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Citation Information

Type Thesis or Dissertation - Master Thesis
Title Patterns And Clinical Outcomes Of Surgically Treated Cervical Spine Degenerative Disc Disease At The Moi Teaching And Referral Hospital, Eldoret
Author(s)
Publication (Day/Month/Year) 2014
URL http://erepository.uonbi.ac.ke/bitstream/handle/11295/97542/DR BOEN​DISSERTATION..pdf?sequence=1&isAllowed=y
Abstract
Background: Degenerative disc disease is a condition characterized by wear and tear of the intervertebral disc. It occurs in a variety of clinicopathologic conditions including cervical spondylosis. Locally, there is no data describing the patterns and clinical outcomes of surgically treated cervical spine degenerative disc disease. Objective: To determine the patterns and clinical outcomes of surgically treated cervical spine degenerative disc disease. Methods: This was a prospective cross sectional study involving all patients who underwent cervical spine surgery secondary to degenerative disc disease at the Moi Teaching and Referral Hospital, Eldoret during the period October 2014 and July 2015. Data variables collected were biodata, clinical parameters, surgical procedures done, complications and the clinical outcome. It was entered into a structured questionnaire. Data was analyzed using SPSS version 19.0 and presented in form of graphs and tables. Ethical approval was obtained from MTRH before the study commenced. Results: There were a total of 44 patients sampled. The mean age was 56±13 years. Thirty three patients (75%) were male. Twenty three patients (52%) were doing manual labour while nine (21%) were doing clerical work. Twenty five (57%) had experienced radiculopathy for more than 6 months. Myelopathy was present in eleven (25%) while four (9%) had upper limb weakness for more than six months. Seventeen patients (39%) had radiculopathy while fifteen (36%) had neck pain for less than six months. History of previous neck trauma was present in twenty eight patients (64%), Family history of DDD was present in nine (21%), alcohol intake was present in eighteen (41%) while sixteen (36%) reported smoking cigarette. Thirteen patients (30%) had C5/C6 disc level affected, three patients (7%) had C3/C4, five (11%) had C4/C5.

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