OUTCOME ANALYSIS OF POSTOPERATIVE DECOMPRESSION AND STABILIZATION PATIENTS WITH DEGENERATIVE THORACO-LUMBAR VERTEBRAL FRACTURE

Authors

  • Jefri Henky Universitas Baiturrahmah

DOI:

https://doi.org/10.54209/jurnaleduhealth.v12i02.153

Keywords:

Thoraco-Lumbar Degenerative Fracture, Pain, VAS

Abstract

Degenerative thoraco-lumbar fractures are structural and functional changes that occur in the thoracal and lumbar vertebrae regions. The degenerative process that occurs as a result of the aging process in each individual is different, as well as in the spinal region. The type of data used in this study is secondary data obtained through medical records conducted by researchers at the Semen Padang Hospital Medical Record Unit, the data includes variables of age, gender, occupation, smoking status, BMI, level of thoraco-lumbar fracture, mean VAS postoperative decompression and stabilization at Semen Padang Hospital. The research was conducted in December 2021 until completion which includes the preparation and reporting stages. This research is a form of analytical study with a cross sectional design. The affordable population was postoperative decompression and stabilization surgery patients in 2019 as many as 30 patients with a total sampling technique. Univariate data analysis is presented in the form of frequency distribution and percentage and data processing using computerized SPSS version 24.0 program. And the results of this study explain that based on the characteristics of the patient's risk factors, the most age is the early elderly 46-55 years, namely 10 people (33.3%), the most gender is female, namely 16 people (53.3%), occupation, which most people are not lifting weights, namely 22 people (73.3%), smoking status is not smoking, namely 24 people (80.0%) and the highest BMI is normal (≥18.5 - <24.9) which is 19 people (63.3%). The highest number of damage levels were 1 and 2 damage levels, respectively, which were 14 people (46.7%). The most pain based on VAS was mild pain, namely 12 people (40.0%). There was a significant effect of the number of levels of damage on the pain scale in postoperative decompression and stabilization patients at Semen Padang Hospital (p= 0.021), and there was a significant effect of the number of levels of damage on the level of post operative decompression and stabilization pain in degenerative thoraco-lumbar fracture patients in Semen Padang Hospital

References

Widodo E. Diagnosis dan Tata Laksana. Pediatrics Update. 2003. 67–76 p.

Buser Z, Ortega B, D’Oro A, Pannell W, Cohen JR, Wang J, et al. Spine Degenerative Conditions and Their Treatments: National Trends in the United States of America. Glob Spine J. 2018;8(1):57–67.

Saleem S, Aslam HM, Rehmani MAK, Raees A, Alvi AA, Ashraf J. Lumbar disc degenerative disease: Disc degeneration symptoms and magnetic resonance image findings. Asian Spine J. 2013;7(4):322–34.

International Association for the Study of Pain. IASP Terminology [Internet]. Iasp. 2017. p. 209–14. [cited 11 October 2019].

Goldberg D, McGee S. Pain as a Global Public Health Priority. BMC Public Health. 2011;0–11.

Sari KP. Perbedaan Kualitas Hidup antara Berbagai Metode Manajemen Nyeri pada Pasien Nyeri Kronis. J Psikol. 2017;44(2):107.

Suseno E. Pencegahan nyeri kronis pasca operasi. Majalah Kedokteran Andalas. 2017;40(1):40.

Herrera, Presa, Gutiérrez, Benass. Evaluation of the post operative lumbar spine. Radiologia Journal.

Putu Indah Budi Apsari, Ketut Suyasa, Sri Maliawan, Siki Kawiyana Apsari tentang lumbar Spinal Canal Stenosis Diagnosis Dan Tatalaksana.

Sanglah Suyasa IK, Wiguna I G.L.N.A.A., Vidyaputra T.A., Wibowo T., Yudhi I GN. Serial Kasus: Pembedahan Minimal Invasif pada Herniasi Diskus Lumbal di RSUP Sanglah. Jurnal Medika Udayana, Vol. 9. No.9, September, 2019. ISSN: 2597-8012

I Kadek Riyandi Pranadiva MardanaDr. Tjahya Aryasa EM., Sp.An. Penilaian Nyeri. SMF/Bagian Anestesiologi Dan Terapi Intensiffakultas Kedokteran Universitas Udayanarsup Sanglah Denpasar. 2017.

