title: Multiple independent, sequential, and spontaneously resolving lumbar intervertebral disc herniations: a case report.
abstract: METHODS
  A case report is presented.
  
  
  OBJECTIVE
  To highlight the potential for spontaneous resolution of large extruded intervertebral lumbar disc herniations in a patient with three independent herniations.
  
  
  BACKGROUND
  The most effective methods of treatment for lumbar intervertebral disc herniations remain in question. This is partly because the potential for intrinsic spontaneous resolution is not understood, and because many believe that large extruded lumbar intervertebral disc herniations require surgical intervention. This case report addresses both issues.
  
  
  METHODS
  A case is reported and the literature is reviewed.
  
  
  RESULTS
  In the patient described, multiple independent lumbar intervertebral disc herniations resolved spontaneously both clinically and radiographically with nonoperative treatment.
  
  
  CONCLUSIONS
  Not only is the question concerning the cause of disc herniation unresolved, but the best methods of treatment also are generally unclear. This case report documents a patient with the intrinsic capability not only to herniate multiple lumbar intervertebral discs, but also to resolve them clinically and anatomically. Extruded lumbar intervertebral disc herniations may be treated without surgery, as highlighted by this case report. The immunohistologic pathomechanism for resorption remains unclear.
authors.affiliation: Dartmouth Medical School, Hanover New Hampshire, USA. William.a.abdu@hitchcock.org
authors.forename: Alex
authors.initials: A
authors.lastname: Reyentovich
authors.forename: William A
authors.initials: WA
authors.lastname: Abdu
mesh_terms: D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001416:Back Pain / Q000209:etiology; D005682:Gadolinium; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008161:Lumbosacral Region; D008279:Magnetic Resonance Imaging; D008297:Male; D011843:Radiculopathy / Q000188:drug therapy / Q000209:etiology; D012008:Recurrence; D012075:Remission, Spontaneous; D013168:Spondylolisthesis / Q000150:complications / Q000175:diagnosis; D013256:Steroids / Q000627:therapeutic use
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D013256:Steroids; D005682:Gadolinium