BACKGROUND Spine pathologies are a common presentation to Orthopaedicians and Neurosurgeons and include degenerative diseases of the spine, spine tumours, traumatic spine injuries, spine infections and spine deformities. Non-operative and operative treatment modalities are employed in the treatment of these conditions. The increasing ageing population worldwide has resulted in an increase in the degenerative spine conditions presenting to the clinician. Many surgical procedures are employed in the treatment of these conditions.The aim of this study was to evaluate the procedures carried out and attendant outcomes. MATERIALS AND METHODSThis was a case series of spine surgeries carried out over a 2-year period (2015 to 2017) in hospitals in Jos Nigeria. The data was reviewed retrospectively. They were analysed for spine pathologies; operative procedures were carried out. Duration of procedures, outcomes and complications were observed. The outcome was assessed using numeric pain scale. Data was analysed using the Epi Info statistical software. RESULTS25 patients in total were operated within the said period. Ages ranged between 35 and 77 years, with a mean of 60.8 years. Maleto-female ratio was 1:1.5. Pathologies operated on were lumbar spondylosis with canal stenosis and instability 8 patients (32%), lumbar spondylosis with canal stenosis without instability 6 patients (24%), canal stenosis 4 patients (16%), severe cervical spondylosis 3 patients (12%), spondylolisthesis 2 patients (8%) and metastatic tumour spread to the spine 2 patients (8%). Operative procedures carried out were laminectomy with instrumented posterolateral fusion (PLF) 8 (56%), laminectomies and non-instrumented posterolateral fusion 9 (36%) and anterior cervical decompression and fusion (ACDF) 3 (12%). 21 patients had a reduction by 6 or more points on the numeric pain scale (84%). One patient had cerebrospinal fluid leak which was treated nonoperatively; 2 patients had superficial surgical site infection and one patient was reoperated for persistent radiculopathy and improved thereafter. CONCLUSIONSpine surgery is a safe and effective means of treating various spine pathologies with minimal risks and more of these procedures will be employed in view of the increasing number of patients with degenerative spine disease.
Introduction. The pelvic posture is defined by measurable radiologic parameters which are related to the lumbar and sacral spine. These parameters include, pelvic tilt (PT), lumbar Lordosis (LL), Sacral slope (SS), Pelvic incidence (PI) and the Lumbosacral angle (LSA) The lumbopelvic parameters in the lower back have been noticed to be altered in patients presenting with low back pain. Increased BMI has been found to be a contributing factor in the onset and course of low back pain. Increased weight especially around the trunk affects the dynamics of posturing to maintain sagittal balance. We set out to determine the extent BMI influenced the lumbopelvic parameters in patients presenting with chronic nonspecific low back pain. Methods. This was a prospective cross sectional study. There were three BMI groups; normal weight (BMI19-24.9), overweight (BMI 25-29.9) and obese (BMI>30). All subjects had standing lateral radiographs of the spine. The pelvic parameters; PI, LL PT, SS and LSA, were measured. The mean values and standard deviations of the parameters in each group was determined. Analysis of variance was used to determine differences in means The relationships between all parameters were assessed using Spearman's coefficients and statistically significant correlation coefficients were determined. The level of significance was set at P<0.05Results. A hundred and forty patients participated in the study. Their ages ranged from 18 to 65years.
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