Failure of chemonucleolysis and its surgical treatment. Apropos of 268 cases

The authors have reviewed 268 cases of herniated lumbar discs treated by chemonucleolysis between 1980 and 1984. 52 patients had a laminectomy (19,40 p. 100) and 18 of theses failures were due to a large disc herniation (34,61 p. 100). The result of the surgical treatment after chemonucleolysis fail...

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Bibliographic Details
Published in:	Annales de médecine interne Vol. 139; no. 5; p. 320
Main Authors:	Giraudet, J S, Carter, H, Menkes, C J, Chevrot, A, Amor, B, Hirsch, J F
Format:	Journal Article
Language:	French
Published:	France 1988
Subjects:	Chymopapain - therapeutic use Follow-Up Studies Humans Intervertebral Disc Chemolysis - adverse effects Intervertebral Disc Displacement - drug therapy Intervertebral Disc Displacement - surgery Radiculopathy - therapy Retrospective Studies
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Summary:	The authors have reviewed 268 cases of herniated lumbar discs treated by chemonucleolysis between 1980 and 1984. 52 patients had a laminectomy (19,40 p. 100) and 18 of theses failures were due to a large disc herniation (34,61 p. 100). The result of the surgical treatment after chemonucleolysis failure was good in 67,30 p. 100 of cases. A chymopapain injection is not indicated in patients with a large disc herniation.
ISSN:	0003-410X