腰椎間盤突出是一種常見的疾病，但在無手術病史的情況下出現鄰近節段疾病（ASD）則較為罕見。我們旨在透過介紹一例36歲女性的案例來揭示自發性消退緩解但卻衍生出鄰近節段椎間盤突出的機率。她經歷了慢性腰痛以及隨後的雙下肢放射痛。最初她沒有接受手術介入。隨著症狀的改變，她再次回到門診。磁振造影（MRI）顯示，原腰椎間盤突出在沒有手術介入的情況下自發性緩解，但在上方鄰近節段出現新的椎間盤突出。腰椎間盤突出的自發性緩解並非罕見情況。對於沒有絕對手術適應症的患者，臨床上可以先嘗試保守治療。然而，目前對於無手術病史的患者出現ASD的研究非常有限，因此很難判斷該患者的情況是ASD還是單純獨立的椎間盤退化現象。

Lumbar disc herniation is a common condition, but adjacent segment disease (ASD) without prior surgery is rare. We aimed to reveal the chance of spontaneous regression with adjacent level disc herniation by presenting a case of a 36-year-old woman who experiencing chronic low back pain and subsequent radiation pain in both lower extremities. She did not undergo surgical intervention at first. With dif-ferent complaint, she returned to clinic. Magnetic resonance imaging (MRI) showed spontaneously regressed lumbar herniated disc and a newly developed disc herni-ation at upward adjacent level without surgical intervention. Regression of the lum-bar disc herniation is not a rare condition. For patients that has no absolute indica-tion to surgery, conservative treatment could be attempted first. However, limited research exists on ASD in patients without prior surgery, making it difficult to con-clude whether this patient’s condition is ASD or an unrelated disc degeneration event.