title: Microsurgical cordotomy in 20 patients with epi-/intradural fibrosis following operation for lumbar disc herniation.
abstract: Using an improved microsurgical technique, cordotomy was carried out by the cervicothoracic route in 20 patients with persistent radicular pain due to epi-/intradural fibrosis following operation for lumbar disc herniation. 65% of them had good long-term results with respect to radicular pain (follow-up period 6-132 months; mean 66 months). Permanent severe motor impairment was not observed. In patients with severe pain of benign organic origin microsurgical cordotomy can be considered as a "last resort".
authors.affiliation: Neurosurgical Clinic, Kantonsspital, Aarau, Switzerland.
authors.forename: C
authors.initials: C
authors.lastname: Probst
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002818:Cordotomy / Q000379:methods*; D004388:Dura Mater / Q000473:pathology*; D004824:Epidural Space / Q000473:pathology; D005260:Female; D005355:Fibrosis; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D010146:Pain / Q000503:physiopathology; D059408:Pain Management; D011183:Postoperative Complications; D011712:Pyramidal Tracts / Q000503:physiopathology; D012086:Reoperation