+234 813 0686 500
+234 809 3423 853
info@grossarchive.com

A SURVEY OF THE ORTHOPEDIC SURGEONS’ OPINION ON THE ROLE OF LUMBOSACRAL X-RAY IN THE MANAGEMENT OF PATIENTS WITH LOW BACK PAIN

  • Type:Project
  • Pages:66
  • Format:Microsoft Word
(Medical Radiography And Radiological Sciences Project Topics & Materials)
ABSTRACT

This study involved the orthopedic surgeons in Government Hospital in Enugu urban. The sampling technique used, being purposive sampling. A population of twenty (20) orthopedic surgeons was used and this included only senior registrars and consultant orthopedic surgeons. The source of data was primary, collected from orthopedic surgeons working at University of Nigeria Teaching Hospital (UNTH) and National Orthopedic Hospital (NOHE), Enugu. All data were from self administered semi-structured questionnaire. Descriptive statistics of frequency distribution and percentage were used to analyze the data.
Data collected showed that low back pain was one of the most frequent diagnoses in practice as it constituted about 50-70% of the clinical cases attended to by 55% of the orthopedic surgeons in a week on the average. The incidence of low back pain peaked at ages 41-50 and 55% of patients that presented with low back pain were within that range. The common radiographic finding was spondylosis as it constituted about 50% of the major cause of the low back pain cases. The diagnostic yield of lumbosacral x-ray was fairly reliable as 85% of the orthopedic surgeons sent patients that presented with low back pain for lumbosacral x-ray.  Lumbosacral x-ray was useful in the management of patients with LBP from the orthopedic surgeons’ opinion (100%). CT and MRI were found to be the other possible diagnostic alternative to lumbosacral x-ray from the orthopedic surgeons’ point of view.

TABLE OF CONTENT

Title page…………………………………………………………….i
Approval page………………………………………………………ii
Certification………………………………………………………….iii
Dedication………………………………………………………….iv
Acknowledgement…………………………………………………..v
Abstract…………………………………………………………….vi
Table of contents……………………………………………………..vii
CHAPTER 1
1.1 Background of study
1.2Imaging modalities for low back pain
1.3 Lumbosacral x-ray
1.4 Statement of problem
1.5 Objective of study
1.6 Significance of study
1.7 Scope of study
1.8 Literature review
CHAPTER 2
2.0 Anatomy of lumbosacral spine
2.1 The intervertebral disc
2.2 Intervertebral foramen
2.3 Nerves of the lumbosacral spine
2.4 Pathogenesis of low back pain
2.5 Factors predisposing to low back pain
2.6 Differentiation of low back pain
2.7 Common types of dysfunction and injury to the lower back
CHAPTER 3
3.0 Research methodology
3.1 Research design
3.2 Source of data
3.3 Method of data collection
3.4 Target population
3.5 Sample size
3.6 Sampling method
3.7 Data analysis and presentation
CHAPTER 4
4.0 Data presentation
4.1 Discussion
CHAPTER 5
5.0 Summary of findings
5.1 Recommendations
5.2 Limitation of study
5.3Areas of further research
REFERENCES

LIST OF TABLES

Table 1: Age and sex of respondents
Table 2: Respondents place of work
Table 3: % of low back pain cases attended to by the respondents 
Table 4: Major causes of low back pain
Table 5: Respondents answer on how often patients with low back pain are sent         for lumbosacral x-ray
Table 6: Respondents rating of this modality
Table 7: Diagnostic yield of lumbosacral x-ray
LIST OF FIGURES
 
Figure 1:  usefulness of lumbosacral x-ray in the management of patients with low back pain from the respondent’s point of view.
INTRODUCTION

