Prise en charge du spondylolisthesis par lyse isthmique a niamey, a propos de 20 cas

Sanoussi, S.; Bawa, Monika; Rabiou, Sani; Boureima, Moussa

doi:10.4314/ajns.v27i2.55100

Cited by 4 publications

(9 citation statements)

References 7 publications

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“…The mean age of our patients was 52.3±10.9 years. This age was 55.9±14.5 years according to Schoenfield et al [25], 53.1±17.5 years according to Péreira et al [21], 51.47 years according to Sanoussi et al [9] and 57.3 years according to Djientcheu et al [5]. All these authors, like others [4,15], have not found a correlation between the age of the patients and the occurrence of post-operative complications.…”

Section: Discussionmentioning

confidence: 82%

“…It also contributes to a better pre-operative assessment of the risks, a good selection of patients, and finally a reduction in the mortality and morbidity of this surgery [10,20,21,24,25]. Like several authors before us [9,10,14,15], by performing this study over a long period and with a large sample size, we are performing a self-assessment of the practice of degenerative spinal surgery in Parakou (Benin). There are two types of post-operative morbidity associated with lumbar canal stenosis: Surgical morbidity and morbidity due to the health condition of the patient him/herself and the problems regarding operating environment [19,26].…”

Section: Discussionmentioning

confidence: 95%

“…Lumbar spine surgery for various reasons is common in neurosurgical departments, even in under-equipped medical centers [5,6,8,9]. Owing to the high incidence of lumbar spine surgeries, institutional surveillance is necessary to keep the surgical standards at a standard level [10,17,23].…”

Section: Discussionmentioning

confidence: 99%

“…The surgical outcome for instrumented as well as noninstrumented lumbar spine surgery, have been reported as favorable in most studies [3,6,9,17]. The complication rates are relatively low but remain a concern.…”

Section: Discussionmentioning

confidence: 99%

“…Both the clinical manifestations and imaging facilitate the diagnosis and selection of surgical strategy [1][2][3][4]. Surgical management of LSS is very important in neurosurgical practice in sub-Saharan Africa [5][6][7][8][9]. Based on the published literature, the post-operative results are usually satisfactory.…”

Section: Introductionmentioning

confidence: 99%

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Post-operative Morbidity and Mortality of Lumbar Spinal Stenosis at one Teaching Hospital in North-eastern Benin.

et al. 2020

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Background and Aim: Surgical management of Lumbar Spinal Stenosis (LSS) is a common practice. This study aimed to report the morbidities and mortalities observed during surgical treatment of LSS and the outcome of these patients after management over an 8-year study period. Methods and Materials/Patients: It was a retrospective, descriptive, and transversal study performed at the Departmental Teaching Hospital of Borgou in the Republic of Benin (West Africa) from January 2010 to December 2018. This study included the patients who underwent surgical management for LSS. Type of complication, its management, and the patient’s outcomes was registered. Results: During the study period and based on the selection criteria, 239 patients were selected. These patients were divided into 135 men (56.5%) and 104 women (43.5%). The mean age of the patients was 52.3±10.9 years. Laminectomy was performed on one, two, and three lumbar spinal segments in 17.6%, 55.6% and 26.8% of cases, respectively. Laminectomy was associated with discectomy in 6.3% of the cases. No arthrodesis with spinal fixation was performed. Ninety percent of patients had no post-operative complications. Functional post-operative results were considered excellent, good, acceptable and poor in 32.1%, 52.1%, 10.9% and 4.9% of cases, respectively. Five types of complications were observed in 22 patients (9.2%). A reoperation was performed in 1.6% of cases. These different complications included dural tear (4.6%), wound infection (3.3%), stroke (0.8%), cauda equina syndrome (0.4%) and pseudomeningocele (0.4%). The mortality rate was 0.8% (n=2). Conclusion: Lumbar canal stenosis surgery is not without complications. Careful selection of patients, consideration of risk factors, and selection of an appropriate surgical strategy can reduce or avoid these complications.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Post-operative Morbidity and Mortality of Lumbar Spinal Stenosis at one Teaching Hospital in North-eastern Benin.

