Transforaminal posterolateral endoscopic discectomy with or without the combination of a low-dose chymopapain: A prospective randomized study in 280 consecutive cases

Spine

Volumn 31, Issue 24, 2006, Pages

  Hoogland, Thomas ^a,b   Schubert, Michael ^a   Miklitz, Boris ^a   Ramirez, Agnes ^a  

^a Department of Spine Surgery   (Germany)

^b Department of Spine Surgery   (Germany)

Author keywords

Chemonucleolysis; Chymodiactin; Chymopapain; Disc herniation; Endoscopic discectomy; HNP; Percutaneous nucleotomy

Indexed keywords

CHYMOPAPAIN;

ADULT; ARTICLE; CHEMONUCLEOLYSIS; CLINICAL TRIAL; COMPARATIVE STUDY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; ENDOSCOPIC SURGERY; ENDOSCOPY; FEMALE; FOLLOW UP; HUMAN; INTERVERTEBRAL DISKECTOMY; LEG PAIN; LOW DRUG DOSE; LUMBAR DISK HERNIA; MAJOR CLINICAL STUDY; MALE; PAIN ASSESSMENT; PATIENT SATISFACTION; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZATION; RANDOMIZED CONTROLLED TRIAL; RECURRENCE RISK; RISK ASSESSMENT; STATISTICAL SIGNIFICANCE; SURGICAL TECHNIQUE; VISUAL ANALOG SCALE;

ADULT; CHYMOPAPAIN; COMBINED MODALITY THERAPY; DECOMPRESSION, SURGICAL; DISKECTOMY; ENDOSCOPY; FEMALE; FOLLOW-UP STUDIES; HUMANS; INJECTIONS, INTRALESIONAL; INTERVERTEBRAL DISK CHEMOLYSIS; INTERVERTEBRAL DISK DISPLACEMENT; LUMBAR VERTEBRAE; MALE; MIDDLE AGED; PATIENT SATISFACTION; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; QUESTIONNAIRES; RECOVERY OF FUNCTION; RECURRENCE; SCIATICA; SEVERITY OF ILLNESS INDEX; SURGICAL PROCEDURES, MINIMALLY INVASIVE; TREATMENT OUTCOME;

EID: 33751083576     PISSN: 03622436     EISSN: 15281159     Source Type: Journal    
DOI: 10.1097/01.brs.0000245955.22358.3a     Document Type: Article

References (61)

