Abstract
<i>Lumbar disc herniation (HDL) is a major public health problem in the world. Objectives: </i>The study aimed to determine the clinical and radiological aspects of the lumbar disc herniation [LDH] operated in Kinshasa environments Hospital. <i>Materials and methods: </i>It was a well-documented 160 cases of LDH operated in Biamba Marie Mutombo hospital from January 2012 until December 2016 was evaluated. <i>Results: </i>The most interesting age group range from 31 to 50 years (68, 8%) with a mean age of 44, 7 ± 12, 3 years in that Females were the most affected with 55.6%. Sciatica L5 was found in 28.8% of cases compared to sciatica S1 (15.6%) and left lateralization in 48, 1%. As for imaging results, the posterolateral type was the most common with 53.8% of cases. The disc level: L4-L5 was the most affected in 61.1% of cases. The single LDH was the most common. The discrepancy between imaging and surgery results was 6.3% for medial herniated discs and 24.4% for posterolateral disc herniation. Conclusion: LDH is a pathological reality in hospitals of Kinshasa. The aspects found mainly corroborate literature observations. The discrepancy between imaging and surgery results was statistically insignificant.
Highlights
Lumbar disc herniation (HDL) is a major public health problem in the world [1]; of which disabling low back pain associated or not with sciatica is the clinical expression [2]
This is an opportunity to ask the question about the concordance between the Computed tomography (CT)-Magnetic resonance imaging (MRI) results of the lumbar disc herniation and the intraoperative diagnosis
The hyperalgesia form was the most frequent in this series concerning the inflammatory workup and the haemogram, it appears from these examinations that no inflammatory marker was specific to HDL to the medical imaging examinations; standard radiographs were performed in all 160 patients, among which there were 32 trivial radiographs; disc pinching was the most encountered abnormality with 59.3%
Summary
Lumbar disc herniation (HDL) is a major public health problem in the world [1]; of which disabling low back pain associated or not with sciatica is the clinical expression [2]. It should be noted that medical imaging is useful in confirming the diagnosis before any surgical intervention This is an opportunity to ask the question about the concordance between the CT-MRI results of the lumbar disc herniation and the intraoperative diagnosis. This is all the more relevant because, to our knowledge, no previous study has so far defined the relevance of medical imaging in the management of lumbar disc herniation operated on in Kinshasa hospitals. We propose to describe the radio surgical occurrence of HDL operated on in Kinshasa hospitals
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