
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© 2015 by The Japan Society for Clinical Anesthesia
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