top of page
AdobeStock_352149697.jpeg

Characteristics of lumbar disc herniation with exacerbation of presentation due to spinal manipulative therapy

Cite

Full Text Link

Review

-

Structural and chiropractic

Medicine (Baltimore).2015 Mar;94(12):e661.

Authors:

S Huang, Y Liu, G Yuan, J Zhang, H Yan

Abstract.

The aim of this article was to delineate the characteristics of lumbar disc herniation (LDH) in patients with exacerbation of symptoms caused by spinal manipulative therapy (SMT). The main emphasis should be on the prevention of this condition by identifying relevant risk factors. Detailed clinico-radiological profiles of a total number of 10 LDH patients with exacerbation of presentation after SMT were reviewed. All the patients underwent neurological and magnetic resonance imaging examinations. Laminectomy and discectomy were performed, and follow-up was carried out in all patients. The duration of symptoms in the patients before SMT was 4-15 years. After the therapy, an acute exacerbation of back and radicular pain was observed within 24 h. Magnetic resonance imaging showed that L4-L5 was the most frequently affected level observed (7 patients), and each patient had a large disc fragment in the spinal canal. The disc fragments were classified into 3 types according to their localizations. The time internal between the exacerbation of presentation and surgery was 23.1 days. No perioperative complications were noted. All the patients were relieved of radicular pain a few days after surgery. During postoperative follow-up, all patients regained the ability to walk; one patient received catheterization for 1 month and another for 6 months. Eight patients reported a complete resolution of presentation and the rest 2 patients were significantly improved. SMT should be prohibited in some LDH patients to prevent neurological damages, in whom there are 5 possible risk factors. Surgical results for these patients are encouraging.

Publication Date: 

2015 Mar

OEID: 

5579

Huang, S., Liu, Y., Yuan, G., Zhang, J., Yan, H. (2015) 'Characteristics of lumbar disc herniation with exacerbation of presentation due to spinal manipulative therapy', Medicine (Baltimore).2015 Mar;94(12):e661.

Sponsored by 

logo-footer-k.png

Search    Explore    About    Join    Web Policy     Contact Us

Copyright © 2023 OsteoEvidence. All Rights Reserved.
 

bottom of page