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British Journal of Anaesthesia 2005 95(2):275-276; doi:10.1093/bja/aei573
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journal.permissions@oupjournals.org

CORRESPONDENCE

Spinal endoscopy for chronic sciatica

* E-mail: docjohnnyr@hotmail.com

The first 10% of the full text of this article appears below.

Editor—We congratulate Dr Dashfield and colleagues1 on a well conducted clinically relevant study. Caudal epidural placement of steroid and spinal endoscopic placement of steroid were found to be effective in patients with sciatica of 6–18 months. Superior, but not significantly superior results were found in the caudal epidural group. The conclusion must be that putting a patient through the longer, more uncomfortable, more costly and potentially more hazardous procedure of spinal endoscopy is difficult to justify on symptomatic grounds. We would tentatively accept this conclusion, but wish to emphasize some important caveats.

We refer particularly to a prospective observational . . . [Full Text of this Article]

J. Richardson1,*, J.-W. Kallewaard2 and G. J. Groen3

1 Bradford, UK
2 Arnhem, The Netherlands
3 Utrecht, The Netherlands

* E-mail: adrian.dashfield@phnt.swest.nhs.uk

A. K. Dashfield* and M. B. Taylor

Plymouth, UK


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