Automated percutaneous lumbar: Discectomy versus chemonucleolysis in the treatment of sciatica: A randomized multicenter trial

Spine

Volumn 18, Issue 1, 1993, Pages 1-7

  Revel, M ^a   Payan, C ^g   Vallee, C ^a   Laredo, J D ^e   Lassale, B ^f   Roux, C ^a   Carter, H ^a   Salomon, C ^f   Delmas, E ^f   Roucoules, J ^c   Beauvais, C ^d   Savy, J M ^d   Chicheportiche, V ^c   Bourgeois, P ^b   Smadja, M ^b   Hercot, O ^b   Wybier, M ^e   Cagan1, G ^a   Blum Boisgard, C ^h   Fermanian, J ^g  

^a Hôpital Cochin ^*  (France)

^b BICHAT HOSPITAL   (France)

^c Service d'Ophtalmologie   (France)

^d Departments of Rheumatology   (France)

^e HÔPITAL SAINT ANTOINE   (France)

^f BEAUJON HOSPITAL   (France)

^g Hôpital Neckei ^*  (France)

^h Groupe Rachis Assistance Publique of Paris ^*  (France)

Author keywords

Automated percutaneous discectomy; Chemonucleolysis; Disc herniation; Randomized trial; Sciatica

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; AUTOMATION; CHEMONUCLEOLYSIS; CONTROLLED STUDY; DISKOGRAPHY; FEMALE; FOLLOW UP; HUMAN; INTERMETHOD COMPARISON; INTERVERTEBRAL DISKECTOMY; ISCHIALGIA; LOW BACK PAIN; LUMBAR DISK HERNIA; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; SELF EVALUATION;

ADULT; COMPARATIVE STUDY; FEMALE; FOLLOW-UP STUDIES; HUMAN; INTERVERTEBRAL DISK CHEMOLYSIS; INTERVERTEBRAL DISK DISPLACEMENT; LUMBAR VERTEBRAE; MALE; MIDDLE AGE; SCIATICA; TREATMENT OUTCOME;

EID: 0027399458     PISSN: 03622436     EISSN: 15281159     Source Type: Journal    
DOI: 10.1097/00007632-199301000-00001     Document Type: Article

References (27)

1. Agre K, Wilson RR, Brim M, McDermott DJ: Chymodiactin postmarketing surveillance. Demographic and adverse experience data in 29 075 patients. Spine 9:479-485, 1984
2. Alaranta H, Hurme M, Einola S, et al: A prospective study of patients with sciatica. A comparison between conservatively treated patients and patients who have undergone operation, Part II: Results after one year follow-up. Spine 15:1345-1349, 1990
3. Altman DG: Practical Statistics for Medical Research. Chapman & Hall, 1991, p 461
4. Bouillet R: Treatment of sciatica. A comparative survey of complications of surgical treatment and nucleolysis with chymopapain. Clin Orthop 251:144-152, 1990
5. Dabezies EJ, Langford K, Morris J, Shields CB, Wilkinson HA: Safety and efficacy of chymopapain (disease) in the treatment of sciatica due to a herniated nucleus pulposus. Results of a randomized, double-blind study. Spine 13:561-565, 1988
6. Feldman J, Menkes CJ, Pallardy G, et al: Etude en double aveugle du traitement de la lombosciatique discale par chimionucleolyse. Rev Rhum Mai Osteoartic 53:147-152, 1986
7. Fraser RD: Chymopapain for the treatment of intervertebral disc herniation. The final report of a double blind study. Spine 9:815-818, 1984
8. Fries JW, Abodeely BA, Vijungco JG, Yeager VL, Gaffey WR: Computed tomography of herniated and extruded nucleus pulposus. J Comput Assist Tomogr 6:874-887, 1982
9. Garfin SR, Rydevik BL, Brown RA: Compressive neuropathy of spinal nerve roots: a mechanical or biological problem? Spine 16:162-166, 1991
10. Graham CE: Chemonucleolysis: a double-blind study comparing chemonucleolysis with intra-discal hydrocortisone: in the treatment of backache and sciatica. Clin Orthop 117:179-192, 1976
11. Hijikata S: Percutaneous nucleotomy. A new concept technique and 12 years’ experience. Clin Orthop 238:9-23, 1989
12. Javid MJ, Nordby EJ, Ford LT, et al: Safety and efficacy of chymopapain (chymodiactin) in herniated nucleus pulposus with sciatica. Results of a randomized, double blind study. JAMA 249:2489-2494, 1983
13. Kahanovitz N, Viola K, Goldstein T, Dawson E: A multicenter analysis of percutaneous discectomy. Spine 15:713-717, 1990
14. Kambin P, Schaffer JL: Percutaneous lumbar discectomy. Review of 100 patients and current practice. Clin Orthop 238:24-34, 1989
15. McCarron RF, Wimpee MW, Hudkins PG, Laros GS: The inflammatory effect of nucleus pulposus: a possible element in the pathogenesis of low-back pain. Spine 12:760-764, 1987
16. Maroon JC, Onik G, Sternau L: Percutaneous automated discectomy. A new approach to lumbar surgery. Clin Orthop 238:64-70, 1989
17. Marshall LL, Trethewie ER: Chemical irritation of nerve root in disc prolapse. Lancet 2:320, 1973
18. Onik G, Helms CA, Ginsburg L, Hoaglund FT, Morris J: Percutaneous lumbar diskectomy using a new aspiration probe. AJR 144:1137-1140, 1985
19. Onik G, Mooney V, Maroon JC, et al: Automated percutaneous discectomy: A prospective multi-institutional study. Neurosurgery 26:228-232, 1990
20. Onik G, Helms CA: Automated percutaneous lumbar diskectomy. AJR 156:531-538, 1991
21. Pocock SJ: Clinical trials: A practical approach. J. Wiley & Sons Ltd. 1983-213
22. Saal JS, Franson RC, Dobrow R, et al: High levels of inflammatory phospholipase A2 activity in lumbar disc herniations. Spine 15:674-678, 1990
23. Schreiber A, Suezawa Y, Leu H: Does percutaneous nucleotomy with discoscopy replace conventional discectomy? Eight years of experience and results in treatment of herniated lumbar disc. Clin Orthop 238:35-42, 1989
24. Schwetschenau PR, Ramirez A, Johnston J, et al: Double blind evaluation of intradiscal chymopapain for herniated lumbar discs. Early results. J Neurosurg 45:622-627, 1976
25. Smith L: Enzyme dissolution of the nucleus pulposus in humans. JAMA 187:137-140; 1964
26. Van Alphen HA, Braakman R, Bezemer PD, Broere G, Berfelo MW: Chemonucleolysis versus discectomy: a randomized multicenter trial. J Neurosurg 70:869-875, 1989
27. Waddell G, Main CJ: Assessment of severity in lowback disorders. Spine 9:204-208, 1984.