Document Detail

Chymopapain in perspective.
MedLine Citation:
PMID:  3708959     Owner:  NLM     Status:  MEDLINE    
Three hundred fifty-nine patients with herniated nucleus pulposus syndrome were treated by chemonucleolysis with chymopapain. Good to excellent results were achieved in 71% with a minimum of six months follow-up observation. In a group followed for an average of ten years, the result was favorable in 86.6%; 58% of all patients injected had a good to excellent long-term result. Disc space narrowing averaged 2 mm, with no adverse effect on the result. Firm conclusions about the cause of failure of chemonucleolysis could not be drawn. Injection at two levels was recommended when a single offending level could not be identified. There were no cases of anaphylaxis with a premedication regimen of dexamethasone, diphenhydramine, and cimetidine. The procedure was safe and the results were reproducible.
E J Dabezies; C Beck; H Shoji
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  1986 May 
Date Detail:
Created Date:  1986-07-08     Completed Date:  1986-07-08     Revised Date:  2005-03-03    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  10-4     Citation Subset:  AIM; IM    
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MeSH Terms
Chymopapain / administration & dosage,  therapeutic use*
Follow-Up Studies
Intervertebral Disk Displacement / drug therapy*,  surgery
Lumbar Vertebrae
Time Factors
Reg. No./Substance:

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