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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X
EISSN: 1024-297X
Vol. 20, No. 1, 2015, pp. 122-131
Bioline Code: js15019
Full paper language: English
Document type: Research Article
Document available free of charge

East and Central African Journal of Surgery, Vol. 20, No. 1, 2015, pp. 122-131

 en Lumbar Disc Degenerative disease: Magnetic Resonance Imaging Findings in Patients with Low Back Pain in Dar Es Salaam.
Jacob, M.; Akoko, L.O. & Kazema, R.R.

Abstract

Background: Lower back pain (LBP) is a public health problem and lumbar disk degenerative disease (LDDD) is a main cause. Studies elsewhere show that the prevalence of LDDD ranges from 85% - 95%. MRI being the best modality for spine disorders, we studied pattern of LDDD in patients with LBP.
Methods: This was a seven months, hospital based descriptive, prospective study which involved all patients presenting with LBP referred for MRI. Patient characteristics were analyzed using SPSS version 13.
Results: One hundred and sixty five patients were recruited into the study. Their ages ranged from 20 to 80 years with a mean of 50±12.5 years. Female accounted for 87 (53%) of the cases. Most of the patients had LDDD. The disease mostly a ffected individuals in the age group above 60 years (P<0.05) with no sex difference. Disk herniation, central canal stenosis and nerve root compression were significantly seen in patients with radiculopathy (P=0.00). L4/L5 & L5/S1 were the most affected.
Conclusions: LDDD occurs in all age groups but individual aged 60 years and above are most affected. There is a relationship between radiculopathy and disk herniation, central canal stenosis and nerve root compression. The lower lumbar spine levels remain the most affected area for disk degenerative disease.

 
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