Epidemiological, Clinical and Therapeutic Aspects of Spinal Pathology in Military People in a Country at War  

作　　者：Mamadou Salia Diarra Mohamed El Hassimi Cissé Izoudine B. Koumaré Oumar Diallo Drissa Kanikomo Mamadou Salia Diarra;Mohamed El Hassimi Cissé;Izoudine B. Koumaré;Oumar Diallo;Drissa Kanikomo(Military Neurosurgery Unit, Infirmerie Hôpital de Bamako (IHB), Bamako, Mali;Neurosurgery Department, Hôpital Mère-Enfant-Bamako, USTT-B (Université des Sciences, des Techniques et des Technologies de Bamako), Bamako, Mali;Neurosurgery Department, Hôpital du Mali, USTT-B, Bamako, Mali;Neurosurgery Department, Hôpital Gabriel Touré, USTT-B, Bamako, Mali)

机构地区：[1]Military Neurosurgery Unit, Infirmerie Hô pital de Bamako (IHB), Bamako, Mali [2]Neurosurgery Department, Hô pital Mère-Enfant-Bamako, USTT-B (Université des Sciences, des Techniques et des Technologies de Bamako), Bamako, Mali [3]Neurosurgery Department, Hô pital du Mali, USTT-B, Bamako, Mali [4]Neurosurgery Department, Hô pital Gabriel Touré, USTT-B, Bamako, Mali

出　　处：《Open Journal of Modern Neurosurgery》2022年第1期39-46,共8页现代神经外科学进展（英文）

摘　　要：<b><span style="font-family:Verdana;">Introduction: </span></b><span style="font-family:""><span style="font-family:Verdana;">Lumbar and sciatic pain are frequent motives of disability in military people in Mali. As spine surgery isn’t recognized enough, our study aims to analyze etiologies, epidemiology, clinical features and surgical standards in order to improve troop abilities. </span><b><span style="font-family:Verdana;">Methodology: </span></b><span style="font-family:Verdana;">Our descriptive and retrospective study has included 31 operated military patients who underwent medical or surgical procedures between 2010 and 2018 in the Military Neurology/Neurosurgery Unit and Mère</span></span><span style="font-family:Verdana;">-</span><span style="font-family:""><span style="font-family:Verdana;">Enfant Hospital Neurosurgery department. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">Among 553 seen in consultation, fifty percent were between 30 and 50 years old. Main motive was sciatic pain (65.5%). Seventy eight percent of our patients were field militaires and sub-officers, and 83.2% were males. All of them have benefited a CT scan or MRI with medical treatment in rheumatology or neurology. Thirty-one patients underwent spine surgery and were included in the study, so 6% (mean age: 43.52 years, 90.3% males). Lumbar spine surgery represented 54.8% of cases with lumbar canal stenosis in 64.5% of cases. It appeared that spondylolisthésis with isthmic fracture was frequent (12.9%), and traumatic cervical spine fractures were dominant in 2012. Instrumented arthrodesis was performed for 41.9% of patients, lumbar discectomy for 32.3% and laminectomies for 22.6%. Degenerative etiology was found in 77.4% of cases and we’ve noticed a good outcome in 93.5% of operated cases. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">Spinal pathology in military people in Mali is in relation with training, weight carryi<b><span style="font-family:Verdana;">Introduction: </span></b><span style="font-family:""><span style="font-family:Verdana;">Lumbar and sciatic pain are frequent motives of disability in military people in Mali. As spine surgery isn’t recognized enough, our study aims to analyze etiologies, epidemiology, clinical features and surgical standards in order to improve troop abilities. </span><b><span style="font-family:Verdana;">Methodology: </span></b><span style="font-family:Verdana;">Our descriptive and retrospective study has included 31 operated military patients who underwent medical or surgical procedures between 2010 and 2018 in the Military Neurology/Neurosurgery Unit and Mère</span></span><span style="font-family:Verdana;">-</span><span style="font-family:""><span style="font-family:Verdana;">Enfant Hospital Neurosurgery department. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">Among 553 seen in consultation, fifty percent were between 30 and 50 years old. Main motive was sciatic pain (65.5%). Seventy eight percent of our patients were field militaires and sub-officers, and 83.2% were males. All of them have benefited a CT scan or MRI with medical treatment in rheumatology or neurology. Thirty-one patients underwent spine surgery and were included in the study, so 6% (mean age: 43.52 years, 90.3% males). Lumbar spine surgery represented 54.8% of cases with lumbar canal stenosis in 64.5% of cases. It appeared that spondylolisthésis with isthmic fracture was frequent (12.9%), and traumatic cervical spine fractures were dominant in 2012. Instrumented arthrodesis was performed for 41.9% of patients, lumbar discectomy for 32.3% and laminectomies for 22.6%. Degenerative etiology was found in 77.4% of cases and we’ve noticed a good outcome in 93.5% of operated cases. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">Spinal pathology in military people in Mali is in relation with training, weight carryi

关 键 词：MILITARY SPINE SPONDYLOLISTHESIS MALI 

分 类 号：R65[医药卫生—外科学]