Epidural neurolysis (Racz procedure)
Variants of the epidural neurology method:
· Through hiatus sacralis
· The traditional introduction of a controlled catheter into the interstitial spaces under the control of the image intensifier
Medication combinations:
· Lidocaine
· Bupivacaine
· Hypertonic NaCl solution
· Enzyme preparations (hyaluronidase, chylase, lidase)
· Surgery zones
· Indications:
· Long-term (> 3 months) pain
· Intolerable acute pain due to prolapse of disc herniation
· Confirmed CT scan of disc prolapse or stenosis of the spinal canal
· Postoperative scar formation in the epidural space
Relative indications:
· Radicular syndrome
· Hypertrophy of the yellow ligament
· Osteoarthrosis arthrosis
Contraindications:
· Sepsis
· Coagulopathy
· Local infection
· Pregnancy
· Allergy to medications used