Evolution of Imaging Parameters and Factors Associated with Herniated Disc Resorption after Spinal Manipulation Therapy in Lumbar Disc Herniation:a Retrospective Cohort Study of 51 Patients
10.13241/j.cnki.pmb.2025.18.004
- VernacularTitle:腰椎间盘突出症正骨治疗后影像学参数演变及突出物重吸收相关因素分析——基于51例患者的回顾性队列研究
- Author:
Wei CAO
1
;
Zheng-guang HUI
1
;
Meng-jiao XIA
1
;
Chao-ding LI
1
;
Liu-zhong YANG
1
Author Information
1. 南京中医药大学附属徐州市中医院骨伤科 江苏徐州 221000
- Publication Type:Journal Article
- Keywords:
Lumbosacral balance;
Chinese medicine bonesetting;
Chiropractic therapy;
Re-absorption of lumbar disc herniation
- From:
Progress in Modern Biomedicine
2025;25(18):2903-2910
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of traditional Chinese curve-correcting and rotation-reducing spinal manipulation on biomechanical parameters and factors influencing herniated disc resorption in lumbar disc herniation(LDH).Methods:A retrospective analysis of 51 LDH patients treated between January 2022 and May 2024 was conducted.Lumbosacral parameters(vertebral rotation angle[α],disc angle[β],sacral slope[SS],lumbar lordosis[LL])were measured via MRI before treatment and at final follow-up.Disc resorption was assessed using Michigan State University(MSU)classification.Multivariate logistic regression identified factors associated with resorption.Results:Post-treatment α angle significantly decreased(3.02°→1.86°,P=0.002),while SS(28.4°→30.0°,P＜0.001)and LL angles(31.0°→35.12°,P＜0.001)increased;Disc resorption occurred in 56.86％(29/51)of patients.Longer disease course(OR=0.79,95％CI:0.69-0.91)and disc calcification(OR=0.03,95％CI:0.00-0.25)were independent inhibitors of resorption(P＜0.001).Conclusion:Spinal manipulation restores lumbosacral biomechanics by reducing vertebral rotation and increasing lumbar curvature,with higher resorption rates in patients with short duration(≤6 months),non-calcified discs,and MSU type 2-3 herniations.
