[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 failure was good in 67,30 p. 100 of cases. A chymopapain injection is not indicated in patients with a large disc herniation.
Giraudet
J S
JS
Service de Rhumatologie A. Hôpital Cochin, Paris.
Carter
H
H
Menkes
C J
CJ
Chevrot
A
A
Amor
B
B
Hirsch
J F
JF
D002917:Chymopapain / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D007404:Intervertebral Disc Chemolysis / Q000009:adverse effects; D007405:Intervertebral Disc Displacement / Q000188:drug therapy* / Q000601:surgery; D011843:Radiculopathy / Q000628:therapy*; D012189:Retrospective Studies
D002917:Chymopapain
Les échecs de la chimionucléolyse et leur traitement chirurgical. A propos de 268 observations.