TITLE:
The Management of Lumbosciatic Disc Related Disease at Renaissance University Teaching Hospital of N’Djamena-Chad: About 156 Cases
AUTHORS:
Goumantar Felicien Toudjingar, Yannick Canton Kessely, Ngaoussandjim Ndom-Assal, Olivier Ouambi, Donald Djasde, Mahouli Fata Vounki, Alio Hamit Mahamat, Momar Code Ba
KEYWORDS:
Lumbosciatica, Herniated Disc, Surgical Treatment, Conservative Treatment, Chad
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.13 No.1,
January
16,
2023
ABSTRACT: Introduction: Low back disc disease (LSD) is a neurosurgical condition
with significant socioeconomic repercussions. The objective of this study was
to determine the frequency and report the modalities of management. Methodology:
This study on lumbosciatic disc disease was carried out in the neurosurgery
department of the University Hospital Center (CHU), la Renaissance in N’Djamena. It covered a period of 12 months (from September 2019 to August
2020). A descriptive and an analytical approach were used. The
variables studied were epidemiology, clinic, radiology and therapy. Results:
the results showed that LSD represented 14.7% of the reasons for consultation
in neurosurgery. The average age was 45.8, and to some extent, it ranges
between 18 and 76. Lifting was the main reason behind lumbosciatic
disc disease with 35.9% of cases, followed by a sedentary life style which represents 30.8%.
Lumbosciatica L5 was noted in 49.4%. Obesity and overweight were significant risk factors (P = 0.02)
reported in 59% of cases. Motor and sensory deficits were observed in 14.8% and 17.3% of cases, respectively. CT of the lumbar spine was performed in 91% and MRI
in 28.9%. The L4-L5 disc herniation represented 74.3% of cases, with a lateral
location in 44.2% and L5 radicular impingement in 30.8%. Conservative treatment
was instituted in 87.2% and surgical treatment in 12.8% of cases. Conclusion:
LSD is caused by a sedentary lifestyle, physical work and overweight. Surgery
deals with complicated cases and cases not responding to conservative
treatment.