et al. 2020

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Clinical Factors Influencing the Neurological Recovery of Patients Operated for a Cervical Myelopathy at the Teaching Hospital of Bouake

Louis¹,

Soress²,

Serge³

et al. 2023

OJMN

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Introduction: Cervical myelopathy is the most common myelopathy among people over 50 of age. Cervicosteoarthritis is the main etiology. The purpose of this work was to identify clinical factors that may influence neurological recovery in patients undergoing surgery for cervical myelopathy in our work setting. Materials and Methods: We performed a retrospective analytical study on patients operated on for cervical myelopathy at the teaching hospital of Bouake. The logistic regression model was used to identify the factors influencing post-operative neurological recovery. Results: 50 patients' records have been enrolled in this study. The mean age of our patients was 53 years with extremes ranging from 25 to 78 years and 39 of our patients (62%) were male. The mean modified pre-operative JOA score was 11.62 versus 12.94 after the surgery. Age, sex, the number of levels operated on and the duration of the evolution of the signs showed no significant link with neurological recovery. Preoperative mild myelopathy (P = 0.0491) and post-operative functional rehabilitation (P = 0.0459) were identified as factors favouring neurological recovery after cervical myelopathy surgery. Conclusion: The good conducts of functional rehabilitation sessions as well as a mild myelopathy were the factors favouring neurological recovery.

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Surgical Treatment of Thoracolumbar Pott’s Disease at Niamey National Hospital (HNN) about 34 Cases

Sode,

Ibrahim,

Sawa

et al. 2023

EMSJ

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Pott's disease or tuberculous spondylodiscitis is one of the most serious forms of osteoarticular tuberculosis, responsible for spinal cord compression and/or "cauda equina" syndrome due to granulomatous and/or abscessed tuberculous epiduritis. Surgery therefore plays a key role in the management of this pathology, although surgical techniques vary widely from one author to another and from one department to another. The aim of our work is to describe the different techniques used in our department during the study period, and to evaluate the results. This is a prospective study concerning 34 cases of dorsolumbar and lumbar Pott's disease collised in the neurosurgery department of Niamey National Hospital from January 2020 to December 2021. Analysis of our results found 26 men and 8 women with a sex ratio of 3.25; the extreme ages were 11 and 76 years and the mean age was 40.53 years. 20 patients presented with dorsal cord compression syndrome, 12 with cauda equina syndrome, 6 with conus medullaris syndrome and 2 with multifocal localization. CT was performed in all patients and MRI in only one. All patients were treated with antibacillary chemotherapy. In 16 patients (47.06%), a posterolateral approach consisting of hemilaminectomy, pediculotomy and unilateral arthrectomy was used; in 9 patients (26.47%) a posterior approach consisting of fenestration; and laminectomy in 4 patients (11.76%). An anterior approach in 3 patients (8.82%), consisting of a corpectomy and an antero-lateral approach (pediculo-artrectomy-corpectomy) in 2 patients (5.89%). All our patients underwent debridement, evacuation of residual pus and sequestrectomy. Out of the debridement filling of the defect was performed in 23 cases with a spinous graft, 2 with fibula, 2 with a rib graft and one with an iliac bone graft. At 4 months post-surgery, radicular signs had completely disappeared in all patients, and sensory-motor deficit had improved in 30 patients (88.23%). There was a reduction in kyphosis in all patients who had benefited from an anterior approach, compared with 41.38 % who had undergone a posterior approach.

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Prise en charge du spondylolisthesis par lyse isthmique a niamey, a propos de 20 cas

Cited by 4 publications

References 7 publications

Post-operative Morbidity and Mortality of Lumbar Spinal Stenosis at one Teaching Hospital in North-eastern Benin.

Post-operative Morbidity and Mortality of Lumbar Spinal Stenosis at one Teaching Hospital in North-eastern Benin.

Clinical Factors Influencing the Neurological Recovery of Patients Operated for a Cervical Myelopathy at the Teaching Hospital of Bouake

Surgical Treatment of Thoracolumbar Pott’s Disease at Niamey National Hospital (HNN) about 34 Cases

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