Epiduroscopy

Atlas of Procedures

Daniel H. Kim, Salahadin Abdi, Günter Schütze

• Publisher: Thieme
• Year: 2017
• Print ISBN: 9781626232662
• eBook ISBN: 9781626232679
• Edition: 1
• Topic: Médecine
• Subtopic: Anesthésiologie et gestion de la douleur

Due to advances in spinal endoscopy, practitioners are now able to offer efficacious alternatives to open surgery to patients with low back pain, radiculopathy, and related disorders affecting the epidural space. Epiduroscopy enables surgeons to access, diagnose, and treat discogenic pain and spinal pathologies using minimally invasive techniques via direct visualization and focused intervention. Typically performed as a one-day outpatient procedure under local anesthesia, epiduroscopy provides a viable option to many patients suffering from low back pain.

Starting with the history of this procedure, the authors guide the reader systematically through relevant clinical indications, radiological anatomy, the pathophysiology of spinal pain, diagnostic modalities, and the use of specialized tools. Subsequent chapters detail specific conditions and approaches, histopathologic/microbiological findings, and patient assessment and outcomes.

Key Features

• Clinical pearls gleaned from years of hands-on experience, including preventing and managing complications.
• Online access to 46 step-by-step surgical videos and animations provides in-depth understanding of techniques.
• Nearly 600 high quality images, including procedural photos and medical illustrations delineate approaches.
• The use of epiduroscopy-assisted mechanical adhesiolysis, laser procedures, radiofrequency, analgesic and pharmacological therapy, ozone therapy, spinal cord stimulation, and more.

This is an essential resource for trainee and practicing physicians in the fields of neurosurgery, orthopaedic surgery, pain medicine, and interventional medicine.

Table of contents

• Epiduroscopy: Atlas of Procedures
• Media Center Information
• Title Page
• Copyright
• Dedication
• Contents
• Menu of Accompanying Videos
• Preface
• Acknowledgments
• Contributors
• 1 The History of Epiduroscopy
• 2 Applied and Radiological Anatomy of the Epidural Space for Spinal Endoscopy
• 3 Pathophysiology of Spinal Pain and Pain Pathways
• 4 Anatomic Origin of Spinal Pain and Clinical Presentations
• 5 Diagnostic Studies and Radiographic Imaging Modalities for Spine-Related Pain
• 6 Epiduroscopy Equipment
• 7 Epiduroscopic Surgical Tools
• 8 Clinical Indications and Considerations for Epiduroscopy
• 9 Sacral Hiatus Epiduroscopic Approach
• 10 Transforaminal and Interlaminar Approaches in Epiduroscopy
• 11 Epiduroscopic Images of Spinal Anatomy
• 12 Evaluation of Epidural Pathology and Epiduroscopic Images
• 13 Diagnostic and Functional Epiduroscopic Procedures
• 14 Epiduroscopic, Histopathologic, and Microbiological Findings
• 15 Anesthetic Management for Epiduroscopy
• 16 Step-by-Step Epiduroscopic Techniques
• 17 Spinal Epiduroscopic Mechanical Adhesiolysis
• 18 Spinal Epiduroscopic Laser Therapy
• 19 Epiduroscopic Procedure Using the 1,414-nm Nd:YAG Laser (Lutronic Laser)
• 20 Spinal Epiduroscopic Radiofrequency Therapy
• 21 Transforaminal Epiduroscopic Laser Annuloplasty for Diskogenic Pain
• 22 Spinal/Epidural Analgesic and Pharmacologic Therapy
• 23 Epiduroscopy-Assisted Spinal Cord Stimulator Electrode Implantation
• 24 Epiduroscopic Ozone Therapy
• 25 Patient Assessment for Epiduroscopy
• 26 Epiduroscopy: Complications and Complication Avoidance
• 27 Clinical Outcomes of Epiduroscopy
• Appendix: Intraoperative Endoscopic Images of Pathologic Anatomy of the Neuraxial Region
• Index