Herniated disc resorption: a review of studies


Дәйексөз келтіру

Толық мәтін

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Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

Currently, about a third of the population experiences back and neck pain. In this case, the most common cause is herniated interver-tebral discs (HIVD). Surgical treatment in the absence of severe neurological symptoms shows similar results with conservative ones, while in some patients the pain syndrome persists or recurs after surgery. Neuroimaging studies demonstrate the possibility of HIVD resorption in patients receiving conservative therapy. This article analyzes studies on resorption or regression of HIVD and the contributing factors. It has been shown that the large size of the HIVD, the age of 40-50 years, as well as the protrusion of disc tissues through the posterior longitudinal ligament, the presence of a free fragment (sequester) or MRI parameters (hyperintense signal in T2-weighted images; thickening of the gadolinium rim on contrast-enhanced MRI) remain favorable factors contributing to the HIVD regression. Currently, the incidence of resorption is 63%, and its time varies from 8.5 to 24 months. It was concluded that further research in order to better understanding of the HIVD regression mechanisms, search for regression markers, and search for methods stimulating this process is required.

Толық мәтін

Рұқсат жабық

Авторлар туралы

A. Tkachev

Dr. Berezin Medical Institute; Tkachev Clinic, Volgograd

Email: tkachevclinic@mail.iu

A. Epifanov

Tkachev Epifanov Clinic, Moscow

E. Akarachkova

International Society “Stress under Control"

I. Gordeeva

Dr. Berezin Medical Institute; Tkachev Clinic, Volgograd

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