The
lumbosciatica, lumbo-neuralgic pain, is
common. Their mechanisms are diverse. They are degenerative, infectious,
inflammatory, tumoral, and traumatic. Their recurrence and their disabling
aspect are responsible for a significant social and occupational disability,
which is a cause of absenteeism. Our objective in this paper was to describe the
epidemiological, clinical, paraclinical, therapeutic and evolutionary aspect of
patients received in consultation. Method
of Study: This transversal retrospective and descriptive study was
conducted from December 2014 to February 2015 in Neurology Consultation at the
University Hospital of Cocody. It included patients admitted for lumbosciatica,
explored and treated. Results: Of the
150 lumbosciatica received for 1126 admissions (13.32%) 95
files were retained. The average age was 52.55 years. The predominance was
female with 58 women (61.05%) over 37 men. Thirty-two patients (33.68%) had
exposing occupation due to the prolonged sitting or standing position (i.e., teachers, housewives and accountants). Pains were bilateral
in 69 patients (72.64%). The lumbo-sacral spine scanner objectified degenerative lesions
in 51.13% of the cases (45 patients). The clinical evolution under
analgesic treatment and/or anti-inflammatory, and/or co-analgesics was
favorable in 80% of cases (76 patients), with recurrence in 20% of cases (19
patients). Conclusion: The
socio-economic impacts of lumbosciatica are important due to
their recurrence. The treatment is often difficult due to the persistence of
residual pain and recurrence. The identification of exposing professions and
the education of these populations could prevent this disease by reducing the
incidence and improving the patients’ life quality.
Cite this paper
Muriel, A. , Berthe, A. , Eric, K. A. , Constance, Y. and Christian, T. (2016). Lumbosciatica in Consultation in Neurology, University Hospital of Cocody Epidemiologic, Clinical, Therapeutic and Evolutionary Aspects. Open Access Library Journal, 3, e2787. doi: http://dx.doi.org/10.4236/oalib.1102787.
Recommandations de l’ANAES
(2000) Prise en charge diagnostique et thérapeutique des lombalgies et
lombosciatiques communes de moins de 3 mois d’évolution.
Aké, M.L.
(2008) Bilan
des activités en consultations externes du service de Neurologie du CHU de
Cocody. Neurologie. Lieu de soutenance de mémoire: Université de sciences médicales,
116 p.
Bougoudogo, M.
(2006) Aspects épidémio-cliniques et radiologiques des lombosciatalgies au
cours des consultations dans le service de Rhumatologie du CHU de Point G. Rhumatologie.
Université de Bamako, 68
p.
Haddada, F.,
Ben Hammouda, S.,
Younes, M.,
Hassen-Zrour, S.,
Béjia, I.,
Touzi, M., et al. (2005)
La sciatique commune du sujet agé: à propos de 50 cas.
Onambany, B.,
Esiene, A.
and Motah, M.
(2010) Aspects
épidémiologiques, cliniques et thérapeutique du canal lombaire étroit et de la
hernie discale lombaire opérés dans les services de chirurgie de l’hopital de
Douala et de l’hopital d’Hevecam de Niete. Journal of Medicine and Health Sciences, 11.
Kpadonou, G.T.,
Alagnidé, E.,
Gbénou, S.,
Fiossi-Kpadounou, E.,
Houngbedji, G.,
Niama, D., et al. (2012) Récidives des lombosciatalgies communes au Bénin. Revue d’Epidémiologie et Santé Publique, 55, 282-289. http://dx.doi.org/10.1016/j.rehab.2012.07.726
Kochbati, S., Daoud, L., Jemni, C., Shili, S., Ktari, S., Boussema, F., et al. (2008) Lombosciatiques communes du sujet agé. 21 ème
congrès de Société francaise de Rhumatologie.
Schobeiri, E., Khalatbari, M.R., Taheri, M.S.,
Tofighirad, N., et al. (2009) Magnetic Resonance Imaging
Characteristics of Patients with Low Back Pain and Those with Sciatica. Singapore Medecine Journal, 50, 87-93.
Lazrak, F.,
Elouazzani, F.Z.
and Abourazzak, F.E.
(2012) Tuberculose sacrée, une localisation rare: à propos de 3 cas; 21 ème
congrès de Société francaise de Rhumatologie.
Valat, J.P. and Rozenberg, S.
(2008) Les infiltrations de corticoide dans les lombosciatalgies et les
lombalgies communes. Revue du rhumatisme, 75, 590-595. http://dx.doi.org/10.1016/j.rhum.2008.02.007
Eyenga, V.C.,
Ngowe, N.N.,
Minkande, J.Z., et al. (2008) Kinetics
of Regression of Sciatic and Pain in the Low Back after Lumbar Macrodiscectomy
in Human Immunodeficiency Virus Carriers. Spine (Phila Pa 1976), 33, 411-413. http://dx.doi.org/10.1097/BRS.0b013e318175c32b
Breil, D. (2007) Respect des recommandations de l’ANAES, en
médecine générale, dans la prescription des examens complémentaires des
lombalgies de moins de 3 mois d’évolution. Faculté de Médecine de
Créteil, Paris
XII, 48 p.
