Neurológia pre prax 6/2019
Percutaneous endoscopic techniques and their position in diagnostic and treatment process focused on vertebrogenic diseases: epiduroscopy and endoscopic discectomy
Percutaneous endoscopic techniques are modern minimally-invasive methods that enable effective treatment of pain and accompanying neurological symptoms in patients with an intervertebral disc herniation and/or other epidural pathologies. Available evidence supports their efficacy and safety therefore, they deserve a stable position in addressing specific types of spinal pathologies. Epiduroscopy is a suitable diagnostic and therapeutic method for chronic conditions associated with back pain in the lower parts of the spine in combination with radicular symptomatology. In this article, we deal with the principles, indication criteria and the performance technique. Another effective endoscopic method is endoscopic discectomy. It is a modern, yet well-proven effective treatment method for disc herniations with a radicular syndrome. Our experience confirmed with clinical studies points to the effective therapeutic and diagnostic potential of percutaneous endoscopic techniques in the management of acute chronic pain.
Keywords: percutaneous endoscopic techniques, radicular symptomatology, epiduroscopy, endoscopic discectomy
