The use of lumbar extension in the evaluation and treatment of patients with acute herniated nucleus pulposus. A preliminary report.

Abstract:

:Many patients with acute herniated nucleus pulposus can be expected to resolve their conditions with conservative management. To date, however, no reliable sign has been described in the literature that can predict which patient will respond. This report shows that the ability to achieve normal lumbar extension represents such a sign. Of 67 patients who met the criteria for inclusion in the study, 35 patients were treated without operation; 97% were able to achieve normal lumbar extension within three days of admission to the hospital. Thirty-two patients underwent laminotomy and discectomy because they failed to improve with conservative measures. Of these patients, only two (6%) were able to achieve normal lumbar extension preoperatively. Furthermore, some of these patients responded so dramatically to extension therapy that the use of extension exercises as a therapeutic modality is recommended.

journal_name

Clin Orthop Relat Res

authors

Kopp JR,Alexander AH,Turocy RH,Levrini MG,Lichtman DM

subject

Has Abstract

pub_date

1986-01-01 00:00:00

pages

211-8

issue

202

eissn

0009-921X

issn

1528-1132

pub_type

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