Meol, Avelino and dr. Irma Darinafitri, Sp.Rad(K) and dr. Andhika Yudistira, Sp.OT (K) (2023) Kesesuaian tinggi intervertebral space lumbalis degeneratif pada radiografi lumbosakral posisi lateral dengan hasil mri potongan aksial – midsagital terhadap stenosis kanal spinalis sentral lumbalis (di RSUD Dr Saiful Anwar Malang). Magister thesis, Universitas Brawijaya.
Abstract
LSS merupakan kondisi penyempitan osteoligamentous kanalis vertebra lumbalis dan atau intervertebral foramina yang menghasilkan penekanan pada kantung dura dan akar saraf sumsum tulang belakang. MRI lumbosakral sebagai gold standard untuk mendiagnosis LSS sedangkan sebagai lini pertama dapat dilakukan radiografi lumbosakral. Tujuan penelitian ini untuk mengetahui kesesuaian tinggi intervertebral space vertebra lumbalis degeneratif pada radiografi lumbosakral posisi lateral dengan hasil MRI potongan aksial – midsagital terhadap stenosis kanal spinalis sentral vertebra lumbalis. Jenis penelitian ini observasional analitik dengan desain cross sectional. Pasien dengan diagnosis degeneratif lumbal dari Poli Ortopedi dilakukan pemeriksaan radiografi lumbosakral dan MRI lumbosacral. Penilaian pengukuran tinggi intervertebral space dengan cut off berdasarkan Farfan modified oleh Akeda pada hasil radiografi, metode Miskin–Mandell pada MRI potongan axial dan cut off MRI potongan midsagittal jika > 13 mm tidak stenosis, < 13 mm stenosis. Hasil Penelitian MRI lumbosakral potongan aksial didapatkan persentase subyek penelitian yang mengalami stenosis ringan level L4-L5 sebesar 33,3%, stenosis sedang pada level L3-L4 serta stenosis berat pada level L4-L5 sebesar 23,1%. Hasil pengukuran metode farfan modifikasi (Akeda) pada radiografi lumbosakral posisi lateral dan MRI lumbosakral potongan aksial - midsagital menggunakan uji statistik Mc Nemar didapatkan kesesuaian pada level L1-L2 (p value 1.000) dan L5-S1 (p value 0.125). Sedangkan pada level lumbosakral lainnya tidak terdapat kesesuaian begitupun jika dibandingkan dengan MRI potongan midsagital. Kesimpulan terdapat kesesuaian antara metode farfan modifikasi radiografi lumbosakral dengan MRI aksial lumbosakral level L1-L2, L5-S1, sedangkan dilevel lainnya tidak.
English Abstract
LSS refers to a condition of osteoligamentous or narrowing of the lumbar vertebral canal and/or intervertebral foramina that results in pressure on the dura sac and spinal cord nerve roots. Lumbosacral MRI provides the gold standard to diagnose LSS. This study aim to understand the compatibility of degenerative lumbar intervertebral space height on lateral position lumbosacral radiography based on axial-midsagital section based on MRI results for lumbar central spinal canal stenosis. This study is categorized as analytic observational with a cross sectional design. Assessment of intervertebral space height measurement with cut off was performed based on Farfan modified by Akeda on radiographic results, Miskin–Mandell method on axial MRI section and cut off MRI midsagittal section. The results of the mid-sagital MRI section revealed that stenosis in the lumbosacral was found at level L4-L5 and L5-S1 (92.3%). The percentage of study subjects who had mild stenosis at L4-L5 level was 33.3%, with moderate stenosis at level L3-L4 and severe stenosis at level L4-L5 (23.1%). The results of modified farfan method (Akeda) on lumbosacral radiographs in lateral position and axial-midsagital section lumbosacral MRI through Mc Nemar statistical test revealed that there was compatibility at L1-L2 (p value 1,000) and L5-S1 (p value 0.125). Whereas at the other lumbosacral levels, there is no compatibility when compared with midsagital MRI. Conclusion there is a compatibility between the farfan method of modified lumbosacral radiography and lumbosacral axial MRI at level L1-L2 and L5-S1.
| Item Type: | Thesis (Magister) |
|---|---|
| Identification Number: | 0423060024 |
| Uncontrolled Keywords: | Tinggi intervertebral space, Radiografi lumbosakral, MRI lumbosakral, stenosis spinal lumbalis |
| Subjects: | 600 Technology (Applied sciences) > 616 Diseases > 616.07 Pathology > 616.075 Diagnosis and prognosis > 616.075 7 Radiological diagnosis |
| Divisions: | Profesi Kedokteran > Spesialis Radiologi, Fakultas Kedokteran |
| Depositing User: | Endang Susworini |
| Date Deposited: | 06 Nov 2023 02:03 |
| Last Modified: | 06 Nov 2023 02:03 |
| URI: | http://repository.ub.ac.id/id/eprint/204352 |
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