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Focus on Chemonucleolysis

  • Conference proceedings
  • © 1986

Overview

Editors:
  1. Jean-François Bonneville

    1. Département de Neuroradiologie Hôpital Jean Minjoz, Centre Hospitalier et Universitaire de Besancon, Besancon, Cedex, France

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Table of contents (20 papers)

  1. Front Matter

    Pages I-X
    Download chapter PDF

  2. Anatomical Aspects of the Intervertebral Disc

    • J. Roland, S. Bracard, D. Forlodou, C. Moret, L. Picard
    Pages 1-7

  3. Principles of Chemonucleolysis Using Chymopapain

    • M. Benoist
    Pages 9-16

  4. Morphological Study of the Action of Chymopapain on the Intervertebral Disc

    • A. Tournade, J. P. Braun
    Pages 17-22

  5. Indications and Contraindications of Nucleolysis

    • C. J. Menkes
    Pages 23-27

  6. Computed Tomography and Chemonucleolysis

    • M. Runge, P. Clere, J. F. Bonneville
    Pages 29-35

  7. Extradural Approach to Needle Placement in Lumbar Intervertebral Disc

    • O. Troisier
    Pages 37-43

  8. Practical Problems of Discography

    • A. Chevrot, F. Girès, C. Vallée, M. Revel, M. A. Mayoux-Benhamou
    Pages 45-52

  9. Discography in the Prognosis of Chemonucleolysis

    • O. Troisier
    Pages 53-58

  10. Discography and Nucleolysis with Discase

    • A. Chevrot, M. F. Bellin, F. Girès, C. Vallée, D. Cormier, M. Revel et al.
    Pages 59-65

  11. Advantages of Disc Compliance Recording VS Discography

    • L. Castagnera, B. Lavignolle, J. P. Claverie, B. Destribats, G. Macouillard, J. Senegas
    Pages 67-77

  12. Results after Chemonucleolysis

    • P. Clère, M. Runge, J. F. Bonneville
    Pages 79-85

  13. Anaphylactic Accidents Related to Chymopapain: Prevention and Treatment

    • M. C. Laxenaire, D. A. Monneret-Vautrain
    Pages 87-99

  14. Complications of Nucleolysis

    • P. Courtheoux, J. Theron
    Pages 101-106

  15. Failures of Chemonucleolysis

    • H. Deramond
    Pages 107-113

  16. Surgical Findings and Results After Chemonucleolysis Failure in Sciatica

    • J. P. Houtteville, K. Toumi
    Pages 115-121

  17. The Cost of Chemonucleolysis — A Preliminary Study

    • M. Bochu, C. Demiaux, E. Vignon
    Pages 123-125

  18. Chymopapain Cervical Chemonucleolysis: Preliminary Results in 15 Cases

    • A. Bonafe
    Pages 127-132

  19. Chymodiactin

    • F. Caulin
    Pages 133-139

  20. Presentation of Discolysis Enzyme: Disease (Chymopapain)

    • T. Samson
    Pages 141-145
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Keywords

About this book

Chemonucleolysis is an efficient, attractive treatment of herniated lum­ bar disc. It has several major advantages: it is less invasive than surgery, enables an earlier return to work and is cost-effective. Nevertheless serious complications can occur during or after the procedure. Infections or neurological complications usually follow a technical fault and must be avoided. Anaphylactic reactions are rare but can be fatal: development of simple and reliable skin tests to detect sen­ sitization against chymopapain is an indispensable way to increase the safety of chemonucleolysis. Failure occurs in about one patient of every five; rigorous patient selection should produce a decreased failure rate. Chemonucleolysis is not a miraculous nor a "magic" treatment. As with all efficient therapeutic methods, it presents advantages, draw­ backs, and failures. Chemonucleolysis still has passionate partisans and ferocious enemies. The goal of this book will be achieved if chemonu­ cleolysis becomes a standard, well-accepted, and uncontroversial treat­ ment modality for herniated lumbar disc. October 1986 J.-F. BONNEVILLE Table of Contents Anatomical Aspects of the Intervertebral Disc . . . . . . . . . 1 J.ROLAND, S.BRACARD, D.FoRLODOU, C.MORET and L.PICARD 9 Principles of Chemonucleolysis Using Chymopapain . M.BENOIST Morphological Study of the Action of Chymopapain on the Intervertebral Disc . . . . . . . . . . . . . . . . . . 17 A. TOURNADE and J. P. BRAUN 23 Indications and Contraindications of Nucleolysis . C.J.MENKES Computed Tomography and Chemonucleolysis 29 M. RUNGE, P. CLERE and J. F. BONNEVILLE Extradural Approach to Needle Placement in Lumbar Intervertebral Disc . . . . . . . . 37 O.TROISIER Practical Problems of Discography . . . . . . . . . . . . .. . . . 45 .

Editors and Affiliations

  • Département de Neuroradiologie Hôpital Jean Minjoz, Centre Hospitalier et Universitaire de Besancon, Besancon, Cedex, France

    Jean-François Bonneville

Bibliographic Information

  • Book Title: Focus on Chemonucleolysis

  • Editors: Jean-François Bonneville

  • DOI: https://doi.org/10.1007/978-3-642-71182-4

  • Publisher: Springer Berlin, Heidelberg

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer-Verlag Berlin Heidelberg 1986

  • Softcover ISBN: 978-3-642-71184-8Due: 17 November 2011

  • eBook ISBN: 978-3-642-71182-4Published: 06 December 2012

  • Edition Number: 1

  • Number of Pages: X, 153

  • Topics: Neuroradiology, Orthopedics

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