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[Natural course in lumbar disk prolapse]

D Scale1, L Zichner

  • 1Orthopädische Universitätsklinik Friedrichsheim, Frankfurt a.M.

Der Orthopade
|June 1, 1994
PubMed
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Conservative treatment for lumbar nucleus prolapse (NP) offers significant pain relief and neurological improvement for most patients. While some residual complaints persist, this approach shows fair results even with minimal prolapse regression.

Area of Science:

  • Neurosurgery
  • Radiology
  • Orthopedics

Background:

  • Lumbar nucleus prolapse (NP) frequently causes nerve root symptoms.
  • Conservative management is a common treatment approach for NP.

Purpose of the Study:

  • To evaluate the efficacy of conservative treatment for lumbar nucleus prolapse (NP).
  • To assess clinical outcomes and radiological changes following conservative NP treatment.

Main Methods:

  • A cohort of 74 patients with lumbar NP and nerve root symptoms underwent conservative treatment.
  • Clinical follow-up was conducted after 1.7 years, with CT scans performed on a subset of patients and a control group.
  • Surgical intervention was noted if required.

Main Results:

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  • Ninety percent of patients experienced marked pain relief with conservative treatment.
  • Neurological findings showed significant improvement, even in cases of severe paresis.
  • Follow-up CT scans revealed partial regression of NP in treated patients (average 48.3%) and controls (average 50.4%).
  • Regression of NP did not correlate with clinical improvement.

Conclusions:

  • Conservative therapy demonstrates fair results for lumbar nucleus prolapse (NP), providing substantial pain relief and neurological recovery.
  • While radiological regression of NP occurs, it is not directly linked to clinical symptom improvement.
  • Even with minor regression, conservative treatment can be effective for lumbar NP.