Radicotomy Extradural

Radiotomy, also known as radiotomy and radiocotomy, is a surgical operation in which damage to the nervous tissue occurs in the innervation zone.

Extradural radiotomy, as the name suggests, means the removal of intervertebral nerves and plexuses outside the dural sac, these are removed using neurolysis (or nervectomy). Most often, the roots of the spinal cord of the lumbar or sacral regions are removed in this way to treat radicular pain due to L4–L5 disc herniation or S1 radiculitis, as well as spinal curvature. However, there are other indications for surgery. Complications, such as damage to the vertebral artery or intercostal nerve, are extremely rare.

The course of the disease is controlled in most cases when a peripheral catheter is used. After endocranial myelography, corticosteroids are administered through holes in the vertebral cortex and lumbotomy puncture. The complication rate for successful extradural radiotomy is approximately 2%. Extradural radicotomy, a method of dynamic spinal fixation developed and performed by Austrian specialists, has proven itself to be a good treatment for pain roots and radiculopathy.

The technique is called FESS or Flexible Endoscopic Spine System. The use of an endoscope made it possible to accurately determine the position of all compressive vessels and the anatomical features of the operation area, which led to a decrease in the number of complications and a decrease in operation time, increasing safety