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Case Reports in Orthopedics
Volume 2016, Article ID 1538072, 4 pages
http://dx.doi.org/10.1155/2016/1538072
Case Report

Spontaneous Regression of Herniated Lumbar Disc with New Disc Protrusion in the Adjacent Level

1The Vocational School of Health Services, Okan University, 34959 Tuzla, Turkey
2Neurosurgery Clinic, International Kolan Hospital, Şişli, Istanbul, Turkey
3İstanbul Gelişim University, Avcılar, 34315 İstanbul, Turkey

Received 20 April 2016; Revised 2 June 2016; Accepted 5 June 2016

Academic Editor: Ali F. Ozer

Copyright © 2016 Tayfun Hakan and Serkan Gürcan. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Spontaneous regression of herniated lumbar discs was reported occasionally. The mechanisms proposed for regression of disc herniation are still incomplete. This paper describes and discusses a case of spontaneous regression of herniated lumbar discs with a new disc protrusion in the adjacent level. A 41-year-old man was admitted with radiating pain and numbness in the left lower extremity with a left posterolateral disc extrusion at L5-S1 level. He was admitted to hospital with low back pain due to disc herniation caudally immigrating at L4-5 level three years ago. He refused the surgical intervention that was offered and was treated conservatively at that time. He had no neurological deficit and a history of spontaneous regression of the extruded lumbar disc; so, a conservative therapy, including bed rest, physical therapy, nonsteroidal anti-inflammatory drugs, and analgesics, was advised. In conclusion, herniated lumbar disc fragments may regress spontaneously. Reports are prone to advise conservative treatment for extruded or sequestrated lumbar disc herniations. However, these patients should be followed up closely; new herniation at adjacent/different level may occur. Furthermore, it is important to know which herniated disk should be removed and which should be treated conservatively, because disc herniation may cause serious complications as muscle weakness and cauda equine syndrome.