International Journal of Surgery and Surgical Research

International Journal of Surgery and Surgical Research


International Journal of Surgery and Surgical Research
International Journal of Surgery and Surgical Research
2022, Vol. 4, Issue 1
Surgical treatment and outcomes for lumbar spinal stenosis in a limited resource setting: A review of 238 cases

Agbéko Komlan Doléagbénou, Essossinam Kpélao, Mensah Kodjo Hobli Ahanogbé, Komi Egu, Anthony Katanga Békéti

Background: One of the common degenerative spinal disorders is lumbar spinal stenosis (LSS). Results after LSS surgery are satisfactory, but complications are not rare. This study aimed to evaluate the surgical treatment and the quality of life of patients after LSS surgery. Methods: We performed a retrospective, descriptive and transversal study in the neurosurgery unit of Sylvanus Olympio teaching hospital and CHR Lomé commune from January 2015 to December 2020. We analyze patients’ demographics, the operative procedure, complications, and outcomes. In addition, the Oswestry Disability Index (ODI) (8) was used to assess the patient's quality of life. Results: Two hundred and thirty-eight patients underwent surgery for LSS. They were 93 (39,07%) men and 145 (60,92%) women. We performed laminectomy without instrumentation for 163 (68.49%) patients and laminectomy with a spinal fixation on 75 (31.51%) patients. Complications after surgery occurred on 21 (8.82%) patients (table 4). The global mortality rate was 1.26%. One year after surgery, 8.8% had moderate pain (ODI 21 - 40%), and 91.2% (ODI 0 - 20%) had minimal pain. Conclusion: Surgery improves the physical condition of selected patients operated for LSS. Pedicle screw does not offer additional benefit.
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How to cite this article:
Agbéko Komlan Doléagbénou, Essossinam Kpélao, Mensah Kodjo Hobli Ahanogbé, Komi Egu, Anthony Katanga Békéti. Surgical treatment and outcomes for lumbar spinal stenosis in a limited resource setting: A review of 238 cases. International Journal of Surgery and Surgical Research, Volume 4, Issue 1, 2022, Pages 1-4
International Journal of Surgery and Surgical Research International Journal of Surgery and Surgical Research