KARAKTERISTIK GAMBARAN PATOLOGIS VERTEBRAE LUMBOSACRAL PADA PEKERJA TAMBANG USIA 20 – 45 TAHUN DENGAN KELUHAN LOW BACK PAIN
Keywords:
lumbar, x-rays, mine workers, LBP patientAbstract
ABSTRAK
Pekerja tambang saat ini banyak berusia muda tetapi mengeluhkan low back pain dan setelah dilakukan screening
dengan foto rontgen terdapat gambaran penyempitan diskus intervertebralis, sklerotik end plate, osteofit,
spondylolithesis, dan stenosis foramen intervertebralis. Dampak yang dialami oleh pekerja tambang tersebut dapat
dikarenakan beban kerja yang berat dan lama kerja, usia, obesitas, dan kurang berolahraga. Ilmu yang mempelajari
tentang rontgen vertebrae dan pertulangan yang berkaitan dengan pekerjaan disebut radiologi dan orthopedi.
Untuk mengetahui karakteristik gambaran patologis radiografi pada vertebrae lumbosacral terhadap usia,
pekerjaan, jenis kelamin dengan keluhan low back pain (LBP) pada pekerja tambang usia 20 – 45 tahun. Penelitian
observasional ini menggunakan rancangan deskriptif retrospektif. Sampel diambil dari hasil foto rontgen sebanyak
54 orang. Teknik pengambilan sampel menggunakan Total sampling. Analisis data untuk melihat karakteristik
gambaran patologis radiografi vertebrae lumbosacral pada pasien dengan pekerjaan sebagai pekerja tambang.
Berdasarkan uji univariat didapatkan usia dewasa awal 26 – 35 tahun sebanyak 32 (59,3%), remaja akhir 20 – 25
tahun sebanyak 13 (24,1%), dewasa akhir 36 – 45 sebanyak 9 (16,7%), laki - laki sebanyak 49 (90,7%), perempuan
sebanyak 5 (9,3%), penyempitan diskus intervertebralis sebanyak 50 (87,7%), osteofit sebanyak 7 (12,3%),
sklerotik end plate sebanyak 0 (0%), spondylolithesis sebanyak 0 (0%), stenosis foramen intervertebralis sebanyak
0 (0%). Karakteristik gambaran patologis radiografi vertebrae lumbosacral pada pasien pekerja tambang
berdasarkan usia paling banyak di dapat adalah pasien usia dewasa awal, untuk jenis kelamin paling banyak adalah
laki - laki, untuk hasil foto rontgen paling banyak di dapat adalah penyempitan diskus intervertebralis.
Kata kunci : Temuan radiologis lumbal, rontgen lumbal pekerja tambang, rontgen pasien LBP, rontgen lumbal
pasien usia muda
ABSTRACT
Today's mining workers are mostly young but complain of low back pain and after screening with X-rays there
are pictures of narrowing of the intervertebral discs, sclerotic end plates, osteophytes, spondylolithesis, and
stenosis of the intervertebral foramen. The impact experienced by mining workers can be due to heavy workload
and length of work, age, obesity, and lack of exercise. The science that studies X-rays of the vertebrae and bones
related to work is called radiology and orthopedics. To find out the characteristics of radiographic pathology of
the lumbosacral vertebrae on age, occupation, gender with complaints of low back pain (LBP) in miners aged 20-
45 years. This observational study used a retrospective descriptive design. Samples were taken from the results of
X-rays as many as 54 people. The sampling technique used total sampling. Data analysis to see the characteristics
of the pathological picture of lumbosacral vertebrae radiography in patients with occupations as mining workers.
