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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 6, 782-784.
doi: 10.1302/0301-620X.89B6.18712  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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Observations on the natural history of massive lumbar disc herniation

G. L. Cribb, FRCS(Tr & Orth), Specialist Registrar1; D. C. Jaffray, FRCS, Consultant Orthopaedic Surgeon1; and V. N. Cassar-Pullicino, FRCR, Consultant Musculoskeletal Radiologist1

1 Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire SY10 7AG, UK.

Correspondence should be sent to Miss G. L. Cribb; e-mail: gcribb{at}hotmail.com

We have treated 15 patients with massive lumbar disc herniations non-operatively. Repeat MR scanning after a mean 24 months (5 to 56) showed a dramatic resolution of the herniation in 14 patients. No patient developed a cauda equina syndrome.

We suggest that this condition may be more benign than previously thought.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General