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chymopapain disk injection therapy
Indications:
- herniated disc
Clinical significance:
- minimizes invasiveness of surgery
- reduces intervertebral disc size by partially dissolving the herniation
- reduces pressure on the torn annulus & creates space necessary for retropulsion whenever circular fibres of the annulus regain a minimum capacity to contain the disc under tension
- a small change in volume produces large change in pressure
General
orthopedic surgery
References
- Andreula C, Muto M, Leonardi M.
Interventional spinal procedures.
Eur J Radiol. 2004 May;50(2):112-9.
PMID: 15081127
- Fraser RD
Chymopapain for the treatment of intervertebral disc
herniation. A preliminary report of a double-blind study.
Spine (Phila Pa 1976). 1982 Nov-Dec;7(6):608-12.
PMID: 6220476
- Gomori JM and Floman Y
Chymopapain disk-injection therapy. Modified lumbar approach.
Radiology, 151, 245-246. 1984