Yudiyanta, Novita Khoirunnisa, Ratih Wahyu Novitasari. Assessment Nyeri. CDK-226/ vol. 42 no. 3, th. 2015

Chester JDI, Matthew V. Lumbar Degenerative Disk Disease - StatPearls - NCBI Bookshelf. 2018.

Wei Tian, Yanwei Lv, Yajun Liu, Bin Xiao and Xiao Han. The High Prevalence of Symptomatic Degenerative Lumbar Osteoarthritis in Chinese Adults A Population-Based Study. SPINE Volume 39, Number 16, pp 1301 - 1310 ©2014, Lippincott Williams & Wilkins. Diakses dalam https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4076100/pdf/spne-39-1301.pdf

Lohkamp M, Kromer TO, Schmitt H. Osteoarthritis and joint replacements of the lower limb and spine in ex-professional soccer players: A systematic review. Scand J Med Sci Sport. 2017;27(10):1038–49.

Center for Disease Control and Prevention (CDC): Osteoarthritis.

Hamijoyo L., 2007. Pengapuran sendi atau osteoartritis. Perhimpunan Reumatologi Indonesia.

Sjamsuhidajat R., Karnadihardja W., Prasetyono T. O. H., Rudiman R., 2011. Buku Ajar Ilmu Bedah, Ed. 3. Jakarta, EGC, 1006-8

Kim JH, van Rijn RM, van Tulder MW, Koes BW, de Boer MR, Ginai AZ, et al. Diagnostic accuracy of diagnostic imaging for lumbar disc herniation in adults with low back pain or sciatica is unknown; A systematic review. Chiropr Man Ther. 2018;26(1):1–14.

Lee JYB, Patel AA. Lumbar spinal stenosis and degenerative spondylolisthesis. Semin Spine Surg [Internet]. 2013;25(4):256–62.

Abbas J, Slon V, Stein D, Peled N, Hershkovitz I, Hamoud K. In the quest for degenerative lumbar spinal stenosis etiology: The Schmorl’s nodes model. BMC Musculoskelet Disord. 2017;18(1):1–7.

Davey P., 2006. At a Glace Medicine. Alih bahasa oleh, Rahmalia A., Novianti C. Jakarta: Erlangga. 374-5

Yusuf. 2017. Hubungan Antara Derajat Hernia Nukleus Pulposus (HNP) Dengan Derajat Nyeri Punggung Bawah Di Rumah Sakit Umum Pusat Dr. Wahidin Sudirohusodomakassar. Skripsi S1 Program Studi Pendidikan Dokter fakultas Kedokteran Universitas Hasanuddin Makassar.

Jennie, M. 2006. Hernia Nukleus Pulposus lumbalis. Nyeri Punggung bawah(pp. 48-53). Semarang: Badan Penerbit universitas Diponegoro.

Flex Free. 2020. Spondylolisthesis (Pergeseran Ruas Tulang Belakang). Bagian II Flexfree Clinic Muskuloskeletal.

Rittenberg dan Ross, 2003. Functional rehabilitation for degenerative lumbar spinal stenosis.

Sudoyo A. W., Setiyohadi B. Alwi I., Simadibrata M., Setiati S., 2007. Buku Ajar Ilmu Penyakit Dalamjilid 2. Edisi 5.Jakatra: Departemen Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Indonesia.

Alwyn Susanto, 2011, Buku Kesehatan: Osteoarthritis, Erlangga Pillar, Bali.

Yuan G, Masuko-Hongo K, Kato T, Nishioka. 2003. Immunologic intervention in the pathogenesis of Ostoarthritis. Arthritis & Rheumatism48 (#): 602-611.

Mansjoer, Arif dkk. 2005. Kapita Selekta Kedokteran Edisi ketiga Jilid 1 Cetakan keenam. Jakarta: Media Aesculapius Fakultas Kedokteran UI.

Yulianza, Rizky Dwi. 2013. Teknik Pemeriksaan Radiografi Lumbosakral dengan Klinis Spondylosis Lumbal. Malang: Widya Cipta H.

