Clinical Improvement After Spontaneous Partial or Complete Absorption 0f Herniated Lumbar Disc.

Background Data: Intervertebral disc herniation is a common disease that usually occurs in middle aged active persons. It presents by back pain and involved nerve root radiculopathy. Some neurologic symptoms in the majority of patients improve after a period of conservative therapy due to regression...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Alaa AbdElraouf, Ahmed Yehya, Mohamed Eshra
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2012
Materias:	Lumbar herniated disc spontaneous regression Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/71bfb33f9bc341b594dc09b7fa7c9932
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:71bfb33f9bc341b594dc09b7fa7c9932
record_format	dspace
spelling	oai:doaj.org-article:71bfb33f9bc341b594dc09b7fa7c99322021-12-02T04:21:50ZClinical Improvement After Spontaneous Partial or Complete Absorption 0f Herniated Lumbar Disc.DOI:10.21608/ESJ.2012.38032314-89502314-8969https://doaj.org/article/71bfb33f9bc341b594dc09b7fa7c99322012-10-01T00:00:00Zhttp://esj.journals.ekb.eg/article_3803.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Intervertebral disc herniation is a common disease that usually occurs in middle aged active persons. It presents by back pain and involved nerve root radiculopathy. Some neurologic symptoms in the majority of patients improve after a period of conservative therapy due to regression in the size of the herniated disc. The exact mechanism of disc regression is not yet clear, however clinical improvement and MRI follow up can document this condition. Study Design: Retrospective clinical case review. Purpose: To assess the clinical improvement of patients with herniated lumbar disc if it occurred by the conservative treatment due to partial or complete spontaneous disc absorption without conveying surgery. Patients and Methods: Here we present fifty cases with single symptomatic disc herniation followed for one year showing the extent of clinical improvement by the conservative treatment, MRI changes and the fate of these fifty patients during and after a one year period of follow up. Male to female ratio was 3:2. The mean age was 38.6 years. Results: History of trauma preceding the disc herniation was given only in 5 (10%) patients. Left sciatica was reported in 34 (68%) and right in 16 (32%) patients. Motor weakness was found only in 5 (10%) patients. L4-5 was the commonest disc to be involved and was found to be herniated in 26 (52%) patients. 44 (88%) patients showed improvement without surgical intervention, while 6 (12%) patients only were operated upon. Conclusion: Herniated intervertebral discs have the potentials for spontaneous regression. Conservative treatment can be tried for all cases even those with mild neurologic deficits at least for 2 months. Surgical treatment should be applied only for patients with severe neurologic deficits or for those with persistent intractable sciatica. (2012ESJ031)Alaa AbdElraouf Ahmed Yehya Mohamed EshraEgyptian Spine AssociationarticleLumbarherniated discspontaneous regressionNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 4, Iss 1, Pp 49-55 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Lumbar herniated disc spontaneous regression Neurology. Diseases of the nervous system RC346-429
spellingShingle	Lumbar herniated disc spontaneous regression Neurology. Diseases of the nervous system RC346-429 Alaa AbdElraouf Ahmed Yehya Mohamed Eshra Clinical Improvement After Spontaneous Partial or Complete Absorption 0f Herniated Lumbar Disc.
description	Background Data: Intervertebral disc herniation is a common disease that usually occurs in middle aged active persons. It presents by back pain and involved nerve root radiculopathy. Some neurologic symptoms in the majority of patients improve after a period of conservative therapy due to regression in the size of the herniated disc. The exact mechanism of disc regression is not yet clear, however clinical improvement and MRI follow up can document this condition. Study Design: Retrospective clinical case review. Purpose: To assess the clinical improvement of patients with herniated lumbar disc if it occurred by the conservative treatment due to partial or complete spontaneous disc absorption without conveying surgery. Patients and Methods: Here we present fifty cases with single symptomatic disc herniation followed for one year showing the extent of clinical improvement by the conservative treatment, MRI changes and the fate of these fifty patients during and after a one year period of follow up. Male to female ratio was 3:2. The mean age was 38.6 years. Results: History of trauma preceding the disc herniation was given only in 5 (10%) patients. Left sciatica was reported in 34 (68%) and right in 16 (32%) patients. Motor weakness was found only in 5 (10%) patients. L4-5 was the commonest disc to be involved and was found to be herniated in 26 (52%) patients. 44 (88%) patients showed improvement without surgical intervention, while 6 (12%) patients only were operated upon. Conclusion: Herniated intervertebral discs have the potentials for spontaneous regression. Conservative treatment can be tried for all cases even those with mild neurologic deficits at least for 2 months. Surgical treatment should be applied only for patients with severe neurologic deficits or for those with persistent intractable sciatica. (2012ESJ031)
format	article
author	Alaa AbdElraouf Ahmed Yehya Mohamed Eshra
author_facet	Alaa AbdElraouf Ahmed Yehya Mohamed Eshra
author_sort	Alaa AbdElraouf
title	Clinical Improvement After Spontaneous Partial or Complete Absorption 0f Herniated Lumbar Disc.
title_short	Clinical Improvement After Spontaneous Partial or Complete Absorption 0f Herniated Lumbar Disc.
title_full	Clinical Improvement After Spontaneous Partial or Complete Absorption 0f Herniated Lumbar Disc.
title_fullStr	Clinical Improvement After Spontaneous Partial or Complete Absorption 0f Herniated Lumbar Disc.
title_full_unstemmed	Clinical Improvement After Spontaneous Partial or Complete Absorption 0f Herniated Lumbar Disc.
title_sort	clinical improvement after spontaneous partial or complete absorption 0f herniated lumbar disc.
publisher	Egyptian Spine Association
publishDate	2012
url	https://doaj.org/article/71bfb33f9bc341b594dc09b7fa7c9932
work_keys_str_mv	AT alaaabdelraouf clinicalimprovementafterspontaneouspartialorcompleteabsorption0fherniatedlumbardisc AT ahmedyehya clinicalimprovementafterspontaneouspartialorcompleteabsorption0fherniatedlumbardisc AT mohamedeshra clinicalimprovementafterspontaneouspartialorcompleteabsorption0fherniatedlumbardisc
_version_	1718401317607571456

Clinical Improvement After Spontaneous Partial or Complete Absorption 0f Herniated Lumbar Disc.

Ejemplares similares