Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 381-387 |
| Journal | SPINE |
| Volume | 17 |
| Issue number | 4 |
| Publication status | Published - Apr 1992 |
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A PROSPECTIVE RANDOMIZED TRIAL OF CHEMONUCLEOLYSIS AND CONVENTIONAL DISK SURGERY IN SINGLE LEVEL LUMBAR-DISK HERNIATION. / MURALIKUTTAN, KP; HAMILTON, A; Kernohan, George; MOLLAN, RAB; ADAIR, IV.
In: SPINE, Vol. 17, No. 4, 04.1992, p. 381-387.Research output: Contribution to journal › Article
TY - JOUR
T1 - A PROSPECTIVE RANDOMIZED TRIAL OF CHEMONUCLEOLYSIS AND CONVENTIONAL DISK SURGERY IN SINGLE LEVEL LUMBAR-DISK HERNIATION
AU - MURALIKUTTAN, KP
AU - HAMILTON, A
AU - Kernohan, George
AU - MOLLAN, RAB
AU - ADAIR, IV
PY - 1992/4
Y1 - 1992/4
N2 - The role of chemonucleolysis as an alternative to disc surgery is still disputed. The authors conducted a prospective randomized controlled trial of chemonucleolysis and conventional disc surgery involving 92 patients with L4-5 or L5-S1 disc herniation who failed to respond to conservative treatment. There were 46 patients in each group, matched for demographic, clinical characteristics, and co-interventions. Independent examiners assessed patients before treatment, at 6 weeks after, 3 months after, and 1 year after treatment. A comprehensive method of outcome assessment involving physiological outcome, functional outcome, cost outcome, and psychological outcome was employed. Nine chemonucleolysis patients and one disc surgery patient required additional surgery for failure of initial treatment (P < 0.02). The outcomes at 6 weeks and at 3 months were better in the surgical group, but at 1 year the differences were not significant. The authors conclude that chemonucleolysis as a minimally invasive technique produces inferior short-term results and offers no advantage over conventional discectomy.
AB - The role of chemonucleolysis as an alternative to disc surgery is still disputed. The authors conducted a prospective randomized controlled trial of chemonucleolysis and conventional disc surgery involving 92 patients with L4-5 or L5-S1 disc herniation who failed to respond to conservative treatment. There were 46 patients in each group, matched for demographic, clinical characteristics, and co-interventions. Independent examiners assessed patients before treatment, at 6 weeks after, 3 months after, and 1 year after treatment. A comprehensive method of outcome assessment involving physiological outcome, functional outcome, cost outcome, and psychological outcome was employed. Nine chemonucleolysis patients and one disc surgery patient required additional surgery for failure of initial treatment (P < 0.02). The outcomes at 6 weeks and at 3 months were better in the surgical group, but at 1 year the differences were not significant. The authors conclude that chemonucleolysis as a minimally invasive technique produces inferior short-term results and offers no advantage over conventional discectomy.
M3 - Article
VL - 17
SP - 381
EP - 387
JO - SPINE
JF - SPINE
SN - 1528-1159
SN - 0362-2436
IS - 4
ER -