Clinical Significance of CT/Discography in the Determining the Prognosis of Patients for Chemonucleolysis.
- Author:
Seong Keun MOON
1
;
Kwang Soo LEE
;
Moon Soo SHIN
;
Nam JUNG
;
Seung Kon HUH
Author Information
1. Department of Neurosurgery, Presyterian Medical Center, Chonju, Korea.
- Publication Type:Original Article
- Keywords:
Chemonucleolysis;
CT/discography;
Prognosis;
Fluorescing;
Degeneration
- MeSH:
Humans;
Intervertebral Disc Chemolysis*;
Intervertebral Disc Displacement;
Jeollabuk-do;
Korea;
Neurosurgery;
Prognosis*
- From:Journal of Korean Neurosurgical Society
1995;24(4):395-400
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We analysed the results of 34 herniated lumbar disc patients who were treated with chemonucleolysis and took CT/discography from Jan. 1991 to Jun. 1992 at the Department of Neurosurgery, Presbytrian Medical Center, Chonju, Korea. The overall success rate of chemonucleolysis was 82.4%. The CT/discographic findings were divided according to whether fluorescing or not, and degeneration or not. The success rates in fluorescing and non-fluorescing group were 95.2% & 61.5%, respectively, and those in degeneration and non-degeneration group were 66.7% & 100%, respectively. So, the results showed that the outcome of chemonucleolysis was better when the herniated disc fragment demonstrated a large uptake of contrast material visible, or there was no annular appearance to describe degeneration on CT/discography.