Epidural fibrosis after lumbar spinal surgery

The surgical treatment of the lumbar disc hernia is, in same cases, followed by complications which are included in a clinical syndrome named failed back surgery syndrome (FBSS). Lumbar fibrosis is responsible in 24% of cases of FBSS. We review the literature concerning this subject. Many studies lo...

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Main Authors: Danil Adam, Cristina Adam, Ioana Hornea
Format: Article
Language:English
Published: London Academic Publishing 2007-08-01
Series:Romanian Neurosurgery
Subjects:
Online Access:https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/396
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author Danil Adam
Cristina Adam
Ioana Hornea
author_facet Danil Adam
Cristina Adam
Ioana Hornea
author_sort Danil Adam
collection DOAJ
description The surgical treatment of the lumbar disc hernia is, in same cases, followed by complications which are included in a clinical syndrome named failed back surgery syndrome (FBSS). Lumbar fibrosis is responsible in 24% of cases of FBSS. We review the literature concerning this subject. Many studies looked for methods to prevent this complication, with moderate effectiveness. ADCON gel, which raised great expectations - produced no positive effect in patients who underwent microdiscectomy, and is now out of use. Currently, the results of experimental studies with local Mitomycin C and preoperative extenal radiotherapy (7 Gy) are promising and allow us performing clinical studies.
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spelling doaj.art-bfebc32c741c4de3bf675bf5ee40c1e22022-12-22T02:19:41ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592007-08-01142Epidural fibrosis after lumbar spinal surgeryDanil AdamCristina AdamIoana HorneaThe surgical treatment of the lumbar disc hernia is, in same cases, followed by complications which are included in a clinical syndrome named failed back surgery syndrome (FBSS). Lumbar fibrosis is responsible in 24% of cases of FBSS. We review the literature concerning this subject. Many studies looked for methods to prevent this complication, with moderate effectiveness. ADCON gel, which raised great expectations - produced no positive effect in patients who underwent microdiscectomy, and is now out of use. Currently, the results of experimental studies with local Mitomycin C and preoperative extenal radiotherapy (7 Gy) are promising and allow us performing clinical studies.https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/396peridural fibrosisradiotherapyMitomycin C
spellingShingle Danil Adam
Cristina Adam
Ioana Hornea
Epidural fibrosis after lumbar spinal surgery
Romanian Neurosurgery
peridural fibrosis
radiotherapy
Mitomycin C
title Epidural fibrosis after lumbar spinal surgery
title_full Epidural fibrosis after lumbar spinal surgery
title_fullStr Epidural fibrosis after lumbar spinal surgery
title_full_unstemmed Epidural fibrosis after lumbar spinal surgery
title_short Epidural fibrosis after lumbar spinal surgery
title_sort epidural fibrosis after lumbar spinal surgery
topic peridural fibrosis
radiotherapy
Mitomycin C
url https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/396
work_keys_str_mv AT daniladam epiduralfibrosisafterlumbarspinalsurgery
AT cristinaadam epiduralfibrosisafterlumbarspinalsurgery
AT ioanahornea epiduralfibrosisafterlumbarspinalsurgery