Sciatique scanner et chirurgie

ABSTRACT

A homogenous series of 26 cases of slipped-disclumbosciatic covered by means of "tomodensitometry" and surgically treated amount of patients who had accidents during working hours, the importance of this study is to support the diagnosis and to lay the indicated surgical operation after the lumbar canal anatomy study, the roots' position and especially the straight sight of the hernia, of its size and its situation.The aim of this study is to match out the scanner-given-items with the discoveries obtained from the surgical operations. Of the 23 cases out of 26, confirmation of tomodensitometric lesions, during surgical operation, have been reported. In three cases, a moot point mainly linked to a technical insufficiency, has been noticed. The reliability of the scanner in the accurate slipped- disclumbosciatic diagnosis [88%] is in favour of a larger utilization of this almost harmless complementary examination. Its accuracy nowadays goes beyond that of the radiculography. Tomodensitometry is to be secured for the post-surgical operation stage, namely when doubting about the "discal" etiology, in front of a clinical atypic board, a baldy systematized sciatica or very difficult to correctly follow medical treatment and especially when advised not to bring in a "radiculography"