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Spontaneous Regression Of Lumbar Disc Herniation: Four Cases Report And Review Of The Literature

Zheng, Y. 2024Other/Unknown

Zheng, Y., Zhu, C., Huang, J. F., Manoharasetty, A., & Zhang, H. (2024). Spontaneous regression of lumbar disc herniation: four cases report and review of the literature. Nagoya journal of medical science, 86(3), 370–382. https://doi.org/10.18999/nagjms.86.3.370

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Abstract

Spontaneous regression of lumbar disc herniation refers to shrinkage or disappearance of herniated nucleus pulposus without invasive surgical treatments. This phenomenon has been reported and is supported by improved clinical symptoms and radiographic after conservative treatment, but the underlying mechanism remains unclear. This article reports 4 cases of disc reabsorption and reviews the distribution of several clinical and radiographic factors of disc herniation reabsorption of total 46 patients, including the four from our study, gathered from 28 recent publications. Some of these factors are present with anomalous distributions. But some factors have similar deviations in patients with lumbar disc herniation. Therefore, more research is needed to explore the correlation between those factors and disc reabsorption.

Case Details

Disease Location

L4-l5 interverterbral disc

Personal Characteristics

45-year-old male

Clinical Characteristics

3-months of history of low back pain and right lateral leg pain with numbness. MRI revealed a right posterolateral herniated nucleus pulposus with compression of the l5 right root. The patient was treated with physical therapy and acupuncture

Remission Characteristics

The clinical symptoms subsided gradually in about 3 months. After 9 months, MRI showed that the herniated disc at l4/5 had almost completely regressed without nerve root compression

Treatment & Mechanisms

Non-Clinical Treatment

Physical therapy, acupuncture