Clinical and Radiological findings with long-term Conservative Therapy in lumbar and Cervical Disc Prolapse

Objectives: A retrospective analysis study of 40 patients, with cervical, and/or lumbar disc prolapse, to evaluate the effectiveness of long-term conservative treatment. Method: The study involved 40 patients with acute, or chronic onset of cervical or lumbar radiculopathy, due to disc prolapse between 2015 and 2019. All patients had a standard neurological and clinical assessment, with follow-up Magnetic Resonance Imaging (MRI) for a period ranging from 2 to 3 years. The Associations between clinical findings during the physical examination and follow-up MRI imaging findings were compared and discussed. Their age ranges from 25 years old up to 50 years old (13 women (32.5%) and 27 men (67.5%)). All patients were refusing surgery because of the surgical drew back occurring to their family members for the same surgery, due to medical problems preventing surgery, or had improvement with long- term conservative therapy. The protocol of medical treatment and physiotherapy were the same for all patients. Results: : Long-term conservative treatment for cervical and lumbar disc prolapses could be superior and better than surgical treatment in acute disc prolapse without any neurological deterioration. The surgical treatment of the cervical and lumbar disc prolapses in young patients is has not been considered the gold slandered option of treatment because of the postoperative complications especially recurrence disc and the failed back surgery syndrome. Conclusion: The conservative treatment of cervical and/or lumbar disc prolapses of all selected patients who received the same protocol was effective for long-term therapy. The follow-up MRI spine was also very effective and show spontaneous regression of the disc materials for all patients. Therefore, conservative management of disc prolapses could be superior and better than surgical management especially, in acute stages.