["Failed Back" Syndrome and First Experience in Application of ADCON(R)-L Preparation.]

Surgeries of lower lumbar spine with entering of the spinal canal (discectomy, decompression, PLIF and others) result in the development of lesser or greater peridural fibrosis. Major fibrous changes may be clinically manifested as the so called failed back syndrome which in many cases invalids the patient. The existing preventive measures have shown to be inadequate and therefore the authors appreciated the possiblity to test ADCON(R)-L gel produced by Gliatech, which mechanically prevents the development of fibrous scars and after some time it resorbs. Postoperative monitoring of the patients with the application of gel has so far not be a longterm one. However, its comparison with the patients where gel was not applied has already shown its benefit. Final conclusions can be made only after a longer period. Key words: "failed back" syndrome, ADCON(R)-L, prevention of peridural fibrosis.