THE NATURAL-HISTORY OF DISC HERNIATION AND THE INFLUENCE OF INTERVENTION

被引：102

作者：

WEBER, H

机构：

[1] Department of Neurology, Ullevaal Hospital, Oslo

来源：

SPINE | 1994年 / 19卷 / 19期

关键词：

DISC HERNIATION; SURGICAL INTERVENTION;

D O I：

10.1097/00007632-199410000-00022

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The natural history of lumbar disc herniation must be considered when evaluating the influence and outcome of intervention. The combination of clinical signs and symptoms and corresponding radiologic findings permits a more certain diagnostic conclusion compared with many other obscure back disorders. The relationship between low back pain and a herniated disc is unclear. Mechanical compression and chemical changes may be the source of nerve root symptoms. Studies have shown that the natural course of acute radiculopathy has a good prognosis. Bed rest, information, and analgesics usually are sufficient therapeutic measures. Prolongation of symptoms requires radiologic examination. The decision regarding continued conservative therapy versus surgical intervention must be evaluated. Chemonucleolysis and percutaneous nucleotomy are being used, but the indications are uncertain.

引用

页码：2234 / 2238

页数：5

共 11 条

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