title: [Chemolysis of intravertebral disk hernia and spinal syndrome].
abstract: The authors report a 31 year old patient who underwent L5-S1 chemonucleolysis. The prenucleolysis discogram disclosed intravertebral discal displacement. Severe spinal symptoms and development of geodes in the endplates adjacent to the treated disk occurred after the procedure. This case suggests that intraosseous discal displacement may be a risk factor for postchymopapain nucleolysis discitis and may contraindicate chemonucleolysis.
authors.affiliation: Service de Radiologie B, Hôpital Cochin, Paris.
authors.forename: O
authors.initials: O
authors.lastname: Richard
authors.forename: C
authors.initials: C
authors.lastname: Vallée
authors.forename: A
authors.initials: A
authors.lastname: Chevrot
authors.forename: P
authors.initials: P
authors.lastname: Hilliquin
authors.forename: C J
authors.initials: CJ
authors.lastname: Menkès
authors.forename: F
authors.initials: F
authors.lastname: L'Huillier
authors.forename: B
authors.initials: B
authors.lastname: Rousselin
authors.forename: A M
authors.initials: AM
authors.lastname: Dupont
authors.forename: D
authors.initials: D
authors.lastname: Godefroy
mesh_terms: D000328:Adult; D000075202:Contraindications; D005260:Female; D006801:Humans; D007404:Intervertebral Disc Chemolysis / Q000009:adverse effects / Q000379:methods; D007405:Intervertebral Disc Displacement / Q000000981:diagnostic imaging / Q000628:therapy*; D017116:Low Back Pain / Q000209:etiology*; D010206:Papain / Q000009:adverse effects; D011859:Radiography
chemical_list: D010206:Papain
vernacular_title: Hernie intra-spongieuse, nucléolyse et syndrome rachidien.