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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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This table shows that the median and posterolateral hernias were predominant in the proportions of 50% and 53.1%, respectively.

Nuclear Magnetic Resonance Imaging

Among 160 patients, 48 (30.0%) patients had an MRI examination in addition to CT. Figure 2 below shows the distribution. Among these 48 patients, 47.9% had posterolateral DH, 33.3% had a median DH, and 18.8% had a foraminal hernia.

Figure 2. Distribution of MRI findings of the lumbar spine.

This figure confirms once again that the foraminal subtype is rare, as in the CT scan.

ANATOMICAL AND TOPOGRAPHIC DISTRIBUTION OF LESIONS
Table XVI below illustrates the distribution according to the number and disc level concerned.
Table XVI. Distribution of patients by number and level of disc level affected

Number of discfloors

Level of disc floors

Number of patients

%

Unique

L4 - L5

55

34,4

L5 - S1

35

21,9

Total

90

56,3

Double

L3 - L4, L4 - L5

10

6,3

L4 - L5, L5 - S1

45

28,1

Total

55

34,4

Triple

L3 - L4, L4 - L5, L5 - S1

15

9,4

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