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Clinical, radiological and therapeutic aspects of the lumbar disc herniation operated in central Africa (DRC/ Kinshasa)


par Frederick TSHIENDA
Université de Kinshasa - Faculté de médecine - Médecin spécialiste en radiodiagnostic et imagerie médicale 2021
  

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The sign of Lasègue was present in 66, 75%, absent in 8,125% and bilateral in 7, 5% of cases.

NEUROLOGICAL SYNDROM
Sensitivity balance sheet
Table X below shows the distribution of patients according to the sensitivity examination.
Table X. Distribution of patients by sensitivity examination

Variable

Number of patients

%

Normal

120

75,0

Hypoesthesia

- L5

- S1

 
 

13

12

8,1

7,5

Anesthesia

- L5

- S1

10

6,3

5

3,1

The table above shows that sensitivity was normal in 75% of patients and disrupted in 25%.
Motricity (or traction) balance sheet (or records)
Table XI below reports the distribution of patients according to the motricity (or traction) examination.
.Table XI. Distribution of patients according to the examination of motricity

Motricity

Number of patients

%

Normal

81

50,6

Paresis

35

21,9

Paralysis

34

21,3

Cauda equina syndrome

10

6,3

Table XI above shows that motor skills (motricity) were normal in 50.6% and disrupted in 49.4%.

COMMON SCIATICS AND LDH REBELS TO MEDICAL TREATMENT.
  Table XII below illustrates the various clinical situations that may require a hernia cure. Among the 160 patients, there are 51 cases of hernias that are resistant to medical treatment. Table XII gives a distribution according to their clinical manifestations or etiological diagnosis.
Table XII. Distribution of patients according to clinical forms and LDH rebels to medical treatment

Clinical forms and LDH rebels to medical treatment

 
 
 

Number of patients

%

hyperalgic

 
 
 

80

50,0

paralytic

 
 
 

19

11,9

Cauda equina syndrome

Herniated discs rebel to medical treatment

 
 
 

10

51

6,3

31,9

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