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All Journal Majalah Kedokteran Bandung Bali Medical and Wellness Journal
Brotoarianto, Happy Kurnia
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Body Mass Index and Postoperative Lumbar Pain Relief Following Surgery for Degenerative Lumbar Spine Disease: A Correlative Study Siallagan, Rini Martina; Probosari, Enny; Brotoarianto, Happy Kurnia; Muis, Siti Fatimah; Murbawani, Etisa Adi
Bali Medical and Wellness Journal Vol. 2 No. 2 (2025): Bali Medical and Wellness Journal
Publisher : PT BMW Journal Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71341/bmwj.v2i2.33

Abstract

Background: The prevalence of obesity and overweight is consistently rising. An increase in body mass index (BMI) above the normal range heightens the risk of chronic diseases, including musculoskeletal conditions such as lumbar degeneration and low back pain. The association between elevated BMI and postoperative lumbar pain remains debated. Objective: This study aims to assess the correlation between BMI and the improvement of postoperative lumbar pain. Methods: In this correlational study, 48 adults meeting specific inclusion and exclusion criteria were observed at a spine surgery clinic in Semarang, Central Java, Indonesia. BMI was calculated by dividing weight (kg) by height squared (m²). Pain levels were assessed using a visual analogue scale (VAS). The study controlled for variables such as age, gender, diabetes mellitus, osteoporosis, and type of surgery. Results: A positive correlation exists between increased BMI and elevated pain scale scores post-lumbar surgery in patients with lumbar degeneration (r = 0.654, p = 0.001). Additionally, the type of surgery and the presence of osteoporosis were found to correlate with pain levels. Conclusion: Patients with higher BMIs exhibited more pronounced postoperative pain compared to those with lower BMIs.
Functional Outcome of Biportal Endoscopy Spine Surgery for Lumbar Disc Herniation Diseases Risdianto, Ajid; Andar, Erie; Brotoarianto, Happy Kurnia; Priambada, Dody; Muttaqin, Zainal; Prihastomo, Krisna Tsaniadi; Bakthiar, Yuriz; Arifin, Muhammad Thohar
Majalah Kedokteran Bandung Vol 57, No 3 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v57.4128

Abstract

Biportal endoscopic spine surgery (BESS) is an innovative, minimally invasive technique to treat lumbar disc herniation (LDH). BESS provides superior surgical visualization with minimal tissue dissection. However, its application requires a thorough understanding of endoscopic anatomy and adaptation of endoscopy equipment, which are key factors in achieving optimal functional outcomes post-surgery. This study aimed to evaluate the functional outcomes and complications of BESS performed on 49 patients between 2020 and 2022 at Dr. Kariadi Hospital, Semarang, Indonesia. The majority of patients (53%) had herniation at the L4-5 level, followed by L5-S1. Pain assessment using the Visual Analog Scale (VAS) demonstrated a significant reduction in pain, from 4.26 to 1.5, post-surgery. Functional outcomes, as evaluated using MacNab’s Criteria, revealed that 93.8% of patients achieved a satisfactory condition, with 36.7% reporting no pain and 57.1% experiencing occasional pain that did not affect their daily activities. Complications were minimal, with two cases of dural tears and intraoperative bleeding. The study concludes that BESS is a safe and effective procedure for LDH, resulting in significant pain relief and functional improvement, although certain technical challenges persist.
Co-Authors Ajid Risdianto Andar, Erie Bakthiar, Yuriz Enny Probosari Etisa Adi Murbawani Muhammad Thohar Arifin Priambada, Dody Prihastomo, Krisna Tsaniadi Siallagan, Rini Martina Siti Fatimah Muis Zainal Muttaqin