Evaluating Low Back Pain Patients for Prolapsed Interverbral Disc in a Kenyan Teaching Hospital

Background Accurate evaluation of low back pain is essential for its rational manage-ment. The extent of use of clinical and imaging findings in identification of prolapsed intervertebral disk varies between centers. In Kenya, the diagnostic procedure is obscure. Objective To assess th...

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Main Authors: Ongeti K, BSc, MBChB, Ogeng’o J
Format: Article
Language:English
Published: Surgical Society of Kenya 2011-01-01
Series:The Annals of African Surgery
Online Access:https://www.annalsofafricansurgery.com/evaluating-low-back-pain-patients-f
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author Ongeti K, BSc, MBChB
Ogeng’o J
author_facet Ongeti K, BSc, MBChB
Ogeng’o J
author_sort Ongeti K, BSc, MBChB
collection DOAJ
description Background Accurate evaluation of low back pain is essential for its rational manage-ment. The extent of use of clinical and imaging findings in identification of prolapsed intervertebral disk varies between centers. In Kenya, the diagnostic procedure is obscure. Objective To assess the evaluation of low back pain patients for prolapsed inter-vertebral disk at Kenyatta National Hospital, a teaching and referral hospital in Kenya. Study Design A retrospective chart study Patients and Methods Historical, physical and imaging findings of patients who presented with low back pain and subsequently diagnosed with prolapsed inter-vertebral disk between Jan 1997 and December 2007 were evaluated. ​ Results Of the six hundred and three patients (267 males, 336 females) who were evaluated, risk factors were recorded in 39.5% patients, 35.3% patients had sciatica while straight leg raising test was performed in 52.2% patients. Investigations performed in these patients included plain roentograms (38.5%), CT scan (9.1%) and MRI (44.1%). Conclusion The evaluation of low back pain for prolapsed inter-vertebral disk was incomplete. History of sciatica, SLRT, crossed SLRT and MRI use are recommended for routine evaluation of low back pain for PID.
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spelling doaj.art-05e09db0a05a4453895a77f5d6746eb02022-12-21T23:36:20ZengSurgical Society of KenyaThe Annals of African Surgery1999-96741999-96742011-01-017Evaluating Low Back Pain Patients for Prolapsed Interverbral Disc in a Kenyan Teaching HospitalOngeti K, BSc, MBChB0Ogeng’o J1University of NairobiUniversity of NairobiBackground Accurate evaluation of low back pain is essential for its rational manage-ment. The extent of use of clinical and imaging findings in identification of prolapsed intervertebral disk varies between centers. In Kenya, the diagnostic procedure is obscure. Objective To assess the evaluation of low back pain patients for prolapsed inter-vertebral disk at Kenyatta National Hospital, a teaching and referral hospital in Kenya. Study Design A retrospective chart study Patients and Methods Historical, physical and imaging findings of patients who presented with low back pain and subsequently diagnosed with prolapsed inter-vertebral disk between Jan 1997 and December 2007 were evaluated. ​ Results Of the six hundred and three patients (267 males, 336 females) who were evaluated, risk factors were recorded in 39.5% patients, 35.3% patients had sciatica while straight leg raising test was performed in 52.2% patients. Investigations performed in these patients included plain roentograms (38.5%), CT scan (9.1%) and MRI (44.1%). Conclusion The evaluation of low back pain for prolapsed inter-vertebral disk was incomplete. History of sciatica, SLRT, crossed SLRT and MRI use are recommended for routine evaluation of low back pain for PID.https://www.annalsofafricansurgery.com/evaluating-low-back-pain-patients-f
spellingShingle Ongeti K, BSc, MBChB
Ogeng’o J
Evaluating Low Back Pain Patients for Prolapsed Interverbral Disc in a Kenyan Teaching Hospital
The Annals of African Surgery
title Evaluating Low Back Pain Patients for Prolapsed Interverbral Disc in a Kenyan Teaching Hospital
title_full Evaluating Low Back Pain Patients for Prolapsed Interverbral Disc in a Kenyan Teaching Hospital
title_fullStr Evaluating Low Back Pain Patients for Prolapsed Interverbral Disc in a Kenyan Teaching Hospital
title_full_unstemmed Evaluating Low Back Pain Patients for Prolapsed Interverbral Disc in a Kenyan Teaching Hospital
title_short Evaluating Low Back Pain Patients for Prolapsed Interverbral Disc in a Kenyan Teaching Hospital
title_sort evaluating low back pain patients for prolapsed interverbral disc in a kenyan teaching hospital
url https://www.annalsofafricansurgery.com/evaluating-low-back-pain-patients-f
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