Ongeti KW, Ogeng

A. DROGENGOJULIUS. "Ongeti KW, Ogeng.". In: journal. Surgical Society of Kenya; 2009.


Background: 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.




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