Treatment of lumbar intervertebral disc herniation - a review of the latest therapeutic methods

KLOCEK, Konrad, KOSTECKI, Bartosz, HAJDUK, Aleksandra, MROZEK, Łukasz, JUREK, Aleksander, ZWOLSKI, Maciej, SZUMLAS, Zuzanna & PUCHALSKI, Krzysztof. Treatment of lumbar intervertebral disc herniation - a review of the latest therapeutic methods. Journal of Education, Health and Sport. 2023;25(1):16-26. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2023.25.01.002

https://apcz.umk.pl/JEHS/article/view/43551

https://zenodo.org/record/7884396

The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343.

Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences).

Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159.

Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu).

© The Authors 2023;

This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland

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Received: 12.04.2023. Revised: 12.04.2023. Accepted: 01.05.2023. Published: 01.05.2023.

Treatment of lumbar intervertebral disc herniation - a review of the latest therapeutic methods.

Konrad Klocek ¹, Bartosz Kostecki ², Aleksandra Hajduk ³, Łukasz Mrozek ⁴ , Aleksander Jurek ⁵, Maciej Zwolski ⁶, Zuzanna Szumlas ⁷, Krzysztof Puchalski ⁸ 

¹ Górnośląskie Centrum Medyczne im. prof. Leszka Gieca Śląskiego Uniwersytetu Medycznego w Katowicach, Ziołowa 45-47, 40-635 Katowice

² SP ZOZ Szpital Wielospecjalistyczny w Jaworznie, Józefa Chełmońskiego 28, 43-600 Jaworzno

³ Warszawski Uniwersytet Medyczny, Żwirki i Wigury 61, 02-091 Warszawa

⁴ Samodzielny Publiczny Specjalistyczny Szpital Zachodni im. Św. Jana Pawła II, ul. Daleka 11, 05-825 Grodzisk Mazowiecki, Poland

⁵ UCK WUM Szpital Kliniczny Dzieciątka Jezus, ul. Lindleya 4, 02-005 Warszawa

⁶  Szpital św. Elżbieta w Katowicach  ul. Warszawska 52, 40-008 Katowice

⁷  LUX MED Sp. z o.o., ul. Postępu 21C, 02-676 Warszawa

⁸ Samodzielny Publiczny Zespół Zakładów Opieki Zdrowotnej im. Marszałka Józefa Piłsudskiego w Płońsku, 09-100 Płońsk, ul. Henryka Sienkiewicza 7

Abstract

Introduction and purpose: The aim of this study is to provide a comprehensive description of intervertebral disc herniation, with a focus on the lumbar spine, including the current conservative and modern surgical treatment options such as minimally invasive procedures.

State of Knowledge: Spinal pain is a prevalent cause of disability in developed countries, with an increasing number of people affected by this condition. Intervertebral disc herniation resulting from degenerative changes is a common pathology, particularly in the lumbar and cervical spine. This condition involves the protrusion of the nucleus pulposus, which exerts pressure on the spinal roots, causing irritation. While the prognosis for herniated nucleus pulposus is usually positive and many patients can undergo conservative treatment, some may require a surgery.  Due to advancements in technology, the current goal is to minimize tissue trauma during hernia repair procedures.

Conclusions: Due to advances in treatment of lumbar intervertebral disc herniation, patients can achieve better clinical outcomes and improved quality of life. Conservative treatment should be considered as the first line treatment in a majority of cases. Surgery is usually a last resort when conservative treatment proves insufficient. No surgical method seems to be unequivocally superior to the others, so its choice is tailored to the individual patient's needs and depends on the surgeon's preferences and experience. Recent advances in endoscopic spine surgery are providing new insights into disc surgery and pain management strategies.

Key words: intervertebral disc herniation; spondylodesis; discectomy; sciatica