MEDLINE
Unique Identifier
9444579
Medline Identifier
98106984
Authors
Zentner J. Schneider B. Schramm J.
Institution
Department of Neurosurgery, University of Bonn, Germany.
Title
Efficacy of conservative treatment of lumbar disc herniation.
Source
Journal of Neurosurgical Sciences. 41(3): 263- 8, 1997 Sep.
Abstract
MATERIALS AND METHODS: This study comprises a total of 322 patients who were seen in our neurosurgical department as inpatients (N = 241) or outpatients (N = 81) for lumbar disk herniation. Patients presenting with major neurological deficits and/ or symptoms reflecting lumbar stenosis were excluded. All patients were scheduled for conservative treatment which was based on bedrest for a minimum of two weeks. Thereafter, patients were assigned for further nonoperative or operative treatment. RESULTS: According to our results only 49% of conservatively treated patients had to be operated on. At long- term follow- up with a mean observation time of 2 years as available in 125 patients, 93% of patients who did not undergo surgery were improved with respect to pain. Motor function had recovered in 60% , and sensory deficits in 58% of these cases. CONCLUSIONS: In conclusion, conservative treatment is effective and in our opinion mandatory in the setting of sciatica caused by lumbar disc herniation except for patients presenting with severe, or progressive neurological deficits.
Ув. д- р Гончаров! Я не понял Вашу фразу по частям! !! Тогда исходя из Вашей логики. . На кой Вам эта грыжа без "проявлений" ? ?
Скажем у Вас болит зуб и Вам делают удаление нерва в канале и всё ОК. Не обязательно зуб ведь вырывать? По Вашему получается наличие грыжи, а равно как и зуба - показание к удалению или оперативному лечению! ?
Потом ведь на картинке на сайте д- ра Соломатова совсем "взаправдешнее" изчезновение или обызывстление диска. Безо всякого Кашпировского! На сколько % Nucleus Pulposus состоит из воды? О как. . Так что "грыжа", вполне может "рассосаться" , через пару годиков не так ли?