The Efficacy of Spinal Epiduroscopy in Patients with Low Back Pain

ABSTRACT

OBJECTIVE: Spinal epiduroscopy has been introduced. Thus, we herein present low back pain patients with variable duration of herniated intervertebral disc (HIVD), spinal stenosis and failed back surgery syndrome to determine and analyze the result of spinal epiduroscopy. METHOD: Fifty low back pain patients who enrolled in Bundang CHA rehabilitation center from April 2000 to November 2001 with variable duration of HIVD, spinal stenosis and failed back surgery syndrome were treated with spinal epiduroscopy. The patients were grouped according to the duration and the disease. The efficacy of treatment was assessed with visual analog scale (VAS), Oswestry low back pain (LBP) questionnaire and Pain Disability Index (PDI)before the treatment, at 1 day, 1 week, 3 months and 6 months after the treatment. RESULTS: VAS of all patients after spinal endoscopic epiduroplasty were significantly decreased (p<0.05). PDI of all patients after spinal endoscopic epiduroplasty were significantly decreased (p<0.05). Oswestry LBP questionnaire of all patients after spinal endoscopic epiduroplasty were significantly decreased (p<0.05). CONCLUSION: Spinal endoscopic epiduroplasty is one of the best treatment that can be applied to low back pain patients with variable duration of HIVD, spinal stenosis and failed back surgery syndrome.