腰椎间盘突出症的自然吸收:病例说明

Spontaneous resorption of herniated lumbar discs: illustrative cases.

作者信息

Novak Milanka J, Jeffree Rosalind L

机构信息

Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.

Department of Neurosurgery, Alfred Hospital, Melbourne, Victoria, Australia.

出版信息

J Neurosurg Case Lessons. 2025 Jul 21;10(3). doi: 10.3171/CASE24873.

Abstract

BACKGROUND

It is well recognized that symptoms of lumbar disc herniation often improve with conservative management. It is less well understood that the disc herniation resolves over time.

OBSERVATIONS

The authors present several cases demonstrating the natural history of resolution of lumbar disc herniation. All cases also experienced symptomatic improvement of their radicular pain.

LESSONS

These findings provide radiological evidence of the pathophysiology behind symptom resolution with conservative management of lumbar disc herniation and provide support for conservative management of lumbar disc herniation. https://thejns.org/doi/10.3171/CASE24873.

摘要

背景

众所周知,腰椎间盘突出症的症状通常通过保守治疗会有所改善。而对于椎间盘突出症会随着时间推移而自行消退这一点,人们了解得较少。

观察结果

作者展示了几例病例,证明了腰椎间盘突出症自行消退的自然病程。所有病例的神经根性疼痛症状也都有改善。

经验教训

这些发现为腰椎间盘突出症保守治疗后症状缓解背后的病理生理学提供了影像学证据,并为腰椎间盘突出症的保守治疗提供了支持。https://thejns.org/doi/10.3171/CASE24873

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f99f/12278955/8db2a63e017e/CASE24873_figure_1.jpg

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