Adhiputra Indra. A. 2017. Osteoartritis. Laporan Responsi Kasus. Fakultas Kedokteran Universitas Udayana.

S.M Lumbantobing.2010 Neurologi Klinik. Badan Penerbit FK UI. Jakarta Badan Penerbit FK UI. Hal 18-19.

Satyanegara dkk. 2014. Ilmu Bedah Saraf. Jakarta: Gramedia Pustaka Utama.

Amalia Ulfah Syafaruddin. Spondylolisthesis Lumbal. Kepanitraan Klinik Ilmu Bedah Fakultas Kedokteran Universitas Tarumanagara RSUD Kota Semarang Periode 24 Oktober 2011-31 Desember 2011.

Labelle H, Roussouly P, Berthonnaud E, Dimnet J, O'Brien M (2005) The importance of spino-pelvic balance in L5-s1 developmental spondylolisthesis: a review of pertinent radiologic measurements.

Lumbar spondylolysis: a review. Skeletal Radiol 40:683–700.

Dunn AJ, Campbell RS, Mayor PE, Rees D (2008) Radiological.

Labelle H, Roussouly P, Berthonnaud E, Transfeldt E, O'Brien M, Chopin D, Hresko T, Dimnet J (2004) Spondylolisthesis, pelvic incidence, and spinopelvic balance: a correlation study. Spine (Phila Pa 1976) 29:2049–2054.

Foreman. 2014. L5 spondylolysis/spondylolisthesis: A comprehensive review with an anatomic focus.

Weishaupt D, Zanetti M, Boos N, Hodler J, 1999. MR imaging and CT in osteoarthritisof the lumbar facet joints. Skeletal Radiol,28:215 -219.

Goode A, Marshal S, Renner J, Carey T, Kraus V, Erwin D, Stunner T, Jordan J, 2012. Lumbar spine radiographic features and demographic, clinical, and radiographic knee, hip and hand osteoarthritis: The Johnston County Osteoarthritis Project. Arthritis Care Res (Hoboken);64(10): 1536-1544.

Hu SS, Tribus CB, Diab M, Ghanayem AJ (2008) Spondylolisthesis and spondylolysis. J Bone Joint Surg Am 90:656–671.

Backstrom KM, Whitman JM, Flynn TW. Lumbar spinal stenosis-diagnosis and management of the aging spine. Man Ther. 2011;16:308–317.

Hawker GA, Mian S, Kendzerska T, French M. Measures of Adult Pain. Arthritis Care & Research. 2011;63:240-52.

Johnsson KE, Rosén I, Udén A. the Natural Course of Lumbar Spinal Stenosis. Acta Orthop. 1993;64(s251):67–8.

Miyamoto H, Sumi M, Uno K, Tadokoro K, Mizuno K. Clinical outcome of nonoperative treatment for lumbar spinal stenosis, and predictive factors relating to prognosis, in a 5-year minimum follow-up. J Spinal Disord Tech. 2008;21(8):563–8.

American Chronic Pain Association. ACPA Resource Guide 2013 Edition American Chronic Pain Association. 2013;116.

Wardani NP. Manajemen Nyeri Akut. 2014;57–69.

Silbernagl/Lang. Pain in Color Atlas of Pathophysiology, thieme New York. 2000. 320-321.

Ansharullah. R.D. 2019. Profil Pasien Nyeri Punggung Bawah di Poliklinik Saraf RSUD M. Natsir Kota Solok Tahun 2019. Skripsi Fakultas Kedokteran Universitas Baiturrahmah Padang.

Chou R, Gordon DB, De Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, et al. Management of postoperative pain: A clinical practice guideline from the American pain society, the American society of regional anesthesia and pain medicine, and the American society of anesthesiologists’ committee on regional anesthesia, executive committee, and administrative council. J Pain journal.

Depkes RI. 2009. Klasifikasi Umur Menurut Kategori. Jakarta: Ditjen Yankes.

Hungu. 2017. Demograi Kesehatan Indonesia. Jakarta: Grasindo, h. 35.

Dwiyanto Agus, 2006, Reformasi Birokrasi Publik di Indonesia, Yogyakarta: Gadjah Mada University Press. hal. 45.

