TITLE:
Lumbosciatica in Consultation in Neurology, University Hospital of Cocody Epidemiologic, Clinical, Therapeutic and Evolutionary Aspects
AUTHORS:
Amon-Tanoh Muriel, Assi Berthe, Kouamé-Assouan Ange Eric, Yapo-Ehounoud Constance, Tanoh Christian
KEYWORDS:
Lumbosciatica, Etiology, Exposing professions, Treatment
JOURNAL NAME:
Open Access Library Journal,
Vol.3 No.10,
October
25,
2016
ABSTRACT: The lumbosciatica, lumbo-neuralgic pain, is common. Their mechanisms are diverse. They are degenerative, infectious, inflammatory, tumoral, and traumatic. Their recurrence and their disabling aspect are responsible for a significant social and occupational disability, which is a cause of absenteeism. Our objective in this paper was to describe the epidemiological, clinical, paraclinical, therapeutic and evolutionary aspect of patients received in consultation. Method of Study: This transversal retrospective and descriptive study was conducted from December 2014 to February 2015 in Neurology Consultation at the University Hospital of Cocody. It included patients admitted for lumbosciatica, explored and treated. Results: Of the 150 lumbosciatica received for 1126 admissions (13.32%) 95 files were retained. The average age was 52.55 years. The predominance was female with 58 women (61.05%) over 37 men. Thirty-two patients (33.68%) had exposing occupation due to the prolonged sitting or standing position (i.e., teachers, housewives and accountants). Pains were bilateral in 69 patients (72.64%). The lumbo-sacral spine scanner objectified degenerative lesions in 51.13% of the cases (45 patients). The clinical evolution under analgesic treatment and/or anti-inflammatory, and/or co-analgesics was favorable in 80% of cases (76 patients), with recurrence in 20% of cases (19 patients). Conclusion: The socio-economic impacts of lumbosciatica are important due to their recurrence. The treatment is often difficult due to the persistence of residual pain and recurrence. The identification of exposing professions and the education of these populations could prevent this disease by reducing the incidence and improving the patients’ life quality.