What is it about?

In this study, we evaluated the radiological changes of patients with sequestered lumbar disc herniation (LDH), clinical follow-up results and the relationship between them. Spontaneous regression was observed 6 months after MRI in most patients with sequestered LDH who were not operated with conservative treatment. While improvements in pain and disability scores were higher in patients who were operated in the early period, they were not significantly different from patients with spontaneous regression at 6 months.

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Why is it important?

Spontaneous regression can be observed with conservative treatment in most patients with sequestered lumbar disc herniation (LDH). Although pain and disability scores were better in operated patients who underwent early surgery, they were similar to those in patients who regressed spontaneously at 6 months. We recommend conservative treatment in the early period in patients with sequestered LDH with no surgical indication.

Perspectives

Spontaneous regression is likely to occur in sequestered lumbar disc herniatio. In this respect, as long as neurological deficit or unbearable pain does not develop, conservative treatment should be given opportunity before surgery.

Hamza Sucuoglu
Istanbul Gelisim University, School os Healt Sciences

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This page is a summary of: Clinical and Radiological Follow-Up Results of Patients with Sequestered Lumbar Disc Herniation: A Prospective Cohort Study, Medical Principles and Practice, February 2021, Karger Publishers, DOI: 10.1159/000515308.
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