EVALUATION OF PATTERN  OF  MAGNETIC RESONANCE IMAGES OF LUMBO-SACRAL SPINE IN CAMEROON- A  PIONEER  STUDY.

DR FELIX U. UDUMA,; GEORGE ASSAM

Authors

DR FELIX U. UDUMA,
GEORGE ASSAM

Keywords:

Lumbo -sacral spine, MRI, Low back pain

Abstract

Low back pain is a common debilitating disease with negative effect on productivity. Magnetic resonance imaging (MRI) with its excellent soft tissue contrast and absence of bone artefact is the current modality used in evaluating the possible aetiologies of low back pain. MRI availability in Central Africa is recent, with only two existing machines including the newly installed one in Polyclinic Bonanjo, Douala. Aim : To evaluate lumbo-sacral spine MR images with elucidation of possible causes of low back pain. Methodology : A pioneer prospective study of patients who were referred to Department of Radiology, Polyclinic Bonanjo, Douala, Cameroon for MRI of the lumbo-sacral spine from June â€“November, 2009 was done. Equipment used was 0.3Tesla Hitachi AIRIS 11. Sagital, coronal and axial images were acquired. When indicated T1W-Gd-DTPA and STIR were adjunctive sequences used. Patients with either claustrophobia or having MRI incompartible medical implants were excluded. Results : 48 Patients with age range 20-79 years with mean age of 49.5 were studied. Males were 29(60.4%) and females were 19 (39.6%). The commonest aetiology of low back pain was disc hernia 16(33.3%) with 62,5% occurring at L4/L5 disc level while 25% was at L5/S1. Gender difference decreases with age. Conclusion : Thus disc herniation is the commonest cause of low back in Cameroon, often accompanied by spondylosis.

Downloads

How to Cite

EVALUATION OF PATTERN OF MAGNETIC RESONANCE IMAGES OF LUMBO-SACRAL SPINE IN CAMEROON- A PIONEER STUDY. (2011). Global Journal of Medical Research, 11(2), 31-41. https://medicalresearchjournal.org/index.php/GJMR/article/view/80

Download Citation

References

E Brown, J Matthes, Bazan C 3rd, J Jinkins (1976) Prevalence of incidental intraspinal of the Lumbo-sacral spine as by MRI. 19(7), 6.

S Eberhars, P Harald, K Randolf, F Vieri (2009) Lumbar spinal stenosis: syndrome , diagnostics and treatment. 5, 392-403.

R William, P Vanwye (2010) Non-specific low back pain: Evaluation and Treatment. 59(8), 445-448.

J Van Rijn, N Klemetso, J Reitsma, P Bossuyt, F Hulsmans, W Peul, G Den Heeten, J Stam, C Majoie (2006) Observer variation in the evaluation of lumbar herniated discs and root compression: spiral CT compared with MRI. 79(941), 372-377.

C Messiou, G Cook, N De Souza (2009) Imaging Metastatic Bone Disease from Carcinoma of the Prostrate. 101, 1225-1232.

M Jansen, M Brant-Zawadzki, N Obuchowski, M Modic, D Malkasian, J Ross (1994) Magnetic Resonance imaging of the lumbar spine in people without back pain. 331(2), 69-73.

Dr Md (2006) Magnetic Resonance Myelography in Evaluation of Degenerative Disc Disease of Lumbar Spine in Comparision with Conventional Magnetic Resonance Imaging of Lumbar Spine. 04(11), 14018-14027.

G Kota, N Shyam Kumar, & Thomas (2005) Baastrups Disease An Unusual Cause Of Backpain: A Case Report. 4(1).

P D'aprile, A Tarantino, J Jinkins, Brindicci (2007) D The value of fat saturation sequences and contrast medium administration in MRI of degenerative disease of the posterior/perispinal elements of the lumbosacral spine. 17(2), 523-531.

T Samuels (2009) 5 types of Spondylolisthesis. 17(7).

Z Irani, J Patel, Spondylolithesis Unknown Title.

G Reiter Vertebral fracture updated 13. 4-09.

N Hopkinson, J Stevenson, S Benjamin (2001) A case ascertainment study of septic discitis: clinical, microbiological and radiological features. 94(9), 465-470.

K Kretzschmar (1998) Degenerative diseases of the spine. The role of myelography and myelo-CT. 27(3), 229-234.

G Gozzi, R Pozzi Mucelli, P De Morpurgo, M Sabella, P Bortolotto, G Bellis (1988) Evaluation of expansive myelo-vertebral pathology using different radiologic modalities, magnetic resonance excluded. 75(6), 577-583.

lipoma determined.