1. Smith L. Enzyme dissolution of the nucleus pulposus in humans. JAMA 1965;187:137-40.
2. Smith L. The development of chemonucleolysis-An overview. In: Sutton JC, ed. Current Concepts in Chemonucleolysis. London, UK: Royal Society of Medicine; 1985.
3. Tregonning GD, Transfeldt EE, McCulloch JA, et al. Chymopapain versus conventional surgery for lumbar disc herniation. 10-year results of treatment. J Bone Joint Surg Br 1991;73:481-6.
4. Muralikuttan KP, Hamilton A, Kernohan WG, et al. A prospective randomized trial of chemonucleolysis and conventional disc surgery in single level lumbar disc herniation. Spine 1992;17:381-7.
5. Simmons J, Nordby E, Hadjipavlou A. Chemonucleolysis: The state of the art. Eur Spine J 2001;10:192-202.
6. Spengler DM. Results with limited excision and selective foraminotomy. Spine 1982;6:604-7.
7. Stücker R, Krug Ch, Reichelt A. Der perkutane transforaminale Zugang zum Epiduralraum. Orthopäde 1997;26:280-7.
8. Osman S, Nibu K, Panjabi M, et al. Transforaminal and posterior decompressions of the lumbar spine. Spine 1997;22:1690-3.
9. Hijikata S, Yamagishi M, Nakayama T. Percutaneous discectomy: A new treatment method for lumbar disc herniation. J Tokyo Den-ryoku Hosp 1975;5:39-44.
10. Kambin P. Arthroscopic lumbar intervertebral fusion. In: Frymoyer JW, ed. The Adult Spine: Principles and Practice. 2nd ed. Philadelphia, PA: Lippincott-Raven; 1997:2037-46.
11. Kambin P. Arthroscopic microdiscectomy. Arthroscopy 1992;8:287-95.
12. Kambin P. Current practice, surgical rounds in orthopaedics. In: Percutaneous Lumbar Discectomy. Philadelphia, PA: Graduate Hospital 1988:31-35.
13. Kambin P. Posterolateral percutaneous lumbar discectomy and decompression. In: Kambin P, ed. Arthroscopic Microdiscectomy: Minimal Intervention in Spinal Surgery. Baltimore, MD: Williams & Wilkins; 1991:67-100.
14. Kambin P, Brager MD. Percutaneous posterolateral discectomy: Anatomy and mechanism. Clin Orthop 1987;223:145-54.
15. Kambin P, Gellman H. Percutaneous lateral discectomy of the lumbar spine: A preliminary report. Clin Orthop 1983;174:127-32.
16. Kambin P, Casey K, O'Brien E, et al. Transforaminal arthroscopic decompression of lateral recess stenosis. J Neurosurg 1996;84:462-7.
17. Kambin P, O'Brien E, Zhou L, et al. Arthroscopic microdiscectomy and selective fragmentectomy. Clin Orthop 1998;357:150-67.
18. Kambin P, Sampson S. Posterolateral percutaneous suction-excision of herniated lumbar intervertebral discs: Report of interim results. Clin Orthop 1986;207:37-43.
19. Kambin P, Schaffer JL. Percutaneous lumbar discectomy: Review of 100 patients and current practice. Clin Orthop 1989;238:224-34.
20. Craig F. Vertebral-body biopsy. J Bone Joint Surg Am 1956;38:93-102.
21. Onik G, Helms CA, Ginsberg L, et al. Percutaneous lumbar discectomy using a new aspiration probe. AJR Am J Roentgenol 1985;144:1137-40.
22. Mochida J, Nishimura K, Nomura T, et al. The importance of preserving disc structure in surgical approaches to lumbar disc herniation. Spine 1996;21:1556-64.
23. Mochida J, Nishimura K, Okuma M, et al. Percutaneous nucleotomy in elite athletes. J Spinal Disord 2001;14:159-64.
24. Mochida J, Toh E, Nomura T, et al. The risks and benefits of percutaneous nucleotomy for lumbar disc herniation. J Bone Joint Surg Br 2001;83:501-5.
25. Choy DS. Risks of laser discolysis. J Neurosurg 1992;77:978.
26. Ohnmeiss D, Guyer R, Hochschuler S. Laser disc decompression. The importance of proper patient selection. Spine 1994;19:2054-8.
27. Siebert W, Berendsen B, Tollgaard J. Die perkutane Laserdiskusdekompression (PLLD). Orthopäde 1996;25:42- 8.
28. Schreiber A, Leu Hj. Die Percutane Nukleotomie im aktuellen Behandlungskonzept der Lumboischialgie. Z Orthop Ihre Grenzgeb 1991;129:1-5.
29. 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. Corr Farm 1989;238:35-42.
30. Revel M, Payan C, Vallee C, et al. Automated percutaneous lumbar discectomy versus chemonucleolysis in the treatment of sciatica. A randomized multi- center trial. Spine 1993;18:1-7.
31. Forst R, Hausmann G. Nucleoscopy-A new examination technique. Arch Orthop Trauma Surg 1983;101:219-21.
32. Yeung AT, Tsou PM. Posterolateral endoscopic excision for lumbar disc herniation. The surgical technique, outcome and complications in 307 consecutive cases. Spine 2002;27:722-31.
33. Knight MTN, Goswami AKD. Endoscopic laser foraminoplasty. In: Savitz MH, Chiu JC, Yeung AT, eds. The Practice of Minimally Invasive Spinal Technique. 1st ed. Richmond, VA: AAMISMS Education, LLC; 2000:337-40.
