Open AccessDEGENERATIVE-DYSTROPHIC CHANGES IN THE SPINE: FROM HERNIATED DISC TO SPONTANEOUS RESORPTION
Author(s) -
Hamanovich A.I.,
Baida A.G.,
Levantsevich V.V.,
Gavi.L.
Publication year - 2021
Publication title -
military medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.442
H-Index - 67
ISSN - 0026-4075
DOI - 10.51922/2074-5044.2021.4.134
Subject(s) - medicine , intervertebral disc , disc herniation , degenerative disc disease , resorption , intervertebral disc displacement , conservative treatment , surgery , back pain , pathology , lumbar vertebrae , alternative medicine , lumbar
A herniated disc is the most frequent manifestation of the degenerative-dystrophic process in the spine, which manifests itself in the most working age. Often, when a herniated disc is detected, such patients are referred for surgical treatment. Published meta-analyzes have shown that there are no significant differences in the effectiveness of surgical treatment of disc herniation and conservative tactics in a long-term comparison. The ineffectiveness of epidural blockade with glucocorticosteroid hormones and long-term use of non-steroidal anti-inflammatory drugs has been shown. All this dictates the need to study other methods of effective treatment of patients with discogenic pain syndrome. This article provides an overview of the study of the mechanisms of spontaneous resorption of intervertebral hernias, which is essentially a sanogenetic response of the body. The focus on patterns, connected to development of neurological manifestations, is vital. This direction in the study of degenerative disc disease, in our opinion, is the most promising at the present stage of development of medical science.