Based on univariate tests, it was found that the age of early adulthood 26 - 35 years was 32 (59.3%), late
adolescence 20 - 25 years was 13 (24.1%), late adulthood 36 - 45 was 9 (16.7%), men were 49 (90.7%), female
as many as 5 (9.3%), intervertebral disc narrowing as many as 50 (87.7%), osteophytes as many as 7 (12.3%),
sclerotic end plate as many as 0 (0%), spondylolithesis as many as 0 (0%), intervertebral foramen stenosis as
many as 0 (0%). The characteristics of the radiographic pathological picture of lumbosacral vertebrae in mine
worker patients based on age are mostly early adult patients, for the most gender is male, for the most X-ray
results are narrowing of the intervertebral disc.
Keywords : lumbar radiologic findings, lumbar x-rays of mine workers, X-ray of LBP patient, lumbar x-ray of a
young patient
References
Sari Triana M K, Martadiani D E, Asih W M. Karakteristik Temuan Radiologis Pada Pasien Low Back Pain di RSUP Sanglah Denpasar Periode Maret 2016 – Oktober 2017. Vol 10. No 1. Intisari Sains Medis: Denpasar; 2019.
Wu A, March L, Zheng X, dkk. Global Low Back Pain Prevalence and Years Lived With Disability From 1990 to 2017 : Estimates From Global Burden of Disease Study 2017. Vol 8. No 6. Ann Transl Med: Wenzhou; 2020.
Farber K, Wieland S. Massage for Low Back Pain. Elsevier; 2016. [cited 2023 Feb 9]. Available from : http://dx.doi.org/10.1016/j.explore.2016.02.014.
Riskesdas. Laporan Hasil Riset Kesehatan Dasar (Riskesdas) Indonesia Tahun 2018. Badan Peneliti dan Pengembangan Kesehatan Kemenkes RI; 2018
Irawan H, Fitriangga A, Raharjo W. Faktor-Faktor Yang Berhubungan Dengan Keluhan Low Back Pain (LBP) Pada Pekerja Bagian Repair Core PT.X. Vol 8. No. 2. Jurnal Cerebellum: Kalimantan Barat; 2022.
Hauser SL, Josephson SA. Harrison’s neurology in clinical medicine, 4th edition. 4th ed. San Francisco, CA: McGraw-Hill Education; 2016.
Casiano VE, Dydyk AM, Varacallo M. Back Pain; 2020 [cited 2023 Feb 9]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538173
Putri A S. Studi Literatur Perbedaan Anatomi Pada Pemeriksaan Radiografi Vertebrae Lumbosacral Joint Proyeksi Lateral Dengan Variasi Penyudutan Arah Sinar Pada Pasien Low Back Pain (LBP). Naskah Publikasi: Universitas Aisyiyah Yogyakarta; 2021.
Simanjuntak L M. Hubungan Antara Parameter Geometrik Sagital Lumbosakral Dengan Kejadian Hernia Nukleus Pulposus Pada Pasien Yang Dilakukan Pemeriksaan MRI Lumbosakral. Karya Akhir. FK UNHAS; 2020.
Elfrida D. Kamu Harus Tahu Perbedaan CT Scan dan MRI. Primaya Hospital Betang Pambelum. 2023. [cited 2023 Feb 24]. Available from: https://primayahospital.com/radiologi/perbedaan-ct-scan-dan-mri/
Tiara Aninditha, Winugroho Wiratman. Buku Ajar Neurologi. Edisi 1. Buku 2. Departemen Neurologi FK UI. Jakarta. 2017.
Frank. H Netter. Atlas Anatomi Manusia. Edisi 6. Elsevier. Singapore. 2016
Richard L Drake; Wayne Vogl; Adam W M Mitchell. 2014. Gray’s Anatomy:Anatomy of the Human Body. Elsevier; 2014.
Gautam D, Mehta N, Talavera F, dkk. Herniated Nucleus Pulposus. Medscape. 2021. [cited 2023 Feb 24]. Available from: https://emedicine.medscape.com/article/1263961-overview?icd=login_success_gg_match_norm&isSocialFTC=true#a1
Tortora JG, Derrickson B. Principles of Anatomy & Physiology. Edisi 14. Wiley: USA; 2014
Alfen VN, Malessy AJM. Diagnosis of Brachial and Lumbosacral Plexus Lesions. Vol 115. Series 3rd. Chapter 18. Handbook of Clinical Neurology. Peripheral Nerve Disorders: Nijmegen; 2013.