Low back pain is a common musculoskeletal disorder affecting 80% of people at some point in their lives. Low back pain can range from mild, dull, annoying pain, to persistent, severe, disabling pain in the lower back. Pain in the lower back can restrict mobility and interfere with normal functioning. Low back pain is one of the most significant health problems. [1]
Causes of lower back pain are varied. Most cases are believed to be due to a sprain or strain in the muscles and soft tissues of the back.[2] Overactivity of the muscles of the back can lead to an injured or torn ligament in the back which in turn leads to pain. An injury can also occur to one of the intervertebral discs (disc tear, disc herniation). Due to aging, discs begin to diminish and shrink in size, resulting in vertebrae and facet joints rubbing against one another. Ligament and joint functionality also diminishes as one ages, leading to spondylolisthesis, which causes the vertebrae to move much more than they should. Pain is also generated through lumbar spinal stenosis, sciatica and scoliosis. At the lowest end of the spine, some patients may have tailbone pain (also called coccyx pain or coccydynia). Others may have pain from their sacroiliac joint, where the spinal column attaches to the pelvis, called sacroiliac joint dysfunction which may be responsible for 22.6% of low back pain.[3] Physical causes may include osteoarthritis, rheumatoid arthritis, degeneration of the discs between the vertebrae or a spinal disc herniation, a vertebral fracture (such as from osteoporosis), or rarely, an infection or tumor[4] .
 Low back pain can be either acute, subacute or chronic in duration. With conservative measures, the symptoms of low back pain typically show significant improvement within a few weeks from onset. Low back pain may be classified by the duration of symptoms as acute (less than 4 weeks), sub acute (4–12 weeks), chronic (more than 12 weeks).[2]The majority of lower back pain stems from benign musculoskeletal problems, and are referred to as non specific low back pain; this type may be due to muscle or soft tissues sprain or strain, particularly in instances where pain arose suddenly during physical loading of the back, with the pain lateral to the spine. Over 99% of back pain instances fall within this category.[5] 
Most people with acute lower back pain recover completely over a few weeks regardless of treatments.[6] 60% of people recover after seven weeks, regardless of the treatments they receive.[7] Consistent with these statistics, a recent study found that almost 30% of patients did not recover from the presenting episode of low back pain within a year.[8] 
A SURVEY OF THE ORTHOPEDIC SURGEONS’ OPINION ON THE ROLE OF LUMBOSACRAL X-RAY IN THE MANAGEMENT OF PATIENTS WITH LOW BACK PAIN

Share This

Details

Type Project
Department Medical Radiography And Radiological Sciences
Project ID MRR0060
Price ₦3,000 ($9)
No of Pages 66 Pages
Format Microsoft Word

500
Leave a comment...

    Details

    Type Project
    Department Medical Radiography And Radiological Sciences
    Project ID MRR0060
    Price ₦3,000 ($9)
    No of Pages 66 Pages
    Format Microsoft Word

    Related Works

    ABSTRACT This study involved the orthopedic surgeons in Government Hospital in Enugu urban. The sampling technique used, being purposive sampling. A population of twenty (20) orthopedic surgeons was used and this included only senior registrars and consultant orthopedic surgeons. The source of data was primary, collected from orthopedic surgeons... Continue Reading
    ABSTRACT : Comparable relationship between BMI, lumbar radiological findings/diagnosis, and features of patients that presents with low back pain has been a research of interest in the diagnosis of low back pain. Aim: To investigate the association between body weights, body mass index, age, features and clinical findings in patients with low back... Continue Reading
    ABSTRACT   This study on the prevalence of low back pain among practicing radiographers in government hospitals, was done in Enugu and Ebonyi States. The objectives of the study were to determine the prevalence low back pain among the practicing radiographers, the risk factors that could be causal to low back pain among the radiographers and to... Continue Reading
    This research is aimed at assessing the common ultrasound findings in patient with pelvic pain. A retrospective study was done in Enugu scan centre, Ket, life chart and St.Michael diagnostic centres in Enugu. 1044 patients were scanned for pelvic pain from September 2010 to September 2011. The sonographic report showed that 442(42.34%) had uterine... Continue Reading
    TABLE OF CONTENTS CHAPTER ONE 1.1 Introduction 1.2 Statement of the Problem 1.3 Hypothesis 1.4 Objective of the Study 1.5 Significance of Study 1.6 Scope of the Study 1.7 Methodology 1.8 Conceptual Clarification References CHAPTER... Continue Reading
    ABSTRACT The use of Internet as a communication tool in international marketing; a case study of computer literates in Enugu metropolis x-rayed the way internet is used as a viable tool in international marketing especial by Nigeria international marketers. The following findings were made in the course of the study. Nigeria accepted that Internet... Continue Reading
    ABSTRACT The use of Internet as a communication tool in international marketing; a case study of computer literates in Enugu metropolis x-rayed the way internet is used as a viable tool in international marketing especial by Nigeria international marketers. The following findings were made in the course of the study. Nigeria accepted that Internet... Continue Reading
    ABSTRACT The Niger Delta question represents one of the most intractable sources of political destabilization, constitutes a profound threat to national security, and economic development of the Nigerian state.... Continue Reading
    THE EFFICIENT AUDIT OF FINAL ACCOUNT AND FORMATION OF AUDITORS OPINION A SURVEY OF SELECTED AUDIT FIRM (AKINTOLA WILLIAMS) IN ENUGU PROPOSAL Sir, I propose to write on the efficient account and the formation of auditors opinion. As far as business is concerned proper audit of account is required. With the knowledge I have learnt so far from the... Continue Reading
    A SURVEY OF OPINION ON MARITAL CONFLICT AND ACADEMIC ACHIEVEMENTS OF CHRISTIAN RELIGIOUS STUDIES STUDENTS IN ISEYIN DISTRICT GRAMMAR SCHOOL, ISEYIN, OYO STATE ABSTRACT This study examines a survey on the opinion of marital conflicts as it affects academic performances of Christian Religious Studies Students in Iseyin District Grammar School,... Continue Reading