USK Conferences, Aceh Surgery Update 2

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Epidurolysis: New Alternative Treatment of Low Back Pain in Herniated Nucleus Pulposus
Dr. dr. Imam Hidayat, M. Kes, Sp. BS

Date: 2017-09-17 09:30 AM – 10:00 AM
Last modified: 2017-09-08


Low back and/or radiating leg pain from herniated nucleus pulposus is a common medical and social condition. In herniated nucleus pulposus, an intervertebral disc annular is torn and disc material leaks into the epidural space. This process leads to inflammation, which are frequently followed by fibrosis, adhesion, and spinal nerve compression. Epidurolysis is a minimally invasive therapy in which a catheter is advanced directly into a lesion, such as herniated disc, scar tissue, and the stenosis portion of the spinal canal. Epidurolysis as Racz neurolysis, percutaneous lysis of epidural adhesions, epidural neurolysis, and epidural decompressive neuroplasty. The injection of hyaluronidase, local anesthetic, steroid and 10 % hypertonic saline infusion in this procedure may be effective in pain reduction and functional improvements in patients with chronic low back pain due to fibrotic tissue formation resulting from herniated nucleus pulposus. Epidurolysis is a safe and effective procedure for low back pain due to herniated nucleus pulposus and it may be considered as an option for treatment before invasive operations are performed.

Keywords: Epidurolysis, low back pain, herniated nucleus pulposus.

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