Hubungan derajat herniasi diskus intervertebralis dengan tipe perubahan endplate modic pada pasien yang menjalani MRI lumbosakral
DOI:
https://doi.org/10.25170/djm.v21i2.3431Keywords:
herniasi diskus, MRI lumbosakral, nyeri punggung bawah, perubahan modicAbstract
Pendahuluan: Nyeri punggung bawah atau low back pain (LBP) adalah gangguan kesehatan yang sering dan memilki dampak sosial ekonomi yang berat. Kurang lebih 40% dari nyeri punggung bawah diakibatkan oleh herniasi diskus. Selain herniasi diskus, perubahan endplate tipe Modic juga telah diasosiasikan dengan kejadian nyeri punggung bawah. Meskipun memiliki insidensi yang relatif tinggi dan sering dihubungkan dengan LBP, hubungan antara perubahan endplate tipe Modic dengan penyebab lain LBP seperti herniasi diskus masih belum diketahui dengan jelas. Penelitian ini bertujuan untuk mengetahui hubungan antara derajat herniasi diskus dengan masing-masing tipe perubahan endplate Modic pada pasien yang menjalani pemeriksaan MRI lumbosakral.
Metode: Penelitian ini dilakukan dengan desain observasi potong lintang menggunakan data sekunder pada 488 sampel. Derajat herniasi diskus intervertebrais dan tipe perubahan endplate Modic dinilai menggunakan pemeriksaan MRI lumbosakral.
Hasil: Derajat herniasi diskus yang paling banyak ditemukan adalah protrusio sebanyak 199 sampel (40,8%) diikuti dengan bulging diskus sebanyak 154 sampel (31,6%). Tipe perubahan Modic yang paling banyak ditemukan pada level terjadinya herniasi diskus adalah perubahan Modic tipe II sebanyak 168 sampel (34,4%). Menggunakan analisa Chi-Square, didapatkan hubungan yang bermakna antara derajat herniasi diskus dengan tipe perubahan Modic dengan nilai p<0,001.
Simpulan: Perubahan Modic tipe 1 lebih sering terjadi pada bulging diskus, sedangkan perubahan Modic tipe 2 dan 3 lebih banyak didapatkan pada derajat herniasi yang lebih berat seperti protrusio, ekstrusio dan sekuesterasi.
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