Author(s)

Goumantar Felicien Toudjingar^1*, Yannick Canton Kessely¹, Ngaoussandjim Ndom-Assal¹, Olivier Ouambi¹, Donald Djasde², Mahouli Fata Vounki², Alio Hamit Mahamat¹, Momar Code Ba³

¹Department of Neurosurgery, La Renaissance University Hospital, N’Djamena, Chad.
²Department of Neurosurgery, Reference Nationale University Hospital Center, N’Djamena, Chad.
³Department of Neurosurgery, Fann University Hospital Center, Dakar, Senegal.

Introduction: Low back disc disease (LSD) is a neurosurgical condition with significant socioeconomic repercussions. The objective of this study was to determine the frequency and report the modalities of management. Methodology: This study on lumbosciatic disc disease was carried out in the neurosurgery department of the University Hospital Center (CHU), la Renaissance in N’Djamena. It covered a period of 12 months (from September 2019 to August 2020). A descriptive and an analytical approach were used. The variables studied were epidemiology, clinic, radiology and therapy. Results: the results showed that LSD represented 14.7% of the reasons for consultation in neurosurgery. The average age was 45.8, and to some extent, it ranges between 18 and 76. Lifting was the main reason behind lumbosciatic disc disease with 35.9% of cases, followed by a sedentary life style which represents 30.8%. Lumbosciatica L5 was noted in 49.4%. Obesity and overweight were significant risk factors (P = 0.02) reported in 59% of cases. Motor and sensory deficits were observed in 14.8% and 17.3% of cases, respectively. CT of the lumbar spine was performed in 91% and MRI in 28.9%. The L4-L5 disc herniation represented 74.3% of cases, with a lateral location in 44.2% and L5 radicular impingement in 30.8%. Conservative treatment was instituted in 87.2% and surgical treatment in 12.8% of cases. Conclusion: LSD is caused by a sedentary lifestyle, physical work and overweight. Surgery deals with complicated cases and cases not responding to conservative treatment.

Lumbosciatica, Herniated Disc, Surgical Treatment, Conservative Treatment, Chad

Felicien Toudjingar, G. , Canton Kessely, Y. , Ndom-Assal, N. , Ouambi, O. , Djasde, D. , Fata Vounki, M. , Hamit Mahamat, A. and Code Ba, M. (2023) The Management of Lumbosciatic Disc Related Disease at Renaissance University Teaching Hospital of N’Djamena-Chad: About 156 Cases. Open Journal of Modern Neurosurgery, 13, 25-32. doi: 10.4236/ojmn.2023.131004.