Catala M, Kubis N. Gross Anatomy and Development of The Peripheral Nervous System. Vol 115. Series 3rd. Chapter 3. Handbook of Clinical Neurology. Peripheral Nerve Disorders: Paris; 2013.
Winata DS. Diagnosis dan Penatalaksanaan Nyeri Punggung Bawah dari Sudut pandang Okupasi. Vol 20. No 54. J Kedokt Meditek: Jakarta; 2014.
Karyati S, Indanah, Maryani W. Faktor yang Berhubungan dengan Keluhan LBP pada Perawat di Ruang Rawat Dalam dan Bedah Rumah Sakit Umum Daerah RAA Soewondo Pati. The 10th University Research Colloqium: Gombong; 2019.
Jana A, Paul Asish,Dr. Epidemiology Of Low Back Pain : A Literature Review. Vol 9. No. 3. Internasional Journal of Physical Education, Sport and Health: West Bengal; 2019.
Rahmawati A. Risk Factor Of Low Back Pain. Vol 3. No. 1. Jurnal Medika Hutama: Lampung; 2021.
Abdillah WS. Asuhan Keperawatan Gerontik Pada Tn. J Dengan Diagnosis Medis Low Back Pain di Dsn. Bendungan Kecamatan Lakarsantri Surabaya. Karya Ilmiah Akhir. STIKES Hang Tuah Surabaya: Surabaya; 2021.
Rizki MM, Saftarina F. Tatalaksana Medikamentosa pada Low Back Pain Kronis. Vol 9. No 1. Majority: Lampung; 2020.
Oktavia SA. Asuhan Keperawatan Gerontik Pada Pasien Ny.L Diagnosa Medis Low Back Pain (LBP) Dengan Masalah Keperawatan Nyeri Akut. Karya Ilmiah Akhir Ners. FIK UMM: Malang; 2021.
Bhatia A, Engle A, Cohen PS. Current and Future Pharmacological Agents for the Treatment of Back Pain. Vol 21. No 8. Expert Opinion On Pharmacotherapy: USA; 2020.
Waxenbaum AJ, Reddy V, Williams C, Futterman B. Anatomy, Back, Lumbar Vertebrae. StatPearls Publishing: Treasure Island; 2022. [cited 2023 Feb 13]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459278/
Joseph D, Muscara, Blazar E. Diskitis. StatPearls Publishing: Treasure Island; 2022. [cited 2023 Feb 28]. Avaliable from : https://www.ncbi.nlm.nih.gov/books/NBK541047/
T Steven, Gilis CC. Spondylolisthesis. StatPearls Publishing: Treasure Island; 2022. [cited 2023 Feb 28]. Avaliable from : https://www.ncbi.nlm.nih.gov/books/NBK430767/#article-29394.s2
Perhimpuanan Reumatologi Indonesia. Diagnosis dan Pengelolaan Spondiloartritis. 2021.
Shamrock GA, Donnally JC, Varacallo M. Lumbar Spondylosis And Spondylolisthesis. StatPearls Publishing: Treasure Island; 2022. [cited 2023 Feb 28]. Avaliable from : https://www.ncbi.nlm.nih.gov/books/NBK448122/
Raja A, Hoang S, Patel P, dkk. Spinal Stenosis. StatPearls Publishing: Treasure Island; 2022. [cited 2023 Feb 28]. Avaliable from : https://www.ncbi.nlm.nih.gov/books/NBK441989/
Rizki MM, Saftarina F. Tatalaksana Medikamentosa pada Low Back Pain Kronis. Vol 9. No 1. Majority: Lampung; 2020.
