Volume : IV, Issue : V, May - 2015

THE INDICATIONS AND OUTCOME OF SPINE SURGERY, OGHARA– EXPERIENCE

Enemudo Re

Abstract :

 BACKGROUND: The verteal spine is an important structure in the body housing the spinal cord. It is affected  by trauma, degenerative and tumour conditions. Treatment of these pathologic conditions is both conservative and  operative. The operative method of treatment is poorly developed in Nigeria for different reasons. The essence of this study is to highlight the  indications and outcome of spine surgery in DELSUTH, Oghara. DELSUTH is a tertiary health institution in the south–south geopolitical zone  in Nigeria. PATIENTS AND METHOD: A retrospective study patients managed for spine pathology using surgery from December 2012 to September 2014.  Surgeries done were laminectomy, discectomy, fusion with bone graft and stabilization with pedicle screws, lateral mass screws and connecting rods. Follow up period was 6–27months. RESULTS: A total of 14 patients were managed. 9 males and 5 females with a M:F ratio of 9:5. The age range was 33–77 years (mean=46.8years).  5patients had hemi–laminectomy for lumbar disc prolapse(35%), 1 had thoracic laminectomy for acute traumatic paraplegia at the thoracic level(7%), laminectomy + fusion+ stabilization with pedicle screw for spondylolisthesis in 2 patients(14.3%) and laminectomy + neural  foraminotomy+ partial facetectomy in 6 patients. Dural tear occurred in 2 patients (14.3%), out of which died from pulmonary embolism. Hospital stay was 5 days for uncomplicated surgical cases while those with dural tear stayed 2weeks and a month respectively. Outcome was  good in 13 patients (93%).  CONCLUSION: The use of spine surgery in patients who have failed conservative treatment has very encouraging outcomes. Efforts should  be made to encourage both orthopaedic and neurosurgeons to develop this aspect of treatment to reduce the present poor morbidity and  mortality currently prevailing in the country. In addition, the loss of revenue to the country caused by patients seeking treatment outside the  country will reduce significantly

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

ENEMUDO RE THE INDICATIONS AND OUTCOME OF SPINE SURGERY, OGHARA– EXPERIENCE International Journal of Scientific Research, Vol : 4, Issue : 5 May 2015

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