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The patient underwent enzymotherapy by
indwelling catheter one year ago by another surgeon for unknown
indications. The patient did not improve and continued to complain
and the condition progressed. On examination: The patient had severe
weak dorsiflexion both feet with hypalgesia below both knees.
The patient underwent decompressive laminectomy
L4 and partially of L3 and L5 with bilateral foraminotomy both L4
and L5 both sides. Inspection of L4-5 disc revealed acceptable
alignment without presence of extrusion, for what it was left
intact.
The patient showed immediate postoperative
recovery of the power of both legs, and she was discharged the next
day.
Comments:
1. Despite the fact, that enzymotherapy is
useless where it is indicated, here is an example, where it is used
in cases not indicated for them. From this series of operations, you
can find several cases, where the patients were operated after
enzymotherapy.
2. Considering that more than 80% of adult
population has discopathy, enzymotherapy and many methods, used in
practice survive, because most of the patients, even without
treatment recover. | 
