Penchev Plamen, Ilyov Ilko G, Todorov Todor, Petrov Petar-Preslav, Traykov Petar
Medicine, Medical University of Plovdiv, Plovdiv, BGR.
Medicine, Medical Univesity of Plovdiv, Plovdiv, BGR.
Cureus. 2024 Aug 27;16(8):e67899. doi: 10.7759/cureus.67899. eCollection 2024 Aug.
Lumbar disc herniation is a common disorder that has an important impact on the quality of life and daily activities of those affected. It is defined as the displacement of the nucleus pulposus beyond the intervertebral space. This systematic review aims to evaluate and compare the efficacy of several treatment modalities, including conservative, pharmaceutical, and surgical interventions. The data sources utilized were PubMed, Google Scholar, Embase, and Cochrane. We conducted a systematic review of English-language articles published between 2019 and 2024, using the PRISMA guidelines. A total of 720 studies were identified during the search. Following the evaluation of the title, abstract, and full text, and the application of exclusion criteria, a total of 15 studies met the requirements for inclusion in the analysis. The results indicate that although conservative treatment is frequently successful in providing immediate relief of symptoms, surgical interventions may be required for patients experiencing neurological deficits or those who do not respond to conservative treatments. One limitation of this systematic review is the inclusion of a limited number of studies, which may affect the generalizability of the findings. Additionally, the review was restricted to English-language publications from 2019 to 2024, potentially excluding relevant research published in other languages or outside this timeframe.
腰椎间盘突出症是一种常见疾病，对患者的生活质量和日常活动有重要影响。它被定义为髓核超出椎间隙的移位。本系统评价旨在评估和比较几种治疗方式的疗效，包括保守治疗、药物治疗和手术干预。所使用的数据来源有PubMed、谷歌学术、Embase和考科蓝图书馆。我们按照PRISMA指南，对2019年至2024年发表的英文文章进行了系统评价。在检索过程中总共识别出720项研究。在对标题、摘要和全文进行评估并应用排除标准后，共有15项研究符合纳入分析的要求。结果表明，尽管保守治疗通常能成功地立即缓解症状，但对于出现神经功能缺损的患者或对保守治疗无反应的患者，可能需要进行手术干预。本系统评价的一个局限性是纳入的研究数量有限，这可能会影响研究结果的普遍性。此外，该评价仅限于2019年至2024年的英文出版物，可能排除了其他语言或在此时间范围之外发表的相关研究。
