N'Gbesso R D, Alla B K, Kéita A K
Service de Radiologie, CHU de Yopougon, Abidjan.
Ann Radiol (Paris). 1996;39(6):244-8.
Lumbar spine disease in Black Africans is poorly documented. Based on a series of 320 patients examined by myelography, the authors try to define the profile of lumbar spine disease in Black Africans in Abidjan. This disease is dominated by degenerative anomalies and a predominance of degenerative disk disease (54.20%) over disk herniation (33.33%). In contrast to the usual data of the literature, these lesions were essentially observed in subjects whose work required limited physical stress to the lumbar spine: variable postures and prolonged sitting. Neoplastic disease was marked by secondary lesions due to Burkitt's lymphoma. Paradoxically, infectious and parasitic disease and haemoglobinopathies were rare. Diseases such as nerve root anomalies and Tarlov's cyst were not observed in this series. Further studies in nonselected patients are necessary to more clearly define these data which suggest features specific to Black Africans compared to the data generally reported in the literature.
关于非洲黑人腰椎疾病的文献记载很少。基于对320例接受脊髓造影检查的患者的研究，作者试图明确阿比让非洲黑人腰椎疾病的情况。这种疾病以退行性异常为主，其中退行性椎间盘疾病（54.20%）比椎间盘突出症（33.33%）更为常见。与文献中的常见数据不同，这些病变主要见于工作对腰椎体力压力有限的人群：姿势多变和长时间坐着。肿瘤性疾病以伯基特淋巴瘤引起的继发性病变为特征。矛盾的是，感染性和寄生虫性疾病以及血红蛋白病很少见。在本系列研究中未观察到神经根异常和塔尔洛夫囊肿等疾病。有必要对未经过筛选的患者进行进一步研究，以更清楚地界定这些数据，这些数据表明非洲黑人与文献中普遍报道的数据相比具有特定特征。
