Spontaneous Resorption of Intervertebral Disc Herniation: A Series of 7 Patients

Background Data: With advancement of MRI technology, numerous studies have showed probability of spontaneous regression of the herniated disc. This is usually associated with recovery of neurological symptoms. Purpose: The purpose of this study is to highlight the potential for spontaneous resorptio...

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Autores principales:	Abdel Aal Abdel Baky, Mohamed Emara
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2016
Materias:	disc herniation spontaneous regression conservative treatment Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/41ea8d0610434d07bf6db89a704f1ace
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spelling	oai:doaj.org-article:41ea8d0610434d07bf6db89a704f1ace2021-12-02T03:24:26ZSpontaneous Resorption of Intervertebral Disc Herniation: A Series of 7 PatientsDOI:10.21608/ESJ.2017.39842314-89502314-8969https://doaj.org/article/41ea8d0610434d07bf6db89a704f1ace2016-01-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3984.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: With advancement of MRI technology, numerous studies have showed probability of spontaneous regression of the herniated disc. This is usually associated with recovery of neurological symptoms. Purpose: The purpose of this study is to highlight the potential for spontaneous resorption of intervertebral disc herniation, review the literature and discuss the duration of conservative treatment. Study Design: Retrospective clinical case study. Patients and Methods: In this study patients with spontaneous regression of intervertebral disc herniation were reviewed. All patients were presented with a single level intervertebral disc herniation and radiculopathy. Six patients had lumber disc herniation and one patient had cervical disc hernition. Surgical intervention was offered to them but all patients refusedand were treated conservatively. Initial MRI was done at presentation and repeated in follow up. Results: Seven patients were identified with a mean age of 35.5 years (range from 28 to 47). Five patients were male and 2 were female. All patients recovered from their radicular pain within a mean of 5 weeks (Range 3-8) of conservative treatment. Repeated MRI after a mean 12 months (Rang 6-18) showed spontaneous resorption of the herniated intervertebral disc in all patients. Conclusion: Herniated intervertebral disc can be resorbed spontaneously. A chance of conservative treatment should be given to patients with radicular pain caused by intervertebral disc herniation with no neurological deficits. If patients report improvement of his symptoms, conservative therapy should be continued. If there is no improvement, surgery should be considered. The reasonable duration of conservative therapy may two months. (2016ESJ095)Abdel Aal Abdel BakyMohamed EmaraEgyptian Spine Associationarticledisc herniationspontaneous regressionconservative treatmentNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 17, Iss 1, Pp 42-48 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	disc herniation spontaneous regression conservative treatment Neurology. Diseases of the nervous system RC346-429
spellingShingle	disc herniation spontaneous regression conservative treatment Neurology. Diseases of the nervous system RC346-429 Abdel Aal Abdel Baky Mohamed Emara Spontaneous Resorption of Intervertebral Disc Herniation: A Series of 7 Patients
description	Background Data: With advancement of MRI technology, numerous studies have showed probability of spontaneous regression of the herniated disc. This is usually associated with recovery of neurological symptoms. Purpose: The purpose of this study is to highlight the potential for spontaneous resorption of intervertebral disc herniation, review the literature and discuss the duration of conservative treatment. Study Design: Retrospective clinical case study. Patients and Methods: In this study patients with spontaneous regression of intervertebral disc herniation were reviewed. All patients were presented with a single level intervertebral disc herniation and radiculopathy. Six patients had lumber disc herniation and one patient had cervical disc hernition. Surgical intervention was offered to them but all patients refusedand were treated conservatively. Initial MRI was done at presentation and repeated in follow up. Results: Seven patients were identified with a mean age of 35.5 years (range from 28 to 47). Five patients were male and 2 were female. All patients recovered from their radicular pain within a mean of 5 weeks (Range 3-8) of conservative treatment. Repeated MRI after a mean 12 months (Rang 6-18) showed spontaneous resorption of the herniated intervertebral disc in all patients. Conclusion: Herniated intervertebral disc can be resorbed spontaneously. A chance of conservative treatment should be given to patients with radicular pain caused by intervertebral disc herniation with no neurological deficits. If patients report improvement of his symptoms, conservative therapy should be continued. If there is no improvement, surgery should be considered. The reasonable duration of conservative therapy may two months. (2016ESJ095)
format	article
author	Abdel Aal Abdel Baky Mohamed Emara
author_facet	Abdel Aal Abdel Baky Mohamed Emara
author_sort	Abdel Aal Abdel Baky
title	Spontaneous Resorption of Intervertebral Disc Herniation: A Series of 7 Patients
title_short	Spontaneous Resorption of Intervertebral Disc Herniation: A Series of 7 Patients
title_full	Spontaneous Resorption of Intervertebral Disc Herniation: A Series of 7 Patients
title_fullStr	Spontaneous Resorption of Intervertebral Disc Herniation: A Series of 7 Patients
title_full_unstemmed	Spontaneous Resorption of Intervertebral Disc Herniation: A Series of 7 Patients
title_sort	spontaneous resorption of intervertebral disc herniation: a series of 7 patients
publisher	Egyptian Spine Association
publishDate	2016
url	https://doaj.org/article/41ea8d0610434d07bf6db89a704f1ace
work_keys_str_mv	AT abdelaalabdelbaky spontaneousresorptionofintervertebraldischerniationaseriesof7patients AT mohamedemara spontaneousresorptionofintervertebraldischerniationaseriesof7patients
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Spontaneous Resorption of Intervertebral Disc Herniation: A Series of 7 Patients

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