{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T10:13:27Z","timestamp":1785838407903,"version":"3.56.0"},"reference-count":39,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Postoperative epidural fibrosis (PEF) is a significant complication following\n\t\t\t\tlumbar disc herniation surgery. It is characterised by the formation of\n\t\t\t\tnon-physiological scar tissue that may lead to recurrent radicular pain and\n\t\t\t\tcontribute to failed back surgery syndrome (FBSS). Despite its clinical relevance,\n\t\t\t\tthe exact incidence and effective management strategies for LPEF have not been\n\t\t\t\tadequately quantified in the existing literature.<\/jats:p>\n                  <jats:p>This study analyses a cohort of 2673 patients who underwent surgical intervention\n\t\t\t\tfor herniated lumbar discs between September 2010 and August 2023, focusing on 1974\n\t\t\t\tpatients monitored for up to one year post surgery.<\/jats:p>\n                  <jats:p>The study reports on the incidence of postoperative fibrosis, with 97 patients\n\t\t\t\tdiagnosed with this condition. Over 61% of these patients experienced inadequate\n\t\t\t\trelief following various treatment modalities, including epidural steroid injections\n\t\t\t\tand anti-neuropathic medications.<\/jats:p>\n                  <jats:p>The findings indicate that while corticosteroid injections provided relief for a\n\t\t\t\tminority (23.61%) of patients, a substantial proportion continued to experience\n\t\t\t\tpain, necessitating referral to pain management centres. This research contributes\n\t\t\t\tto the understanding of LPEF\u2019s impact on patient outcomes and underscores the need\n\t\t\t\tfor further investigation into effective preventive and therapeutic strategies\n\t\t\t\tduring postoperative care.<\/jats:p>","DOI":"10.1055\/a-2778-1914","type":"journal-article","created":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T00:09:59Z","timestamp":1769818199000},"page":"339-346","source":"Crossref","is-referenced-by-count":1,"title":["Postoperative Epidural Fibrosis after Lumbar Disc Herniation Surgery: Our Experience"],"prefix":"10.1055","volume":"164","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9106-2359","authenticated-orcid":false,"given":"Keyvan","family":"Mostofi","sequence":"additional","affiliation":[{"name":"Centre Clinical de Soyaux, France","place":["Soyaux"],"department":["Neurosurgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morad","family":"Peyravi","sequence":"additional","affiliation":[{"name":"Sana Klinikum Lichtenberg, Berlin, Germany","place":["Berlin"],"department":["Neurosurgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Shirbacheh","sequence":"additional","affiliation":[{"name":"Nevers Urban Hospital Center, Bourgogne-Franche-Comt\u00e9, France","place":["Nevers"],"department":["Emergency"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamran","family":"Shirbache","sequence":"additional","affiliation":[{"name":"Robert-Debr\u00e9 Mother-Child University Hospital, \u00cele-de-France, France","place":["Paris"],"department":["Pediatric Orthopaedic"]},{"name":"Tehran University of Medical Sciences, Tehran Province, Iran","place":["Tehran"],"department":["Center for Orthopedic Trans-Disciplinary Applied 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