The Journal of Spinal Surgery· 2013
Clinical protocol for lumbar disc herniation combined with herniated disc resorption
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- 2013year
Short summary
A clinical protocol for lumbar disc herniation (LDH) with spontaneous resorption showed significant improvements in Oswestry Disability Index (ODI) and Visual Analogue Scale (VAS) scores for both surgical (n=15) and conservative (n=19) treatment groups.
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Key points
- 34 patients with lumbar disc herniation (LDH) and spontaneous resorption were analyzed.
- Surgical treatment group (n=15) showed significant ODI improvement (42.8 to 12.5) and VAS score decrease (7.13 to 1.45, P<0.01).
- Conservative treatment group (n=19) also improved ODI (18.9 to 10.5).
- MRI in the conservative group revealed complete (4 cases) or partial (9 cases) disc disappearance.
AI-generated from the title and abstract; the full text is not read.
Abstract
Objective To discuss the clinical protocol for lumbar disc herniation combined with herniated disc resorption.Methods From November 2006 to December 2011,34 patients suffering from lumbar disc herniation(LDH) combined with spontaneous regression of herniated disc were reviewed.These patients were classified into surgical treatment group and conservative treatment group according to the progression of patient’s symptoms before treatment.The Oswestry disability index(ODI) and visual analogue scale(VAS) score were used to assess the outcome of treatment.Results The DOI of 15 patients in surgical treatment group improved from 42.8 ± 4.25 to 12.5 ± 1.26 at the final follow-up(P 0.01),and the VAS scores decreased from 7.13 ± 1.24 to 1.45 ± 0.86 at the final follow-up(P 0.01).The DOI of 19 patients in conservative treatment group improved from 18.9 ± 3.61 to 10.5 ± 6.4 at the final follow-up.According to MRI scans of conservative treatment group at the final follow-up,4 cases presented an entire disappearance of the herniated disc;part disappearance in 9 cases;no change in 6 cases.Conclusion LDH patients with herniated disc resorption can be treated by rational therapy according to the imageological examination and clinical manifestations.
The authors' abstract, as published at the source. The Journal of Spinal Surgery, 2013 · DOI ↗
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Field: Pathology and Forensic Medicine
Pathology and Forensic MedicineMedicine