Short-Term Functional Outcomes and Their Associated Factors for Posterior Lumbar Spine Decompression in Patients with Degenerative Lumbar Spine Stenosis Attended at Bugando Medical Centre, Mwanza – Tanzania. (Record no. 29171)
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| 000 -LEADER | |
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| fixed length control field | 04543nam a22003257a 4500 |
| 001 - CONTROL NUMBER | |
| control field | 20241015105126.0 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OCoLC |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20241015112229.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 241015b |||||||| |||| 00| 0 eng d |
| 028 ## - PUBLISHER OR DISTRIBUTOR NUMBER | |
| Source | Wurzburg Road 35, Premises, Post Code: 33102 | |
| Source | P. O. Box 1464 Mwanza, Tanzania | |
| Source | Phone: (255) 28-298-3384 | |
| Source | Fax: (255) 28-298-3386 | |
| Source | Email: vc@bugando.ac.tz | |
| Source | Website: www.bugando.ac.tz |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | ddc |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| Language code of text/sound track or separate title | Kiswahili |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Relator term | CUHAS/MMED/6000344/T/21 |
| Fuller form of name | Edrey Yonah |
| 245 ## - TITLE STATEMENT | |
| Title | Short-Term Functional Outcomes and Their Associated Factors for Posterior Lumbar Spine Decompression in Patients with Degenerative Lumbar Spine Stenosis Attended at Bugando Medical Centre, Mwanza – Tanzania. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania | |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS-Bugando] | |
| Date of publication, distribution, etc. | 2024. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 99 Pages |
| Extent | Includes References |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract:<br/><br/>Background: Decompression surgery in patients with degenerative lumbar spine stenosis is considered when symptoms causing pain and disability to the patient are resistant to non-operative treatment. In well selected patients for decompression surgery, it is an effective treatment modality. Familiarity of the associated factors for good outcome may help surgeons in prognosis evaluation when they consider lumbar spine decompression surgery in these patients.<br/><br/>Aim/purpose: of the study: The study aimed at determining the short-term functional outcomes and their associated factors for posterior lumbar spine decompression in patients with degenerative lumbar spine stenosis attended at BMC.<br/><br/>Methodology: A prospective cohort study was conducted in the orthopedics and trauma wards, neuro surgery wards and surgical outpatient clinic. Diagnosis for degenerative lumbar spine stenosis was made based on patient’s clinical presentation and confirmed with Magnetic Resonance Imaging (MRI) results documented by a radiologist. Patients who met the inclusion criteria were enrolled in the study after signing a written consent form. Pain status and the level of disability was evaluated before decompression surgery, and after 6 weeks post-surgery using Visual Analog Scale (VAS) Oswestry Disability Index (ODI) and respectively. Data were collected using a structured questionnaire then entered in Epi Info version 7 cleaned and the exported to Stata version 16 where analysis was done.<br/><br/>Results: 29 patients with degenerative lumbar spine stenosis who underwent posterior lumbar spine decompression surgery were enrolled into this study. 22 patients were female and 7 patients were male with the mean age of 54. The patient mean pre-operative low back pain and leg pain VAS score was 9.14 ± 1.16 while the mean preoperative level of disability ODI score was 66.65 ± 9.41. The commonly affected and decompressed level was L4/L5. Postoperative functional outcome evaluated at 6 weeks showed the mean score for pain measured by VAS was 4.82 ± 1.67 and disability measured by ODI was 43.10 ± 18.98 respectively. Age was associated with post-operative level of pain improvement whereas anatomical level of the lumbar spine stenosis was associated with improvement in post-operative level of disability.<br/><br/>Conclusion: Decompression surgery provides improvement in functional outcome in patients with degenerative lumbar spine stenosis. Age is associated with pain improvement post-surgery whereas the level of stenosis is an important factor associated with post-operative improvement in level of disability.<br/><br/>Recommendations: When decompression surgery is planned for patients with degenerative lumbar spine stenosis, age and the level of stenosis should be put into consideration as they are factors associated with improvement in post-operative functional status. Further studies can be done that include large sample size and long period of duration for follow up to establish clear association and long-term outcomes of these patients. Also, future studies that include stabilization/fusion may be done to evaluate pain and instability in these patients.<br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Orthopaedics and Trauma |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Fuller form of name | Andrew Nkilijiwa |
| Fuller form of name | James Lubuulwa |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Public note | A Dissertation Submitted as Part of The Requirements for The Master of Medicine in Orthopedics and Trauma Degree at The Catholic University of Health and Allied Sciences - Bugando. |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | POSTGRADUATE DISSERTATIONS |
| Suppress in OPAC | |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | Date acquired | Total checkouts | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 10/15/2024 | 20241015105126.0 | 10/15/2024 | 10/15/2024 | POSTGRADUATE DISSERTATIONS |