SPONTANEOUS RESOLUTION OF SCIATICA IN LUMBAR DISC EXTRUSIONS

  • Micun Mile Micunovic Specialized Hospital for Orthopedic Surgery and Traumatology „St. Erazmo”, Ohrid, R. of North Macedonia,
  • Vladimir Mircevski University Hospital for Neurosurgery, Medical Faculty, „Ss. Cyril and Methodius” University, Skopje, R. of North Macedonia,
  • Ana Shibakoska Specialized Hospital for Orthopedic Surgery and Traumatology „St. Erazmo”, Ohrid, R. of North Macedonia,
  • Ognen Sheshoski Specialized Hospital for Orthopedic Surgery and Traumatology „St. Erazmo”, Ohrid, R. of North Macedonia,
  • Emilija Micunovic General Hospital, Ohrid, R. Macedonia
  • Aleksandar Stevoski Specialized Hospital for Orthopedic Surgery and Traumatology „St. Erazmo”, Ohrid, R. of North Macedonia,
  • Ace Dodevski Institute of Anatomy, Medical Faculty, „Ss. Cyril and Methodius” University, Skopje R. of North Macedonia

Abstract

Sciatica is a common disturbance that presents itself with an excruciating pain in the leg accompanied with paresthesia or dysesthesia along the leg which can disable patients with their everyday activities. The aim of this study is to present cases of sciatica with spontaneous resolution. We present 9 illustrative cases of patients with sciatica caused by extrusion of lumbar disc who recovered spontaneously within a year of follow-up. The patients were examined and treated in the Specialized Hospital for Orthopedic Surgery and Traumatology “St. Erazmo” in Ohrid, R. Macedonia in the period of 2018 to 2020. Eight of nine patients were suggested to be treated by surgery because of the symptoms of sciatica and the magnetic resonance findings of the lumbar spine, but they refused. The cases present patients with sciatica caused by lumbar disc extrusion which resolved spontaneously without surgery. Patients should be indicated for magnetic resonance imaging for precise indications, not only for acute onset of leg pain caused by sciatica. Conservative treatment should be considered as an option for treatment of sciatica.


           


Key words: spontaneous resolution, sciatica, extrusion

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Published
2020-12-28
How to Cite
MICUNOVIC, Micun Mile et al. SPONTANEOUS RESOLUTION OF SCIATICA IN LUMBAR DISC EXTRUSIONS. Journal of Morphological Sciences, [S.l.], v. 3, n. 3, p. 79-92, dec. 2020. ISSN 2545-4706. Available at: <http://jms.mk/jms/article/view/163>. Date accessed: 28 jan. 2021.
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Articles