Efficiency of discography followed by chemonucleolysis in the treatment of sciatica.
One hundred and twenty-eight patients underwent discography in our department over a period of 3 years. Eighty-four of them were treated by chemonucleolysis. All the patients were punctured by a postero-lateral approach of the intervertebral disc under fluoroscopy. Although several contraindications to chemonucleolysis are known, in our study, only one case of spondylodiscitis was noted. Overall success rate was 72.6%. Twenty-three patients (27.4%) experienced similar or increased pain after treatment.
Louwaege
A
A
Department of Radiology, University Hospitals KUL, Leuven, Belgium.
Goubau
J
J
Deldycke
H
H
Brugman
E
E
Friberg
J
J
Gheysen
F
F
Deryckere
P
P
Herpels
V
V
D000293:Adolescent; D000328:Adult; D000368:Aged; D002917:Chymopapain / Q000627:therapeutic use*; D003287:Contrast Media; D005260:Female; D006801:Humans; D007403:Intervertebral Disc / Q000000981:diagnostic imaging*; D007404:Intervertebral Disc Chemolysis; D007472:Iohexol; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012585:Sciatica / Q000000981:diagnostic imaging* / Q000628:therapy
D003287:Contrast Media; D007472:Iohexol; D002917:Chymopapain