The history of epiduroscopy (spinal canal endoscopy)

AbstractThe technology of spinal canal endoscopy has developed slowly over the 20th and 21st centuries. Contributions have been made by many innovators; however, only recently has this technique been developed and refined sufficiently to be used clinically. Further study is needed to determine whether this technique holds advantages over alternative, currently used techniques of medication delivery into the epidural space. Real-time, direct visual examination of epidural anatomy currently enables the identification of epidural pathology and localization of pain generators. This ability to examine epidural pathology apart from operative trauma and to direct the delivery of medication is not duplicated by any other technique currently available. The future may hold the promise of minimally invasive and effective therapy for both radicular and perhaps other forms of disabling back pain.