BACKGROUND Percutaneous epidural adhesiolysis and spinal endoscopic adhesiolysis are interventional pain management techniques that play an active role in managing chronic intractable low back pain. There have not been any systematic reviews performed on this subject. OBJECTIVE To evaluate the effect of percutaneous adhesiolysis and spinal endoscopic adhesiolysis in managing chronic low back ...

spinal epidural lipomatosis is a rare condition which is described as the accumulation of fat in the extradural territory and often causes dural impingement. spinal epidural lipomatosis has been implicated in causing a variety of neurologic impairments ranging from back pain, radiculopathy, claudication, myelopathy or even cauda equina syndrome. we report a 46-year-old female with obesity and a...

BACKGROUND Epidural fibrosis is regarded as a cause of failed back surgery syndrome (FBSS) when excessive adhesional/fibrotic scar tissue causes compression, pain or discomfort by tethering of nerve tissue to the surrounding muscle or bone. Fibrosis inhibitors could therefore increase the success rate of spinal surgery and decrease the need for reoperations. In recent years, bio-resorbable gels...

bacterial meningitis after spinal and epidural anesthesia is a very rare but serious complication. we report a case of meningitis developing a number of hours after a spinal block for caesarean section. no organism was grown but the csf pattern was suggestive of bacterial meningitis. severe neurological sequelae were present after three months of hospitalization. meningitis is a serious complic...