Fjeld RO, Grovle L, Smastuen CM, dkk. Complications, Reoperation, Readmissions, and Length of Hospital Stay in 34 639 Surgical Cases of Lumbar Disc Herniation. Vol 101-B. No 4. The Bone & Joint Journal: Oslo; 2019.
Dydyk MA, Massa NR, Mesfin BF. Disc Herniation. StatPearlsPublishing: Treasure Island; 2022. [cited 2023 Feb 13]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441822/
Team Editor Indeed. What Do Job “Collars” Represent. Champion Grandview Way Building 1: Austin; 2022. [cited 2023 Feb 14]. Available from: https://www.indeed.com/career-advice/finding-a-job/what-are-job-collars
Lasut EE, Lengkong KPV, Ogi JWI. Analisis Perbedaan Kinerja Pegawai Berdasarkan Gender, Usia Dan Masa Kerja (Studi Pada Dinas Pendidikan Sitaro). Vol 5. No. 2. Jurnal EMBA: Manado; 2017.
World Health Organization (WHO). Who Guideline Development Group For The Updating Of The 2010 Global Recommendations On Physical Activity In Youth, Adults, And Older Adults. WHO: Geneva; 2019. [cited 2023 April 04). Available from : https://www.who.int/news-room/events/detail/2019/06/12/default-calendar/who-guideline-development-group-for-the-updating-of-the-2010-global-recommendations-on-physical-activity-in-youth-adults-and-older-adults
Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia Tahun 2009. KEMENKES RI: Jakarta; 2010
Arwinno LD. Keluhan Punggung Bawah pada Penjahit Garmen. Vol 2. No 3. HIGEIA (Journal of Public Health Research and Development): Semarang; 2018.
Nolo JF, Sumampouw JO, Ratag TB. Usia, Masa Kerja Dan Keluhan Nyeri Punggung Bawah Pada Buruh Pabrik Tahu. Vol 2. No 1. Indonesian Journal of Public Health and Community Medicine: Manado; 2021
Nurjafri T, Subakir, Hapis AA, dkk. Faktor – Faktor Yang Berhubungan Dengan Keluhan Nyeri Punggung Bawah Pada Pekerja Batu Bata Di Desa Talang Belido Tahun 2021. Vol. 2. No 12. Jurnal Inovasi Penelitian: Jambi; 2021
Dianat I, Alipour A, Asghari – Jafarabadi M. Risk Factors for Neck and Shoulder Pain among Schoolchildren and Adolescents. Vol 54, No 1. Journal Paediatr Child Health; 2018.
Ernawati D, Bahari I, Susanti A. Kebiasaan Olahraga Dan Tingkat Nyeri Low Back Pain Pada Kuli Panggul Di Perum Bulog Buduran Kabupaten Sidoarjo. Surabaya; 2020.
Wijayanti F, Oktafany, Ramadhian RM, dkk. Kejadian Low Back Pain (LBP) pada Penjahit Konveksi di Kelurahan Way Halim Kota Bandar Lampung. Vol 8. No 2. Medula: Lampung; 2019.
Auliya, Wildan. Hubungan Usia dan Sikap Kerja dengan Keluhan Subyektif Low Back Pain (LBP) pada Pekerja Industri Informal Pembuatan Batu Bata di Desa Melikan. UNS: Klaten; 2019.
Benzakour T, Igoumenou V, Mavrogenis AF, dkk. Current concepts for lumbar disc herniation. Vol 43. No 4. Int Orthop: Casablanca; 2018.
Andela WA, Septiana VT, Zainun Z, dkk. Gambaran Radiografi Vertebrae Lumbal Pada Pasien Nyeri Punggung Bawah di RSI Siti Rahmah Padang Tahun 2019. Vol 1. No 2. Baiturrahmah Medical Journal: Padang; 2019.
Suyasa KI. Penyakit Degenerasi Lumbal Diagnosis dan Tata Laksana. Cetakan 1. Udayana University Press: Denpasar; 2018.
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