Parwati dan Sodik. 2018. Pengaruh Merokok Pada Perokok Aktif Dan Perokok Pasif Terhadap Kadar Trigliserida. Jurnal Ilmiah Kesehatan, 2(1).

Kemenkes, 2013. Available:http://www.depkes.go.id/resources/download/ general/Hasil%20Riskesdas%202013.pdf diakses tanggal 20 juni 2020.

Pratama et.al.(2019). High IL-6 Level As A Marker Of Lumbar Osteoarthritis In Patients Older Than 55 Years.Orthopedic Research and Reviews 2019:11 17–21.

Wahab, A. (2019). Faktor-Faktor Yang Berhubungan Dengan Keluhan Nyeri Punggung Bawah (Low Back Pain) Pada Nelayan Di Desa Batu Karas Kecamatan Cijulang Pangandaran: https://journals.ums.ac.id/index.php/biomedika, Permalink/DOI:10.23917/biomedika.v11i1.7599Biomedika, ISSN 2085-8345.

Kaur, K. (2015). Prevalensi Keluhan LowBack Pain (LBP) Pada Petani DiWilayah Kerja UPT KesmasPayangan Gianyar April 2015.Program Studi Pendidikan Dokter,Fakultas Kedokteran UniversitasUdayana. ISSN: 2089-9084 ISM,VOL. 5 NO.1, JANUARI-APRIL,HAL 49-59.

Maghfirani. 2019. Hubungan faktor-faktor yang mempengaruhi keluhan Low Back Pain pada lansia di Puskesmas Gamping 1. Naskah Publikasi.

Hyeun Sung Kim1, Pang Hung Wu1,2,†and Il-Tae Jang1. Lumbar Degenerative Disease Part 1: Anatomy andPathophysiology of Intervertebral Discogenic Painand Radiofrequency Ablation of Basivertebral andSinuvertebral Nerve Treatment for ChronicDiscogenic Back Pain: A Prospective Case Series andReview of Literature. nt. J. Mol. Sci.2020,21, 1483; doi:10.3390/ijms21041483.

Akenaka S, Makino T, Sakai Y, Kashii M, Iwasaki M, Yoshikawa H, Kaito T. Dural tear is associated with an increased rate of other perioperative complications in primary lumbar spine surgery for degenerative diseases. Medicine (Baltimore). 2019 Jan;98(1):e13970.

Alonso F, Kirkpatrick CM, Jeong W, Fisahn C, Usman S, Rustagi T, Loukas M, Chapman JR, Oskouian RJ, Tubbs RS. Lumbar Facet Tropism: A Comprehensive Review. World Neurosurg. 2017 Jun;102:91-96. [PubMed] [Reference list]

Prabandari DA, Indriasari, Tinni T. Maskoen TT. Efektivitas Analgesik 24 Jam Pascaoperasi Elektif di RSUP Dr. Hasan Sadikin Bandung Tahun 2017. Jurnal Anestesi Perioperatif. JAP. 2018;6(2).

Matijevic M, Uzarevic Z, Gvozdic V, Mikelic VM, Leovic D, Macan D. The influence of surgical experience, type of instruction given to patients and patient sex on postoperative pain intensity following lower wisdom tooth surgery. Acta Clin Croat. 2013;52:23–8.

Mowat I, Johson D. Acute pain management part 2 assesment and managmenet. Anaesth Tutorial Week-295. 2013;1(1):1–10.

Atmantika, N.B. (2014). Hubungan Antara Intensitas Nyeri Dengan Keterbatasan Fungsional Aktivitas Sehari-Hari Pada Penderita Low Back Pain Di Rsud Dr. Moewardi Surakarta. Fakultas Kedokteran Universitas Muhammadiyah Surakarta.

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Published

2022-01-21

How to Cite

Henky, J. (2022). OUTCOME ANALYSIS OF POSTOPERATIVE DECOMPRESSION AND STABILIZATION PATIENTS WITH DEGENERATIVE THORACO-LUMBAR VERTEBRAL FRACTURE. Jurnal EduHealth, 12(02), 44–53. https://doi.org/10.54209/jurnaleduhealth.v12i02.153