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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1996-1-30
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pubmed:abstractText |
Chemonucleolysis is an established non-operative treatment of a prolapsed symptomatic lumbar disc. It was introduced as a form of treatment in the early 1960s by Smith [18]. One of the main causes of failure is the difficulty in pre-operative assessment of a contained disc prolapse. Reducing failure rates is very important for the morale of surgeon and patient alike. We investigated 58 patients with magnetic resonance imaging (MRI) to select those with a contained protrusion prior to chemonucleolysis. Per-operative discography confirmed contained protrusion in 96.5% (56/58) of cases, increasing the specificity of selection. At 6 months post chemonucleolysis 86% of our patients were asymptomatic. We would commend MRI as the investigation method of choice prior to chemonucleolysis for a prolapsed symptomatic lumbar disc, thus avoiding separate diagnostic discography, thereby reducing inconvenience to the patient and wastage of prepared chymopapain.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0940-6719
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
4
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
206-9
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:8528777-Adult,
pubmed-meshheading:8528777-Chymopapain,
pubmed-meshheading:8528777-Humans,
pubmed-meshheading:8528777-Intervertebral Disc Chemolysis,
pubmed-meshheading:8528777-Intervertebral Disc Displacement,
pubmed-meshheading:8528777-Lumbar Vertebrae,
pubmed-meshheading:8528777-Magnetic Resonance Imaging,
pubmed-meshheading:8528777-Middle Aged
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pubmed:year |
1995
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pubmed:articleTitle |
Magnetic resonance imaging before chemonucleolysis for lumbar disc prolapse.
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pubmed:affiliation |
Department of Trauma and Orthopaedic Surgery, Frimley Park Hospital NHS Trust, Surrey, UK.
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pubmed:publicationType |
Journal Article
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