Browse > Article

The Spontaneous Resorption of Herniated Lumbar Disc -A case report-  

Kim, Young Hoon (Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea)
Moon, Dong Eon (Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea)
Park, Chong Min (Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea)
Yoon, Jae Won (Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea)
Publication Information
The Korean Journal of Pain / v.18, no.1, 2005 , pp. 56-59 More about this Journal
Abstract
The most effective treatment methods for a herniated lumbar disc remain questionable. This report follows the patients course, from the onset of pain through the completion of the non-surgical treatment, and shows that a lumbar herniated disc, with radiculopathy, can be successfully treated with a non-surgical approach. This report discusses the possible explanations for disc resorption: retraction into the intervertebral space, dehydration/shrinkage and resorption due to an inflammatory reaction. A non-surgical approach can be an effective treatment option for a herniated lumbar disc.
Keywords
herniated lumbar disc; non-surgical treatment; spontaneous resorption;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Larequi-Lauber T, Vader JP, Burnand B, Brook RH, Kosecoff J, SlourskisD, er al: Appropriateness of indications for surgery of lumbar disc hernia and spinal stenosis. Spine 1997;22:203-9.   DOI   ScienceOn
2 Krieger AJ, Maniker AH: MRI-documented regression of a herniated cervical nucleus pulposus: a case report. Surg Neurol 1992;37:457-9.   DOI   ScienceOn
3 Song JH, Park HK, Shin KM: Spontaneous regression of a herniated cervical disc in a patient with myelography. J Neurosurg Spine 1999;90:138-40   DOI
4 Key JA: The conservative and operative treatment of lesions of the intervertebral discs in the low back. Surgery 1945; 17: 291-303.
5 Sei A, Nakamura T, Fukuyama S, Ikeda T, Senda H, Takagi K: Spontaneous regression of lumbar hernia of the nucleus pulposus. Follow-up study of 4 cases by repeated magnetic resonance imaging. Rev Chir Orthop Repararrice Appar Mot 1994;80:144-9.
6 Ahn SH, Park HW, Byun WM, Ahn MW, Jang SH, Bae JH: Comparison of clinical outcomes and natural morphologic changes between sequestered and large central extruded disc herniations.Yonsei Med J 2002; 43: 283-290.   DOI
7 Chen YC, Lee SH, Chen D: Intradiscal pressure study of percutaneous decompression with nucleoplasty in human cadavers. Spine 2003;28:661-5.   DOI   ScienceOn
8 Hollinger]: Technical aspects of the percutaneous cervical and lumbar laser disc decompression and nucleotomy. Neurol Res 1999;21:99-102.   DOI
9 Vadas P, Pruzanski W: Role of secretory phospholipases A2 in the pathology of disease. Lab Invest 1986; 55: 391-404.
10 McLain RF, Kapural L, Mekhail NA: Epidural steroid therapy for back and leg pain: mechanisms of action and efficacy. Spine J 2005;5:191-201.   DOI   ScienceOn
11 Doita M, Kanatani T, Harada T, Mizuno K: Immunohistologic study of the ruptured intervertebral disc of the lumbar spine. Spine 1996;21: 235-41.   DOI   ScienceOn
12 Postacchini F: Results of surgery compared with conservative management for lumbar disc herniations. Spine 1996;21:1383-7.   DOI   ScienceOn
13 Kim DW, Kim C, Yea SH, Kim SH, Kim DW: Percutaneous decompression of intervertebral disc using Dekompressor$^\circledR$ Korean J Pain 2004;17:326-9.
14 Benoist M: The natural history of lumbar disc herniation and radiculopathy. Joint Bone Spine 2002; 69: 155-60.   DOI   ScienceOn
15 Chao CC, Hu S, Ehrlich L, Peterson PK: Interleukin-1 and tumor necrosis factor-alpha synergistically mediare neurotoxicity: involvement of nitric oxide and of N-methyl-D-aspartate receptors. Brain Behav Imrnun 1995; 9: 355-65.   DOI   ScienceOn
16 Guinto FC, Hashim H, Srumer M: CT demonstration of disk regression after conservative rherapy. Am J Neuroradiol 1984;5:632-3.
17 Komori H, Shinomiya K, Nakai O, Yamaura I, Takeda S, Furuya K: The narural history of herniated nucleus pulposus with radiculopathy. Spine 1996; 21: 225-9.   DOI   ScienceOn
18 Atlas SJ, Keller RB, Chang Y, Deyo RA, Singer DE: Surgical and nonsurgical management of sciatica secondary to a lumbar disc herniation. Spine 2001;26:1179-87.   DOI   ScienceOn
19 Coefoet V, Benoudiba F, Lignieres C, Said G, Doyon D: Spontaneous and complete regression in MRI of thoracic disk herniation. J Radial 1997;78:149-51.
20 Saal JA, Saal JS: Nonoperative treatment of herniated lumbar intervertebral disc with radiculopathy. An ourcome study. Spine 1989;14:431-7.   DOI   ScienceOn