Complications of epidural adhesiolysis

Abstract

Fishchenko Iakiv, Piontkovskyi Valentyn, Zlativ Volodimir. Complications of epidural adhesiolysis. Journal of Education, Health and Sport. 2016;6(2):183-189. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.46408

http://ojs.ukw.edu.pl/index.php/johs/article/view/3384

https://pbn.nauka.gov.pl/works/716072

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© The Author (s) 2016;

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This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial

use, distribution and reproduction in any medium, provided the work is properly cited.

The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 05.01.2016. Revised 12.02.2016. Accepted: 21.02.2016.

Complications of epidural adhesiolysis

Iakiv Fishchenko

SI "Institute of traumatology and orthopedics NAMS of Ukraine"

Valentyn Piontkovskyi

Rivne rigional hospital Ukraine

Volodimir Zlativ

Rivne rigional hospital, Ukraine

Complications of epidural adhesiolysis

Epidural adhesiolysis is a minimally invasive procedure used to treat neuro-compression pain of the lumbosacral part of spine with degenerative diseases. Thanks to being minimally invasive and to its high efficiency, the rate of this procedure in recent years has increased significantly. On a material of 760 patients we analyzed the mistakes and complications related to epidural adhesiolysis. The complications of varying severity were observed in our 297 (30.0%) patients. Of these, the complications which did not require any modifications of treatment strategies, or its minor correction occurred in 277 (36.4%) patients; complications requiring reinstallation of the catheter were observed in 15 (1.9%) patients; complications of moderate severity, as epidural hematoma, epiduritis we noted in 5 (0.6%) patients; threatening complication of spontaneous rupture of the dura mater followed by the catheter hypertonic solution of sodium chloride, we observed in one (0.1%) case.

Key words: epidural adhesiolysis, neuro-compression pain, complications.