A Meta-analysis: Incidence Rate of Spontaneous Resorption in Patients with Lumbar Disc Herniation

DOI

10.2991/978-94-6463-184-5_32How to use a DOI?

Keywords

disc herniation; Lumbar; conservative treatment; incidence; spontaneous resorption; meta-analysis; study designs; observational studies; systematic review

Abstract

The most frequent cause of degenerative diseases of the lumbar spine is Lumbar Disc Herniation (LDH), covering 3% of the population. Lumbar Disc Herniation (LDH) can be recovered with conservative treatment, and this can occur due to a spontaneous resorption process in the intervertebral disc tissue. This research, therefore, aims to determine the incidence rate of spontaneous resorption in LDH, how the process occurs, and whether conservative treatment can improve recovery in patients with LDH. The researchers searched using pertinent references and several publications chosen in accordance with the requirements; the researchers evaluated the study's quality (risk of bias) using the QUADAS-2 method and subsequently obtained the study through PubMed, Google Scholar, Science Direct, and Scopus databases and utilizing RevMan Version 5.4 software in the meta-analysis. Subgroup analysis was also carried out to filter the titles and abstracts of the articles taken. The data collected gave the overall result of spontaneous resorption after LDH of 67% (95% CI 54%–79%), and this meta-analysis also revealed results divided into subgroups, that the incidence of spontaneous resorption on the European continent was 70% (95% CI 49%–91%), while in Asia, it was 64% (95% CI 58%–70%). Hence, the researchers conclude that the incidence rate of LDH reabsorption is generally around 67%. On the Asian Continent, the resorption rate was found to be 64%, which is approaching the average rate, while on the European Continent, the frequency was considerably higher at 70%. The likelihood of LDH reabsorption with conventional therapy may be impacted by the clinical standards in these nations, as in Continental Europe, a developed country with a superior health care system. Hence, it becomes one factor in increasing the incidence rate of resorption.

Copyright

© 2023 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Fitria Shafa Salsabila
AU  - Suryo Saputra Perdana
AU  - Amalia Nur Azizah
PY  - 2023
DA  - 2023/05/30
TI  - A Meta-analysis: Incidence Rate of Spontaneous Resorption in Patients with Lumbar Disc Herniation
BT  - Proceedings of the International Conference on Health and Well-Being (ICHWB 2022)
PB  - Atlantis Press
SP  - 355
EP  - 365
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-184-5_32
DO  - 10.2991/978-94-6463-184-5_32
ID  - Salsabila2023
ER  -