GJRA – GLOBAL JOURNAL FOR RESEARCH ANALYSIS
Original Research Paper / Radio-Diagnosis
VOLUME – 11, ISSUE – 07, JULY – 2022 • PRINT ISSN No. 2277 – 8160 • DOI : 10.36106/gjra
Auteurs : Frederick Tshibasu Tshienda*, Jean Mukaya Tshibola, Patrick Lebughe Litite, Angele Mbongo Tansia, Antoine Molua Aundu, Fidèle Nyimi Bushabu, Wafa Mbarki, Tasnime Hamdeni, Mounir Sayadi, Celestin Kaputu-Kalala-Malu, Antoine Beltchika Kalubye, Glennie Ntsambi, Jean-Robert Makulo Rissassy, Jean-Jacques Malemba, Jean- Marie Kayembe Ntumba, Jean-Marie Mbuyi Muamba.
I. Objective: to highlight the clinico-MRI profile of lumbar disc herniation on sciatic lumboradiculgia in biriver hospital settings (cases of Kinshasa and Brazzaville). II. Materials and methods : This was a retrospective, documentary and multicenter study of 302 patients who performed lumbar MRI examinations in 18 months in
hospitals in Kinshasa and Brazzaville. III. Results : The mean age of patients was 53.4 years. The most represented age group was 50 to 59 years old. The female sex was predominant (55.4%) with a ratio of 0.79. The majority of patients (68.2%) came from Kinshasa. Lumboradiculalgia was the most predominant indication with (49.3%), followed by low back pain (48%). The majority of MRI examinations (91.4%) were performed without injection of contrast product. T1 and T2 weightings were performed in 100% of patients. Diseased disc degeneration was found at (41.7%) and lumbar disc herniation at (27.2%). The MRI examination was normal in (47%) of the patients. Based on potentially clinically positive relevance, only 48.7% of our MRI diagnoses were clinically positive. Age (p=0.000), lumboradiculalgia (p=0.000) and specialist physician prescription (0.039) had a statistically significant relationship with clinically positive diagnosis. IV. Conclusion : HDL is a pathological reality in the hospitals of Kinshasa and Brazzaville. The MRI profile found mainly corroborates the observations of the literature. Lumbar disc herniation and degenerative disc disease remain the most frequently encountered pathologies on magnetic resonance imaging in hospitals in Kinshasa and Brazzaville. They are at the origin of the lumbar spinal syndrome and affect the young population.
The posterolateral disc herniation remains the most frequently encountered subtype with predominance of damage to the floors: L4-L5 and L5-S1.
