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All Journal PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ilmiah Ilmu Terapan Universitas Jambi
Nasrizarni, Nasrizarni
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Education Engineering Industrial & Manufacturing Engineering Public Health

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THE RELATIONSHIP BETWEEN SPINOPELVIC PARAMETERS ON RADIOGRAPHY AND THE DEGREE OF LUMBOSACRAL INTERVERTEBRAL DISC HERNIATION ON MRI Nasrizarni, Nasrizarni; Darinafitri, Irma; Azmy, Abdullah
Jurnal Ilmiah Ilmu Terapan Universitas Jambi Vol. 9 No. 4 (2025): Volume 9, Nomor 4, December 2025
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jiituj.v9i4.50238

Abstract

Given the limited availability of lumbosacral MRI, currently the most accurate modality for assessing the severity of intervertebral disc herniation, in many hospitals in Indonesia, evaluation of spinopelvic parameters on lumbosacral radiographs is expected to serve as an alternative predictor of lumbar disc herniation grade. This study aims to analyze the relationship between spinopelvic parameters and the degree of lumbosacral intervertebral disc herniation, and to identify which parameters are most accurate in predicting the degree of the herniation in patients with low back pain. This research is a retrospective analytic observational study with a cross-sectional design that included 52 patients with low back pain who underwent lumbosacral radiography and MRI at Saiful Anwar General Hospital in 2022–2023. The degree of disc herniation was assessed on sagittal and axial lumbosacral MRI. In contrast, spinopelvic parameters, including pelvic incidence (PI), sacral slope (SS), pelvic tilt (PT), lumbar lordosis (LL), lumbosacral angle (LSA), sacral table angle (STA), and sacral kyphosis (SK), were measured on lumbosacral radiographs. Statistical tests were conducted on four groups (normal, bulging, protrusion, and extrusion). Using Spearman’s test, a correlation was found between lumbar lordosis angle and the degree of lumbosacral intervertebral disc herniation, with p=0.011 (p<0.05). One-way ANOVA showed a significant difference in lumbar lordosis across herniation grades, with p=0.028 (p<0.05). A smaller lumbar lordosis angle was associated with a higher risk of lumbosacral intervertebral disc herniation. Therefore, lumbar lordosis, as one of the spinopelvic parameters, may be considered a predictive factor for lumbosacral disc herniation.
SPASTIC QUADRIPLEGIC CEREBRAL PALSY WITH EXPOSED MALUNION BONE AT BILATERAL PROXIMAL HUMERUS AND DISTAL FEMUR Azmy, Abdullah; Sananta, Panji; Nasrizarni, Nasrizarni
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 10 No. 1 (2026): APRIL 2026
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v10i1.53513

Abstract

Anak dengan cerebral palsy berisiko mengalami fraktur kerapuhan akibat rendahnya densitas tulang yang disebabkan oleh berbagai etiologi. Status ambulasi pada pasien cerebral palsy merupakan salah satu faktor yang dapat memengaruhi densitas tulang. Penatalaksanaan fraktur pada kondisi ini sering kali berakhir dengan malunion, baik dengan terapi non-operatif maupun operatif. Spastic quadriplegic cerebral palsy (SQCP) merupakan tipe yang berat, menyebabkan kelumpuhan dan kekakuan otot pada kedua lengan dan tungkai, serta dapat memperberat proses penyembuhan fraktur tulang. Seorang gadis berusia 9 tahun telah mengeluhkan luka terbuka di bahu kanan dan kiri serta lutut kiri sejak 4 bulan yang lalu. Pemeriksaan radiografis pada kedua bahu dan lutut menunjukkan malunion pada humerus proksimal bilateral dan femur distal kiri. Pasien didiagnosis menderita cerebral palsy spastik quadriplegia GMFCS V dengan tulang malunion yang terekspos pada humerus proksimal bilateral dan femur distal. Kemudian ia diobati dengan antibiotik ampicillin sulbactam, luka dibersihkan (debridement), dilakukan osteotomi, dan penutupan luka primer. Penderita cerebral palsy GMFCS IV dan V memiliki insidensi fraktur tulang yang lebih tinggi, dan hal ini terkait langsung dengan densitas mineral tulang (BMD). Beban mekanis, baik akibat kontraksi otot maupun beban gravitasi, menyebabkan deformasi tulang dan meningkatkan kekuatan tulang. Spastisitas ditandai dengan peningkatan tonus otot, refleks yang hiperaktif, dan kehilangan gerakan sendi yang menyebabkan kontraktur.
Co-Authors Abdullah Azmy Darinafitri, Irma Panji Sananta