Abstract

Background: The pathophysiologies of Failed Back Surgery Syndrome (FBSS) are epidural adhesion & fibrosis, arachnoiditis, neural encroachment, mechanical instability. Epidural adhesiolysis alleviate back pain through blocking the neural activity of scar area and decreasing the inflammation & dedma. There are two methods of dahesiolysis, endoscopic & non-endoscopic adhesiolysis. prisent stydy was aimed to compare the pain relief & side effects between two methods. Methods: We inbestigated 86 post-laminectomy patients with low back pain and radiculopathy, who do not relieved with any kinds of conservative treatment. Nerve pathology was demonstrated and dpidural fibrosis suspected of proved with MRI examination. Group I was consisted with non-endoscopic 41 patients, and Group II was endoscopic 45 patients. Evaluation included assessment of pain relief (visual analogue scale, VAS), rate of reprocedures and duration fo pain relief (VAS

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