Intraoperative Chemonucleolysis As an Adjunct to Lumbar Discectomy
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
STUDY DESIGN: This is a report of a series of 104 patients who underwent lumbar discectomy and chemonucleolysis at the University of Virginia between 1985 and 1989. OBJECTIVE: The primary objective was to determine the safety of this procedure. A secondary objective was to begin studying its efficacy. SUMMARY OF BACKGROUND DATA: This is the first report on the use of chymopapain during open surgery. METHODS: Patients with low back pain and radicular symptoms not cured with conservative therapy were selected for participation in the study. Intraoperatively, disc spaces were injected with 2 ml of chymopapain. Patients were followed-up for an average of 5 years. Patients were surveyed regarding pain relief, and failures of the procedure were analyzed. RESULTS: Seventy percent of patients reported good or excellent pain relief. Operative failures, characterized by reoperation at the same level, totaled 9.6%. Recurrent disc herniation at the time of reoperation occurred in 4.8%. CONCLUSION: The procedure is safe and the relief of pain was similar to that in other published series. The suggestion is that the rate of recurrent disc herniation is reduced.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Intraoperative Chemonucleolysis As an Adjunct to Lumbar Discectomy
- Date Crossref
- 01/09/1995
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University Medical Center pays non établi dans la noticeÉtablissement de santé
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Neurological Surgery pays non établi dans la noticeÉtablissement de santé
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University of Virginia Department of Neurological Surgery pays non établi dans la noticeUniversité ou école supérieure
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University of Michigan Medical Center Section of Neurosurgery pays non établi dans la noticeUniversité ou école supérieure
University Medical Center, Neurological Surgery et Department of Neurological Surgery — University of Virginia, avec 1 autre affiliation.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.