Quality of life of patients operated for lumbar stenosis at the Yaoundé Central Hospital

Lumbar Spinal Stenosis Treatment: Is Surgery Better than Non-Surgical Treatments in Afro-Descendant Populations?

“…An interesting point is comparison of our cohort with African and African American patients undergoing the same condition. In Bello et al, for an African surgery cohort and Elsamadicy et al, for an African American surgery cohort, the age at surgery was respectively 58.2 and 54 years [ 8 , 11 ], whereas in our surgery, the cohort age was 62.9 years. Younger age at diagnosis of lumbar spine stenosis might reflect the potential role of congenital narrowing of the lumbar spine.…”

“…Younger age at diagnosis of lumbar spine stenosis might reflect the potential role of congenital narrowing of the lumbar spine. The age in our surgery cohort tended to be closer to those of the European and US cohorts: 63.8 years in the cohort of Weinstein et al [ 4 ] and 63 years in the cohort of Slätis et al [ 10 ].Another point was the presence of lower ODI in our surgery cohort (47.9%) and in the African American cohort (25%) [ 11 ] compared to the African cohort (78%) [ 8 ]. Such clinical heterogeneities highlight a potential role of environment, including quality of life and psychosocial factors, as determinants for phenotypical expression of the disease.…”

“…Moreover, limited data are available on lumbar spine stenosis management in sub-Saharan African populations, despite this being one of the most common rheumatological conditions in the region [ 6 ] and despite an increased frequency of congenital narrow lumbar canals in this population [ 7 ]. Only one retrospective study demonstrated efficiency of surgery in a Cameroonian population with lumbar spine stenosis [ 8 ] and Afro-descendant patients remain heavily underrepresented in European and US clinical trials [ 4 , 9 , 10 ]. In the retrospective lumbar spine stenosis cohort of Elsamadicy et al, the African American subgroup was less likely to be treated surgically than the white subgroup, despite presenting with more severe symptoms [ 11 ]: higher Oswestry disability index (ODI), higher leg pain visual analogic scale (VAS-LP) and back pain visual analogic scale (VAS-BP).…”

Long term postoperative results and quality of life after surgery for lumbar spinal stenosis in sub-sahara African countries, the case of Cameroon: A cross-sectional study

“… 6 , 7 , 13 , 14 , 15 , 16 , 17 In Africa, a plethora of studies have evaluated the epidemiological, clinical and therapeutic aspects of LSS. 9 , 18 , 19 , 20 , 21 Studies conducted in Cameroon and others sub Saharan African countries showed that LSS affects a younger population (40–60 years) compared to Western countries (65–70 years) and thus, incapacitates people who are still in the working population. 9 , 18 , 20 To our knowledge, only one study in Africa, conducted in Cameroon, has evaluated the quality of life of patients operated for LSS one year after surgery.…”

“…9 , 18 , 19 , 20 , 21 Studies conducted in Cameroon and others sub Saharan African countries showed that LSS affects a younger population (40–60 years) compared to Western countries (65–70 years) and thus, incapacitates people who are still in the working population. 9 , 18 , 20 To our knowledge, only one study in Africa, conducted in Cameroon, has evaluated the quality of life of patients operated for LSS one year after surgery. So there are lack of local data in this topic concerning long term results and quality of life after surgery.…”