Spontaneous Regression of the Herniated Disc about 4 Cases and Review of the Literature


Authors : Joulali Youssef; Benzagmout Mohamed; Chakour Khalid; Chaoui Mohamed El Faiz

Volume/Issue : Volume 6 - 2021, Issue 4 - April

Google Scholar : http://bitly.ws/9nMw

Scribd : https://bit.ly/3uMymJK

Abstract : The herniated disc is a frequent pathology felt as disabling by the patient, with a significant socioprofessional impact. The management of this pathology - apart from emergency situations - remains variable from one practitioner to another. 90% of these radicular pains respond favorably to medical treatment, without having to resort to surgery. Spontaneous regression of the herniated disc is a phenomenon described in the literature, more frequent in the lumbar region than in the cervical and dorsal regions. Inflammatory mediators are at the origin of this regression. The larger the hernia and the more it comes into contact with the epidural space, the greater the chance of spontaneous regression. In this work, we report the observation of 5 patients followed at the Hassan II Hospital of Fez, known to have a herniated disc confirmed on imaging. All our patients were put under medical treatment, and their evolution was marked by a regression of the hernia. We will analyze the results of our series in comparison with the data of the literature

Keywords : Disc Herniation ; Regression ; Nucleus Pulposus ; Annulus Fibrosus ; Radiculalgia.

The herniated disc is a frequent pathology felt as disabling by the patient, with a significant socioprofessional impact. The management of this pathology - apart from emergency situations - remains variable from one practitioner to another. 90% of these radicular pains respond favorably to medical treatment, without having to resort to surgery. Spontaneous regression of the herniated disc is a phenomenon described in the literature, more frequent in the lumbar region than in the cervical and dorsal regions. Inflammatory mediators are at the origin of this regression. The larger the hernia and the more it comes into contact with the epidural space, the greater the chance of spontaneous regression. In this work, we report the observation of 5 patients followed at the Hassan II Hospital of Fez, known to have a herniated disc confirmed on imaging. All our patients were put under medical treatment, and their evolution was marked by a regression of the hernia. We will analyze the results of our series in comparison with the data of the literature

Keywords : Disc Herniation ; Regression ; Nucleus Pulposus ; Annulus Fibrosus ; Radiculalgia.

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