ABSTRACT
Spinal endoscopic lysis of epidural adhesions is an interventional pain management technique that emerged during the 1990s. 1–11 It is an invasive, but important, treatment modality in managing chronic refractory low back pain that is resistant to fluoroscopically directed epidural steroid injections and percutaneous adhesiolysis. Endoscopic adhesiolysis is based on the premise that the three-dimensional visualization of the contents of the epidural space provides the operator with the ability to steer the catheter toward structures of interest, allowing the examination of a specific nerve root and its pathology, lysis of adhesions, and target-specific injection of a drug(s).
