Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Endoscopic epidural adhesiolysis for chronic back pain. Lansdale: HAYES, Inc.. Healthcare Technology Brief Publication. 2012 Authors' conclusions An estimated 60% to 80% of adults in the United States have low back pain at some time in their lives with degenerative disc disease being a major contributor. In most cases, low back pain can be relieved through rest and conservative therapy, but, for 5% to 10% of patients, it becomes chronic and disabling. Chronic low back pain that is refractory to conservative therapies may require spinal surgery. In up to 40% of patients who undergo multiple surgeries, scarring occurs in the epidural space, the region just outside the thick membrane that covers the spinal cord. These scars or epidural adhesions can bind to or trap nerves, contributing to recurrence of pain despite otherwise successful spinal surgery. Epidural fibrosis may also develop in the absence of surgery as a result of aging, inflammation, or infection. Timeliness warning This report has been archived and may contain outdated information. To request a copy of the report please contact the organisation directly. Indexing Status Subject indexing assigned by CRD MeSH Back Pain; Chronic Disease; Humans; Neurology; Neurosurgery Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence HAYES, Inc., 157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218 Email: hayesinfo@hayesinc.com AccessionNumber 32013000223 Date abstract record published 27/03/2013 |