34. Mathews HH. Transforaminal endoscopic microdiscectomy. Neurosurg Clin N Am 1996;7:59-63.
35. Mathews HH, Long B. Minimally invasive techniques for the treatment of intervertebral disc herniation. J Am Acad Orthop Surg 2002;10:80-5.
36. Mayer H, Brock M. Percutaneous endoscopic discectomy: Surgical technique and preliminary results compared to microsurgical discectomy. J Neurosurg 1993;78:216-25.
37. Schaffer J, Kambin P. Percutaneous posterolateral lumbal discectomy and decompression with a 6.9-millimeter cannula: Analysis of operative failures and complications. J Bone Joint Surg Am 1991;73:822-31.
38. Hoogland T, Scheckenbach C, Dekkers H. Endoskopische transforaminale diskektomie. Ambulant operieren. 1999:4.
39. Hoogland T, Scheckenbach C. Die perkutane lumbale nukleotomie mit low-dosis chymopapain, ein ambulantes Verfahren. Z Orthop Ihre Grenzgeb 1995;133:106-13.
40. Hoogland T, Scheckenbach C. Endoskopische transforaminale fiskektomie (ETD)-Ergebnisse nach 2 Jahren. Orthopädische Praxis 1999;35:104-5.
41. Hoogland T. Transforaminal endoscopic discectomy with foraminoplasty for lumbar disc herniation. In: Surgical Techniques in Orthopaedics and Traumatology. Paris, France: Elsevier SAS; 2003:55-120-C-40.
42. Nakamura SI, Myers RR. Injury to dorsal root ganglia alters innervation of spinal cord dorsal horn lamina involved in nociception. Spine 2000;25:537-42.
43. Hoogland T, Scheckenbach C. Die endoskopische transforaminale Diskektomie bei lumalen Bandscheibenvorfällen. Orthopädische Praxis 1998;34:5-16.
44. Sagher O, Szabo TA, Chenelle AG, et al. Intraoperative chemonucleolysis as an adjunct to lumbar discectomy. Spine 1995;20:923-7.
45. MacNab I. Negative disc exploration: An analysis of the causes of nerve root involvement in sixty-eight patients. J Bone Joint Surg Am 1971;53:891-903.
46. Hoogland T, Dekkers H. Incidents of anaphylactic reactions in the Alpha Klinik 1989-2001, expertise investigation fort he BfArm- Bundesinstitut für Arzneimittel und Medizinprodukte. 2001.
47. Javid M, Nordby E. Current status of chymopapain for herniated nucleus pulposus. Neurosurgery Quarterly 1994;4:92-101.
48. McCulloch JA. Focus issue on lumbar disc herniation: Macro- and microdiscectomy. Spine 1996;21:45S-56S.
49. Nordby E, Fraser R, Javid M. Spine update chemonucleolysis. Spine 1996;9:1102-5.
50. Atlas S, Deyo R, Keller R, et al. The Maine Lumbar Spine Study, Part II: 1-Year outcome of surgical and nonsurgical management of sciatica. Spine 1996;21:1777-86.
51. Asch HL, Lewis PJ, Moreland DB, et al. Prospective multiple outcomes study of outpatients lumbar microdiscectomy: Should 75 to 80% success rates be the norm? J Neurosurg 2002;96:34-44.
52. Barrios C, Ahmed M, Arrotegui J, et al. Microsurgery versus standard removal of the herniated lumbar disc. A 3-year comparison in 150 cases. Acta Orthop Scand 1990;61:399-403.
53. Krappel F, Schmitz R, Bauer E, et al. Offene oder endoskopische Nukleotomie-Ergebnisse einer kontrollierten klinischen Studie mit unabhängiger Nachuntersuchung, MRT und unter besonderer Berücksichtigung der Kosten-Nutzen-Relation. Orthopädische Praxis 2001;37:164-9.
54. Haines S, Jordan N, Boen J, et al. Discectomy strategies for lumbar disc herniation: Study design and implications for clinical research. J Clin Neurosci 2002;4:440-6.
55. Abernathey CD, Ysargil MG. Results in microsurgery. In: Watkins RG, ed. Microsurgery of the Lumbar Spine. Rockville, MD: Aspen Publishers; 1990:223-6.
56. Yasargil MG. Microsurgical operation of herniated lumbar disc. Adv Neurosurg 1977;7:81.
57. Delamarter RB McCulloch JA. Microdiscectomy and microsurgical spinal laminotomies. In: Frymoyer JW, ed. The Adult Spine: Principles and Practice. Philadelphia, PA: Lippincott-Raven; 1997:1961-88.
58. Findlay GF, Hall BI, Musa BS, et al. A 10-year follow-up of the outcome of lumbar microdiscectomy. Spine 1995;20:734-8.
59. Williams RW. Microlumbar discectomy: A conservative surgical approach to the virgin herniated lumbar disc. Spine 1978;3:175-82.
60. Wiese M, Krämer J, Bernsmann K, et al. The related outcome and complication rate in primary lumbar microscopic disc surgery depending on the surgeon's experience: Comparative studies. Spine J 2004;4:550-6.
61. Hermantin F, Peters T, Quartararo L, et al. A prospective, randomized study comparing the results of open discectomy with those of video-assisted arthroscopic microdiscectomy. J Bone Joint Surg 1999;81:958-65.