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Multiple independent, sequential, and spontaneously resolving lumbar intervertebral disc herniations: a case report.
Alex Reyentovich1, William A Abdu
1Dartmouth Medical School, Hanover New Hampshire, USA. William.a.abdu@hitchcock.org
Spine
|March 7, 2002
Summary
Large lumbar disc herniations can resolve on their own. This case report shows spontaneous clinical and radiographic resolution of multiple herniations with nonoperative treatment, challenging the need for surgery.
Area of Science:
- Neurosurgery
- Orthopedics
- Radiology
Background:
- Treatment efficacy for lumbar disc herniations is debated.
- Spontaneous resolution potential of disc herniations is poorly understood.
- Large extruded herniations are often presumed to require surgery.
Observation:
- A patient presented with three independent, large, extruded lumbar intervertebral disc herniations.
- The patient underwent nonoperative treatment for these herniations.
Findings:
- Multiple lumbar disc herniations demonstrated spontaneous resolution.
- Resolution was confirmed both clinically and radiographically.
- Nonoperative management led to complete anatomical and clinical recovery.
Implications:
- This case suggests conservative treatment may be sufficient for some large extruded lumbar disc herniations.
- It highlights the body's intrinsic capacity for disc resorption.
- Further research into the pathomechanisms of spontaneous resorption is warranted.