title: Efficiency of discography followed by chemonucleolysis in the treatment of sciatica.
abstract: 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.
authors.affiliation: Department of Radiology, University Hospitals KUL, Leuven, Belgium.
authors.forename: A
authors.initials: A
authors.lastname: Louwaege
authors.forename: J
authors.initials: J
authors.lastname: Goubau
authors.forename: H
authors.initials: H
authors.lastname: Deldycke
authors.forename: E
authors.initials: E
authors.lastname: Brugman
authors.forename: J
authors.initials: J
authors.lastname: Friberg
authors.forename: F
authors.initials: F
authors.lastname: Gheysen
authors.forename: P
authors.initials: P
authors.lastname: Deryckere
authors.forename: V
authors.initials: V
authors.lastname: Herpels
mesh_terms: 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
chemical_list: D003287:Contrast Media; D007472:Iohexol; D002917:Chymopapain