A. DROGENGOJULIUS. "
Ongeti K, Saidi H, Ogeng.". In:
journal. Surgical Society of Kenya; 2009.
AbstractBackground: Accurate evaluation of low back pain is essential for its rational management. The extent of use of clinical and imaging findings in identificationof prolapsed intervertebral disk varies between centers. In Kenya, thediagnostic procedure is obscure.Objective: To assess the evaluation of low back pain patients for prolapsed intervertebral disk at a Kenyatta National Hospital, a teaching and referralhospital in Kenya.Study Design: A retrospective chart studyPatients 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) whowere evaluated, risk factors were recorded in 39.5% patients, 35.3%patients had sciatica while straight leg raising test was performed in52.2% patients. Investigations performed in these patients included plainroentograms (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 arerecommended for routine evaluation of low back pain for PID.
A. DROGENGOJULIUS. "
Ongeti KW, Ogeng.". In:
journal. Surgical Society of Kenya; 2009.
AbstractBackground: Accurate evaluation of low back pain is essential for its rational management. The extent of use of clinical and imaging findings in identificationof prolapsed intervertebral disk varies between centers. In Kenya, thediagnostic procedure is obscure.Objective: To assess the evaluation of low back pain patients for prolapsed intervertebral disk at a Kenyatta National Hospital, a teaching and referralhospital in Kenya.Study Design: A retrospective chart studyPatients 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) whowere evaluated, risk factors were recorded in 39.5% patients, 35.3%patients had sciatica while straight leg raising test was performed in52.2% patients. Investigations performed in these patients included plainroentograms (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 arerecommended for routine evaluation of low back pain for PID.
ONGETI DRKEVINWANGWE, A. DROGENGOJULIUS. "
Treatment and Outcome of Herniated intervertebral Disk in A Referral Hospital in Kenya.". In:
East African Orthopaedic Journal. Kenya Orthopaedic Association; 2009.
AbstractBackground: Prolapsed intervertebral disk (PID) disease can be managed conservatively or surgically with different reported outcomes.Objective: The present study aimed at assessing the management and outcomes of slipped intervertebral disk disease at the Kenyatta National hospital.Study Design: A retrospective cross-sectional study.Setting: Kenyatta National Hospital (KNH) a referral and teaching Hospital in Kenya.Patients and Methods: Consecutive files of all cases of slipped intervertebral disk disease from January1997 to December 2007 were retrieved from the Medical records at the Kenyatta National Hospital. The biodata, management methods and the outcomes of the procedures were recorded. The collecteddata was analyzed using the SPSS 17.0 for Windows.Results: Six hundred and three cases were reviewed. All patients received analgesics and bed rest.Five percent of the patients were put on bilateral traction for two weeks while 4% of the patients had corsets. Thirty five per cent of the patients were surgically managed. Over a third of the surgically managed patients had laminectomies. Microdiscectomy was increasingly popular in the latter half ofthe study period. Of the managed patients 95% reported improvement while 92% were complication free. The rate of reherniation and reoperation was 1.5% and 1.2% respectively.Conclusion: The management of PID at Kenyatta National Hospital is largely successful with few cases of complications. In selected patients both conservative and surgical care are used in tandem. Microdiscectomy is an increasingly popular surgical procedure at the KNH.