Percutaneous and Endoscopic Adhesiolysis.

Yıldırım H. U., Akbas M.

Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology, vol.33, pp.129-141, 2021 (ESCI) identifier identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 33
  • Publication Date: 2021
  • Doi Number: 10.14744/agri.2020.70037
  • Journal Name: Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, EMBASE, MEDLINE, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.129-141
  • Keywords: Epidural fibrosis, epiduroscopic adhesiolysis, neuroplasty, percutaneous adhesiolysis, scar tissue, LOW-BACK-PAIN, LUMBAR SURGERY SYNDROME, EPIDURAL NEUROPLASTY, DIRECT VISUALIZATION, SPINAL STENOSIS, CAUDA-EQUINA, EPIDUROSCOPY, MYELOSCOPY, INJECTION, LYSIS
  • Karadeniz Technical University Affiliated: No


Low back and leg pain may be due to many causes including scarring in the epidural space. Scar tissue often causes irritated swollen and inflamed nerves, which can cause pain. Adhesiolysis eliminate the pain-causing effects of scar tissue by releasing or decompression of a nerve from scar tissue. Percutaneous adhesiolysis is a safe and effective procedure, while epiduroscopy is a minimally invasive technique that offers diagnostic and therapeutic advantages in cases of chronic low back pain and radiculopathy. The aim of this review is to describe the comparison of percutaneous and endoscopic procedures in the lysis of adhesions in epidural fibrosis in terms of indications, contraindications, complications, technique, and efficacy.