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Objectif: Presenter et discuter les resultats de l’activite neurochirurgicale au Centre Hospitalier Regional Lome Commune. Patients et Methode: Nous avons mene une etude retrospective de Juillet 2014 a Juillet 2016, incluant les patients operes pour une affection neurochirurgicale. Les parametres etudies etaient epidemiologiques, diagnostiques, chirurgicaux et evolutifs. Resultats: Cent quatre-vingt-douze patients ont ete operes. Leur âge moyen etait de 42,14 ans [0-72]. Le sex ratio etait de 1,94 en faveur des hommes. La duree moyenne du sejour hospitalier en post operatoire etait de 8,2 jours. Les affections degeneratives du rachis ont ete la premiere pathologie concernee par la chirurgie (49,48%), suivies des traumatismes du rachis (17,19%). L’evolution a ete favorable dans 90,1% des cas, pour l’ensemble de la serie. Nous avons note 1,6% de cas d’infection du site operatoire, sur l’ensemble de la serie. Conclusion: Les resultats sont encourageants pour l’ensemble de la serie. L’essor de la pratique neurochirurgicale au Togo necessite la creation d’unites neurochirurgicales independantes, une amelioration du plateau technique et une cooperation multidisciplinaire. Mots cles: Activite neurochirurgicale, Lome, neurochirurgie, Togo English Title: 24 months of neurosurgery at Regional Hospital Center of Lome Commune (Togo) English Abstract Objective: To present and discuss the neurosurgical practice at the Regional Hospital Center of Lome (Togo). Patients and Method: We conducted a retrospective study from July 2014 to July 2016 (24 months), for all patients who underwent surgery. The studied parameters were epidemiological, diagnostic, surgical and evolution. Results: 192 patients underwent surgery. The average age were 42.14 years and the sex ratio 1.94. Degenerative (49.48%) and spine neurotraumatology diseases were frequently observed (17,19%). Post-surgical evolution was favorable in 90.1% and 1.6% of the patients had post-surgical infections. Conclusion: Our results are encouraging. The treatment’s condition need an improvement on our technical environment, a ward dedicated to neurosurgery and a multidisciplinary cooperation. Keywords: Neurosurgical practice, Togo, Neurosurgery, Lome

Bilan de 24 mois d activites neurochirurgicales au Centre hospitalier regional lome commune (Togo)