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"Anterial dural approach"

Technical Note
Simple Neurolysis Technique of Adhesiolysis and Direct Drug Injection to Root and Intervertebral Disc Lesion at Anterior Dural Site: A Technical Note
Sang-Wook Park, Cheol-Jung Yang, Sang-Hoon Back, Jae-Hyuk Shin, Ho-Guen Chang
J Adv Spine Surg 2015;5(2):65-69.   Published online December 31, 2015
Injection therapy is a major component of conservative management for spinal disorders like herniated nucleus pulposus (HNP) and spinal stenosis. The most common problem faced during the injection – transforaminal, interlaminar or caudal epidural block is delivering the drug at the exact site of lesion due to adhesions more so when there has been a previous open spinal surgery. Conventional neurolysis effect was limited because adhesiolysis and drug delivery were in the posterior epidural space. So, we report a simple neurolysis technique which can inject drugs directly to nerve roots and intervertebral discs at anterior epidural space through the caudal approach using conventional neurolysis devices.
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