pubmed-article:1830132 | rdf:type | pubmed:Citation | lld:pubmed |
pubmed-article:1830132 | lifeskim:mentions | umls-concept:C0543467 | lld:lifeskim |
pubmed-article:1830132 | lifeskim:mentions | umls-concept:C0019270 | lld:lifeskim |
pubmed-article:1830132 | lifeskim:mentions | umls-concept:C0024090 | lld:lifeskim |
pubmed-article:1830132 | lifeskim:mentions | umls-concept:C0030346 | lld:lifeskim |
pubmed-article:1830132 | lifeskim:mentions | umls-concept:C1274040 | lld:lifeskim |
pubmed-article:1830132 | lifeskim:mentions | umls-concept:C0936012 | lld:lifeskim |
pubmed-article:1830132 | lifeskim:mentions | umls-concept:C0868928 | lld:lifeskim |
pubmed-article:1830132 | lifeskim:mentions | umls-concept:C0993608 | lld:lifeskim |
pubmed-article:1830132 | pubmed:issue | 2 | lld:pubmed |
pubmed-article:1830132 | pubmed:dateCreated | 1991-8-20 | lld:pubmed |
pubmed-article:1830132 | pubmed:abstractText | 1,085 patients have been treated for intervertebral disc herniation with lombo-sciatica: in 751 cases surgical discectomy without laminectomy has been performed with or without microscope; 334 underwent papain nucleolysis. The two clinical groups were separated on clinical and radiographic backgrounds: nucleolysis was performed in patients with no motor disturbance, no stenosis of the lumbar canal, no displaced fragment; the other patients received surgical treatment. The results were evaluated according to MacNab's criteria with a follow-up of 12 to 84 months (mean 17.2 months). The results after surgical treatment were excellent in 53.8% and good in 36.8% of the cases. For papain treatment they were excellent in 32.7% and good in 38.8% of the cases. Papain nucleolysis therefore appears to be an efficient method for the treatment of intervertebral disc herniations associated with lombo-sciatica but, overall, gives poorer results than surgery in spite of a strict selection procedure. In this study, complications due to papain nucleolysis were restricted to chemical spondylodiscitis (5 cases) and to 2 benign allergic syndromes. Statistical analysis of all the cases and multifactorial correlation research pointed out the importance of "workmen's compensation" as prognostic factor. Since this study, 90% of the patients presenting with disc herniation associated with lombo-sciatica recalcitrant to medical treatment undergo surgical discectomy; papain nucleolysis is reserved for sub-ligamentary and non-displaced forms without stenosis of the lumbar canal and represent 10% of our current population. | lld:pubmed |
pubmed-article:1830132 | pubmed:language | fre | lld:pubmed |
pubmed-article:1830132 | pubmed:journal | http://linkedlifedata.com/r... | lld:pubmed |
pubmed-article:1830132 | pubmed:citationSubset | IM | lld:pubmed |
pubmed-article:1830132 | pubmed:chemical | http://linkedlifedata.com/r... | lld:pubmed |
pubmed-article:1830132 | pubmed:status | MEDLINE | lld:pubmed |
pubmed-article:1830132 | pubmed:issn | 0028-3770 | lld:pubmed |
pubmed-article:1830132 | pubmed:author | pubmed-author:LazorthesYY | lld:pubmed |
pubmed-article:1830132 | pubmed:author | pubmed-author:VerdieJ CJC | lld:pubmed |
pubmed-article:1830132 | pubmed:author | pubmed-author:LagarrigueJJ | lld:pubmed |
pubmed-article:1830132 | pubmed:author | pubmed-author:RichaudJJ | lld:pubmed |
pubmed-article:1830132 | pubmed:issnType | Print | lld:pubmed |
pubmed-article:1830132 | pubmed:volume | 37 | lld:pubmed |
pubmed-article:1830132 | pubmed:owner | NLM | lld:pubmed |
pubmed-article:1830132 | pubmed:authorsComplete | Y | lld:pubmed |
pubmed-article:1830132 | pubmed:pagination | 96-104; discussion 104-5 | lld:pubmed |
pubmed-article:1830132 | pubmed:dateRevised | 2011-11-17 | lld:pubmed |
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pubmed-article:1830132 | pubmed:year | 1991 | lld:pubmed |
pubmed-article:1830132 | pubmed:articleTitle | [Analysis of the results of surgery and nucleolysis using papain in 1085 cases of lumbar disk hernias]. | lld:pubmed |
pubmed-article:1830132 | pubmed:affiliation | Service de Neurochirurgie, C.H.U. Toulouse Rangueil. | lld:pubmed |
pubmed-article:1830132 | pubmed:publicationType | Journal Article | lld:pubmed |
pubmed-article:1830132 | pubmed:publicationType | Comparative Study | lld:pubmed |
pubmed-article:1830132 | pubmed:publicationType | English Abstract | lld:pubmed |