KORELASI FACET JOINT OSTEOARTHRITIS DENGAN PFIRRMANN GRADE DISC DEGENERATION PASIEN LOW BACK PAIN PADA PEMERIKSAAN MAGNETIC RESONANCE IMAGING LUMBOSACRAL

Clay Moche Bisay, Dr.dr.Bambang Supriyadi, Sp.Rad (K) MSK, MM; dr.Evi Artsini, Sp.Rad (K) TR

2023 | Tesis | S2 Kedokteran Klinik

KORELASI FACET JOINT OSTEOARTHRITIS DENGAN PFIRRMANN GRADE DISC DEGENERATION PASIEN LOW BACK PAIN PADA PEMERIKSAAN MAGNETIC RESONANCE IMAGING LUMBOSACRAL

Clay Moche Bisay1, Bambang Supriyadi, Evi Artsini2

1Resident dan 2Staf Departemen Radiologi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada

INTISARI

Latar Belakang: LBP atau nyeri pinggang adalah salah satu dari 10 penyakit terbanyak di dunia dan penyebab Disability-Adjusted Life Year (DALY) tertinggi di dunia. Modalitas pencitraan seperti computerized tomography (CT) dan magnetic resonance imaging (MRI) sering dilakukan untuk mengidentifikasi etiologi dari LBP. Degenerasi diskus intervertebralis dan facet joint osteoartritis merupakan dua kondisi yang umum ditemukan pada pemeriksaan MRI

Tujuan: Penelitian ini bertujuan untuk mengetahui antara disc degeneration intervertebralis dengan facet joint osteoarthritis pada penderita low back pain

Methode: Penelitian ini merupakan jenis penelitian observasional analitik korelatif dengan desain penelitian cross sectional. Pengambilan data secara retrospektif dari data sekunder pasien dengan pengantar klinis low back pain yang dilakukan pemeriksaan MRI Lumbosacral di Instalasi Radiologi RSUP Dr. Sardjito Yogyakarta pada bulan Juli 2021 sampai bulan Juli 2022. Pengambilan sampel dilakukan secara consecutive non-random sampling. Subjek terpilih sesuai dengan kriteria inklusi dan eksklusi. Dilakukan penilaian derajat disc degeneration intervertebralis (Pfirrmann Grade) dan facet joint osteoarthritis (weishaupt grade) dengan pemeriksaan MRI Lumbosacral dan kedua hasilnya dianalisis menggunakan SPSS

Hasil: Jumlah sampel sebanyak 63 subjek. Usia didominasi kelompok umur lebih dari 50 tahun. Sebagian besar subjek adalah perempuan (58.7%). Subjek dengan kelebihan berat badan tingkat berat (25%) dan dengan berat badan normal didapatkan sebanyak (27%) Dari analisis uji korelasi Spearman, didapatkan hasil pengukuran pada segmen diskus intervertebralis L1-2 (p = 0,172), L2-3 (p = 0,260), (L3-L4 (p = 0,381), L4-L5 (p = 0,170), dan L5-S1 (p = 0,319). Koefisien korelasi menunjukan nilai pada segmen diskus intervertebralis intervertebralis L1-2 (r = 0,174), L2-3 (r = 0,144), (L3-L4 (r = 0,112), L4-L5 (r = 0,175), dan L5-S1 (r = 0,128). 

Kesimpulan: Tidak terdapat korelasi yang signifikan antara disc degeneration intervetebra dengan facet joint osteoarthritis pada seluruh segmen intervertebra (p > 0,05). Koefisien korelasi menunjukkan bahwa kekuatan korelasi antara derajat disc degeneration intervetebra dengan facet joint osteoarthritis pada seluruh segmen intervertebra juga termasuk dalam kategori sangat lemah, hingga dapat diabaikan (r < 0>

Kata Kunci: Low Back Pain, Pffirmann Grade, Facet Joint Osteoartritis

CORRELATION OF FACET JOINT OSTEOARTHRITIS WITH PFIRRMANN GRADE DISC DEGENERATION IN LOW BACK PAIN PATIENTS ON LUMBOSACRAL MAGNETIC RESONANCE IMAGING EXAMINATION

Clay Moche Bisay 1 , Bambang Supriyadi, Evi Artsini 2

1 Resident and 2 Staff of the Department of Radiology, Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada

ABSTRACT

Background: LBP, or low back pain, is one of the ten most common diseases in the world and the highest cause of Disability-Adjusted Life Years (DALY) in the world. Imaging modalities such as computerized tomography (CT) and magnetic resonance imaging (MRI) are often performed to identify the etiology of LBP. Intervertebral disc degeneration and facet joint osteoarthritis are commonly found on MRI examination.

Objective: This study aims to determine the difference between intervertebral disc degeneration and facet joints osteoarthritis in patients with low back pain

Methode: This research is a type of correlative analytic observational study with a cross-sectional design. Retrospective data collection from secondary data of patients with a clinical introduction to low back pain was carried out by Lumbosacral MRI examination at the Radiology Installation of RSUP Dr. Sardjito Yogyakarta from July 2021 to July 2022. Sampling was carried out using consecutive non-random sampling. Subjects were selected according to the inclusion and exclusion criteria. Assessment of the degree of intervertebral disc degeneration ( Pfirrmann Grade ) and facet joints was assessed osteoarthritis (Weishaupt grade) with Lumbosacral MRI examination, and both results were analyzed using SPSS.

Results: The number of samples is 63 subjects. Age is dominated by the age group of more than 50 years. Most of the subjects were women (58.7%). Subjects were overweight (25%) and normal weight (27%). From the analysis of the Spearman correlation test, the measurement results were found in the intervertebral disc segments L1-2 ( p = 0.172), L2-3 ( p = 0.260), (L3-L4 ( p = 0.381), L4-L5 ( p = 0.170), and L5-S1 ( p = 0.319). The correlation coefficient shows the value in the L1-2 intervertebral disc segment ( r = 0.174), L2-3 ( r = 0.144), (L3-L4 ( r = 0.112), L4-L5 ( r = 0.175), and L5-S1 ( r = 0.128).

Conclusion: There is no significant correlation between intervertebral disc degeneration and facet joint osteoarthritis in all intervertebral segments ( p > 0.05). The correlation coefficient shows that the strength of the correlation between the degrees of intervertebral disc degeneration and the facet joints osteoarthritis in all intervertebral segments are also included in the very weak category so that it can be ignored ( r <0>

Keywords: Low Back Pain, Pffirmann Grade, Facet Joint Osteoarthritis

Kata Kunci : Low Back Pain, Pffirmann Grade, Facet Joint Osteoarthritis