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Introduction to Epidural Balloon Decompression

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Spinal Epidural Balloon Decompression and Adhesiolysis

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Abstract

Among the various interventional procedures used to treat degenerative spinal diseases, the most typical include an epidural block, medial branch block, facet joint injection, sacroiliac joint block, nucleoplasty, neuroplasty, and radiofrequency ablation. Neuroplasty and adhesiolysis could be excellent treatment modalities capable of overcoming the limitations of the conventional epidural block. However, they are recognized only for inducing short-term pain alleviation; their ability to effect function is reportedly insufficient. This may be ascribed to the inability of either method to mitigate stenosis or remove adhesion. Moreover, as the insufficient removal of adhesion can easily lead to re-adhesion, it would be difficult to expect neuroplasty or adhesiolysis to achieve long-term effects. There has been thus been a persistent demand for safe nonsurgical procedures that can remove adhesion and even provide mitigate stenosis with greater efficacy. To a certain degree, balloon decompression can satisfy this demand.This chapter explains the concept, theoretical, and academic basis of the epidural balloon decompression and adhesiolysis.

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Authors and Affiliations

  1. Department of Anesthesiology and Pain Medicine, ASAN Medical Center, Seoul, Korea (Republic of)

    Jin Woo Shin

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  1. Jin Woo Shin
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1.1 Electronic Supplementary Material

3D-reconstruction view before balloon decompression (WMV 9250 kb)

3D-reconstruction view after balloon decompression (WMV 10263 kb)

Lecture on ZiNeu catheter (English voice) (MP4 88832 kb)

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Shin, J.W. (2021). Introduction to Epidural Balloon Decompression. In: Spinal Epidural Balloon Decompression and Adhesiolysis. Springer, Singapore. https://doi.org/10.1007/978-981-15-7265-4_1

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  • DOI: https://doi.org/10.1007/978-981-15-7265-4_1

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-7264-7

  • Online ISBN: 978-981-15-7265-4

  • eBook Packages: MedicineMedicine (R0)

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