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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- Epidural fibrosis, epidural scar
Definitions
- Scar formation within epidural space after lumbar surgery
- Part of failed back surgery syndrome (FBSS)
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nonvascular Interventions
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Akbas M et al: Comparison of 3 approaches to percutaneous epidural adhesiolysis and neuroplasty in post lumbar surgery syndrome. Pain Physician. 21(5):E501-8, 2018
- Pereira P et al: New insights from immunohistochemistry for the characterization of epidural scar tissue. Pain Physician. 17(5):465-74, 2014
- Willson MC et al: Postoperative spine complications. Neuroimaging Clin N Am. 24(2):305-26, 2014
- Rönnberg K et al: Peridural scar and its relation to clinical outcome: a randomised study on surgically treated lumbar disc herniation patients. Eur Spine J. 17(12):1714-20, 2008
- Ganzer D et al: Two-year results after lumbar microdiscectomy with and without prophylaxis of a peridural fibrosis using Adcon-L. Arch Orthop Trauma Surg. 123(1):17-21, 2003
- Van Goethem JW et al: Review article: MRI of the postoperative lumbar spine. Neuroradiology. 44(9):723-39, 2002
- Anderson SR: A rationale for the treatment algorithm of failed back surgery syndrome. Curr Rev Pain. 4(5):395-406, 2000
- Anderson VC et al: Failed back surgery syndrome. Curr Rev Pain. 4(2):105-11, 2000
- Coskun E et al: Relationships between epidural fibrosis, pain, disability, and psychological factors after lumbar disc surgery. Eur Spine J. 9(3):218-23, 2000
- Pearce JM: Aspects of the failed back syndrome: role of litigation. Spinal Cord. 38(2):63-70, 2000
- Samy Abdou M et al: Epidural fibrosis and the failed back surgery syndrome: history and physical findings. Neurol Res. 21 Suppl 1:S5-8, 1999
- Fritsch EW et al: The failed back surgery syndrome: reasons, intraoperative findings, and long-term results: a report of 182 operative treatments. Spine. 21(5):626-33, 1996
- Georgy BA et al: Fat-suppression contrast-enhanced MRI in the failed back surgery syndrome: a prospective study. Neuroradiology. 37(1):51-7, 1995
- North RB et al: Failed back surgery syndrome: 5-year follow-up in 102 patients undergoing repeated operation. Neurosurgery. 28(5):685-90; discussion 690-1, 1991
- Bundschuh CV et al: Distinguishing between scar and recurrent herniated disk in postoperative patients: value of contrast-enhanced CT and MR imaging. AJNR Am J Neuroradiol. 11(5):949-58, 1990
- Djukic S et al: Magnetic resonance imaging of the postoperative lumbar spine. Radiol Clin North Am. 28(2):341-60, 1990
- Ross JS et al: MR imaging of the postoperative lumbar spine: assessment with gadopentetate dimeglumine. AJNR Am J Neuroradiol. 11(4):771-6, 1990
- Ross JS et al: MR imaging of the postoperative lumbar spine: assessment with gadopentetate dimeglumine. AJR Am J Roentgenol. 155(4):867-72, 1990
- Hueftle MG et al: Lumbar spine: postoperative MR imaging with Gd-DTPA. Radiology. 167(3):817-24, 1988
Related Anatomy
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- Epidural fibrosis, epidural scar
Definitions
- Scar formation within epidural space after lumbar surgery
- Part of failed back surgery syndrome (FBSS)
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nonvascular Interventions
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Akbas M et al: Comparison of 3 approaches to percutaneous epidural adhesiolysis and neuroplasty in post lumbar surgery syndrome. Pain Physician. 21(5):E501-8, 2018
- Pereira P et al: New insights from immunohistochemistry for the characterization of epidural scar tissue. Pain Physician. 17(5):465-74, 2014
- Willson MC et al: Postoperative spine complications. Neuroimaging Clin N Am. 24(2):305-26, 2014
- Rönnberg K et al: Peridural scar and its relation to clinical outcome: a randomised study on surgically treated lumbar disc herniation patients. Eur Spine J. 17(12):1714-20, 2008
- Ganzer D et al: Two-year results after lumbar microdiscectomy with and without prophylaxis of a peridural fibrosis using Adcon-L. Arch Orthop Trauma Surg. 123(1):17-21, 2003
- Van Goethem JW et al: Review article: MRI of the postoperative lumbar spine. Neuroradiology. 44(9):723-39, 2002
- Anderson SR: A rationale for the treatment algorithm of failed back surgery syndrome. Curr Rev Pain. 4(5):395-406, 2000
- Anderson VC et al: Failed back surgery syndrome. Curr Rev Pain. 4(2):105-11, 2000
- Coskun E et al: Relationships between epidural fibrosis, pain, disability, and psychological factors after lumbar disc surgery. Eur Spine J. 9(3):218-23, 2000
- Pearce JM: Aspects of the failed back syndrome: role of litigation. Spinal Cord. 38(2):63-70, 2000
- Samy Abdou M et al: Epidural fibrosis and the failed back surgery syndrome: history and physical findings. Neurol Res. 21 Suppl 1:S5-8, 1999
- Fritsch EW et al: The failed back surgery syndrome: reasons, intraoperative findings, and long-term results: a report of 182 operative treatments. Spine. 21(5):626-33, 1996
- Georgy BA et al: Fat-suppression contrast-enhanced MRI in the failed back surgery syndrome: a prospective study. Neuroradiology. 37(1):51-7, 1995
- North RB et al: Failed back surgery syndrome: 5-year follow-up in 102 patients undergoing repeated operation. Neurosurgery. 28(5):685-90; discussion 690-1, 1991
- Bundschuh CV et al: Distinguishing between scar and recurrent herniated disk in postoperative patients: value of contrast-enhanced CT and MR imaging. AJNR Am J Neuroradiol. 11(5):949-58, 1990
- Djukic S et al: Magnetic resonance imaging of the postoperative lumbar spine. Radiol Clin North Am. 28(2):341-60, 1990
- Ross JS et al: MR imaging of the postoperative lumbar spine: assessment with gadopentetate dimeglumine. AJNR Am J Neuroradiol. 11(4):771-6, 1990
- Ross JS et al: MR imaging of the postoperative lumbar spine: assessment with gadopentetate dimeglumine. AJR Am J Roentgenol. 155(4):867-72, 1990
- Hueftle MG et al: Lumbar spine: postoperative MR imaging with Gd-DTPA. Radiology. 167(3):817-24, 1988
