Aetiology of the Lumbar Spinal Stenosis in Black Africans: Intraoperative Observations

O. Fatigba, Holden; A. Hans-Moevi, Aristote; Belo, Mofou; Savi de Tové, Kofi-M.; G. Pape, Aicha; Mijiyawa, Moustapha

doi:10.18869/acadpub.irjns.1.1.35

Volume 1, Issue 1 (6-2015) Iran J Neurosurg 2015, 1(1): 35-38 | Back to browse issues page

‎ 10.18869/acadpub.irjns.1.1.35

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O. Fatigba H, A. Hans-Moevi A, Belo M, Savi de Tové K, G. Pape A, Mijiyawa M. Aetiology of the Lumbar Spinal Stenosis in Black Africans: Intraoperative Observations. Iran J Neurosurg 2015; 1 (1) :35-38
URL: http://irjns.org/article-1-4-en.html

Aetiology of the Lumbar Spinal Stenosis in Black Africans: Intraoperative Observations

Holden O. Fatigba ^*¹

, Aristote A. Hans-Moevi

, Mofou Belo

, Kofi-M. Savi de Tové

, Aicha G. Pape

, Moustapha Mijiyawa

Abstract: (6882 Views)

Background & Aim: Lumbar spinal stenosis (LSS) is a common condition. This congenital or acquired stenosis has multiple etiologies. The goal of this study was to describe intraoperative pathoanatomic findings of lumbar spinal stenosis observed within a black African population. Methods & Materials/Patients: It was a retrospective and descriptive study performed at Departmental Teaching Hospital of Borgou in Republic of Benin (West Africa) from January 2008 to June 2014. All black African patients who underwent surgery for LSS were included. Intra operative aetiologies were recorded. Patients with extruded lumbar discopathy were excluded.

Results: During study period, 199 patients were selected. It was 109 men (54.8%) and 90 women (42.2%). Patients mean age was 53.2 years ± 10.96, mean weight 77.11kg ± 14.37 and mean height 171 cm ± 8.64cm. The LSS was acquired in 157 patients (78.9%), congenital in 29 (14.6%) and in 13 cases (6.5%) it was mixed origin. A hypertrophyof ligamentum flavum was observed in 101 patients (50.8%), zygapophyseal joint hypertrophy in 15 cases (7.2%) and in 74 cases (37.2%) the two factors were associated. A disc bulge were observed in 9 cases (4.5%).

Conclusion: The ligamentum flavum hypertrophy is the main cause of LSS in black Africans. Studies to determine the mechanism of hypertrophy will be useful in order to initiate preventive treatment.

Keywords: Lumbar spinal stenosis, Ligamentum Flavum hypertrophy, Black African, Laminectomy, Zygapophyseal joint hypertrophy

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Type of Study: Research | Subject: Gamma Knife Radiosurgery

References

1. Binder DK., Schmidt MH, Weinstein PR. Lumbar Spinal Stenosis. Seminars in Neurology 2002; 22 (2): 157-165. [DOI:10.1055/s-2002-36539] [PMID]

2. Berney J. Epidémiologie des canaux lombaires étroits [French].Neurochirurgie 1994;40:174-8. [PMID]

3. Botwin K.P., Gruber R.D. Lumbar spinal stenosis: anatomy and pathogenesis. Phys Med RehabilClin N Am 14 (2003) 1–15. [DOI:10.1016/S1047-9651(02)00063-3]

4. Fatigba OH, Dovonou CA, Babio R, Odjo I, Padonou J. low back pain in neurosurgery outpatients at Borgou departmental hospital, Benin. Epidemiological and etiological aspects about 209 cases [French]. Dakar Med. 2011;56(3): 366-372.

5. Truumees E. Spinal stenosis: pathophysiology, clinical and radiologic classification. Instr Course Lect. 2005; 54:287-302. [PMID]

6. Kabré, A, Ba, M. C, Cissé, R, SorghoLougue C, Dolip, P, Kaboré, J. Lumbar canal stenosis in Ouagadougou: aetiological, clinical aspects and prognosis about 80 cases [French]. Dakar Médical2003; 48(2): 138-41. [PMID]

7. Oniankitan O, Magnan A, Fianyo E, Mijiyawa M. Lumbar canal stenosis in rheumatologic outpatients at Lomé [French]. (Togo). Med Trop 2007;67 :263-6

8. Sanoussi S, bawa M, Maman Sani R, Guemou,A. BoureimaM. Management of lumbar spinal canal in Niamey [French]. Revue internationale de médecine de Côte d'Ivoire, 1996; 13: 197-201.

9. Ridarch A, Bazin M, Elisabeth L.: Morphological characteristics of the lumbar and cervical canal in the Caribbean [French]. Bull. Soc. Anat.1983;8:49-59.

10. Ba M.C, Ndiaye A, Badiane S.B, Sakho Y, Badiane M, Guèye E.M, Ba-Ly A, Sow M.L, Guèye M.: Biometric aspects of vertebral lumbar canal of senegalese negro african[French]. Dakar Médical, 1994, 39 (2), 199-202. [PMID]

11. Sakamaki T, Sairyo K, Sakai T, Tamura T, Okada Y, Mikami H. Measurements of ligamentumflavum thickening at lumbar spine using MRI.Arch Orthop Trauma Surg. 2009 ;129(10):1415-9. [DOI:10.1007/s00402-009-0849-1] [PMID]

12. Safak AA, Is M, Sevinc O, Barut C, Eryoruk N, Erdogmus B, Dosoglu M. The thickness of the ligamentumflavum in relation to age and gender. Clin Anat. 2010;23(1):79-83. [PMID]

13. Poonpukdee J, Chalermpanpipat C, Payungporn S, Honsawek S. Basic fibroblast growth factor expression in hypertrophic ligamentumflavum of lumbar spinal stenosis. Asian Biomedicine 2012; 6(1): 99-104.

14. Park JB., Lee JK., Park SJ., Riew D. Hypertophy of ligamentumflavum in lumbar spinal stenosis associated with increased proteinase inhibitor concentration. The journal of bone and joint surgery 2005;87(12):2750-2756. https://doi.org/10.2106/00004623-200512000-00020 [DOI:10.2106/JBJS.E.00251]

15. Genevay S, Atlas SJ. Lumbar Spinal Stenosis. Best Practice & Research Clinical Rheumatology 2010; 24: 253–265. [DOI:10.1016/j.berh.2009.11.001] [PMID] [PMCID]

16. Yoshida M, Shima K, Taniquchi Y, et al. Hypertrophied ligamentumﬂavum in lumbar spinal canal stenosis. Pathogenesis and morphologic and immunohistochemical observation. Spine 1992;17(11):1353–60. [DOI:10.1097/00007632-199211000-00015] [PMID]

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