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Table of contents

  1. Front Matter
    Pages I-X
  2. J. Roland, S. Bracard, D. Forlodou, C. Moret, L. Picard
    Pages 1-7
  3. M. Runge, P. Clere, J. F. Bonneville
    Pages 29-35
  4. A. Chevrot, F. Girès, C. Vallée, M. Revel, M. A. Mayoux-Benhamou
    Pages 45-52
  5. A. Chevrot, M. F. Bellin, F. Girès, C. Vallée, D. Cormier, M. Revel et al.
    Pages 59-65
  6. L. Castagnera, B. Lavignolle, J. P. Claverie, B. Destribats, G. Macouillard, J. Senegas
    Pages 67-77
  7. P. Clère, M. Runge, J. F. Bonneville
    Pages 79-85
  8. M. C. Laxenaire, D. A. Monneret-Vautrain
    Pages 87-99
  9. P. Courtheoux, J. Theron
    Pages 101-106
  10. H. Deramond
    Pages 107-113
  11. M. Bochu, C. Demiaux, E. Vignon
    Pages 123-125
  12. F. Caulin
    Pages 133-139
  13. J. Clarisse, F. Lesoin, J. P. Pruvo, P. Courtecuisse, I. Krivosic
    Pages 147-151
  14. Back Matter
    Pages 153-153

About these proceedings

Introduction

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 .

Keywords

complication computed tomography computed tomography (CT) infection surgery tomography

Editors and affiliations

  • Jean-François Bonneville
    • 1
  1. 1.Département de Neuroradiologie Hôpital Jean MinjozCentre Hospitalier et Universitaire de BesanconBesancon, CedexFrance

Bibliographic information

  • DOI https://doi.org/10.1007/978-3-642-71182-4
  • Copyright Information Springer-Verlag Berlin Heidelberg 1986
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-642-71184-8
  • Online ISBN 978-3-642-71182-4
  • Buy this book on publisher's site