Spontaneous resorption of Herniated Lumbar Disc "observational retrospective study in 9 patients".

Spontaneous resorption of Herniated Lumbar Disc "observational retrospective study in 9 patients".

World Neurosurg. 2019 Jan 02;:

Authors: El-Kholy AR, Farid AM, Shamhoot IA

Abstract
BACKGROUND: Spontaneous resorption of herniated lumbar disc was explained in the literature by different mechanisms and multiple predictive factors for resorption were reported in numerous studies.
PURPOSE: Evaluation of the phenomena of spontaneous resorption of herniated lumbar disc without surgery (mechanisms, predictive factors, expected time for resorption and proper time for conservative treatment).
STUDY DESIGN: A retrospective clinical case series.
PATIENTS AND METHODS: This study included 9 patients with herniated lumbar disc in the initial MRI. The mean age was 39±6.3 years and male to female ratio was 2:1. All patients presented by pack pain and sciatica without any motor deficit. All patients refused surgical intervention, therefore, they were treated conservatively. Patients were followed up clinically and radiologically (MRI) in the outpatient clinic in regular visits (for 18 months).
RESULTS: Spontaneous resorption of herniated disc was found in all patients in a mean time of 8.7±3.2 months. All patients recovered clinically in a mean time of 5.7±1.6 weeks by conservative treatment. Large and/or sequestrated disc were associated with rapid resorption. Early recovered patients showed early spontaneous resorption of the disc.
CONCLUSION: Spontaneous resorption of herniated lumbar disc can occur by different mechanisms (retraction, dehydration and inflammatory mediated mechanism). Large and/or sequestrated disc are essential predictive factors for rapid spontaneous resorption. Furthermore, early clinical recovery is usually associated with quick resorption of the herniated disc.

PMID: 30610984 [PubMed - as supplied by publisher]

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