title: [Chemonucleolysis--with extended indications. 4 years clinical experience].
abstract: A follow-up of 1289 chemonucleolyses performed on 1141 patients and a questionnaire answered by 80% of these patients shows that some conditions hitherto held to be contraindications can be questioned: chemonucleolysis performed in cases of disk herniations with spinal stenosis can produce very good results. A second chemonucleolysis with chymopapain at a later date is possible. In patients who have previously undergone surgery on the same disk, chemonucleolysis offers good chances of improvement in the event of a reherniation.
authors.affiliation: Orthopädische Universitätsklinik und Poliklinik Hamburg-Eppendorf.
authors.forename: P R
authors.initials: PR
authors.lastname: Bock-Lamberlin
authors.forename: F W
authors.initials: FW
authors.lastname: Rose
authors.forename: M
authors.initials: M
authors.lastname: Schwonbeck
mesh_terms: D002420:Cauda Equina / Q000187:drug effects; D002917:Chymopapain / Q000009:adverse effects / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D004342:Drug Hypersensitivity / Q000209:etiology; D006801:Humans; D007404:Intervertebral Disc Chemolysis / Q000379:methods*; D007405:Intervertebral Disc Displacement / Q000188:drug therapy* / Q000601:surgery; D008159:Lumbar Vertebrae / Q000187:drug effects* / Q000601:surgery; D011379:Prognosis
chemical_list: D002917:Chymopapain
vernacular_title: Chemonukleolyse--bei erweiterter Indikation. 4jährige klinische Erfahrungen.