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.
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