Profil penderita dengan cedera tulang belakang akibat trauma di RSUP Sanglah tahun 2015

Abstract

Background: Vertebrae are the bones supporting the head and torso. Vertebra protects the spinal cord, and as a liaison ribs and muscles. At the location of the vertebra the spinal cord that are the source of innervation of peripheral and connecting parts neurological signals between the brain with other body parts. Thus, the injuries that occur in the vertebra is fatal and can result in neurological defects such as paralysis. In Indonesia is still very little research on spine injury and spinal cord injury. Therefore, the authors wanted to know about the profile of patients with spine injuries due to trauma in Sanglah Hospital 2015Methods: This study uses descriptive observational research with cross sectional design is to collect data one by using medical records. In terms of retrospective time, respondents in this study were selected through the total sampling. Variables examined in this study include gender, age, location of the injury, and the most common cause of the injury.Results: According on the research profile vertebra due to trauma patients injured in Sanglah Hospital in 2015 is largely male sex (75%), are in the age group 51-60 years (26.7%), with the most common cause is a fall from a height (62.9%), the location of most injured are the cervical part with 45.8%, and most cases of spine injury patients are without SCI with a percentage of 52.4%.Conclusions: Based on the results, it can be concluded profiles of patients with spine injuries due to trauma in 2015 under the Sanglah Hospital is the same when compared to other literatures and experiments with just little differences Latar Belakang: Tulang belakang merupakan tulang penyangga kepala dan batang tubuh. Tulang belakang berfungsi melindungi spinal cord. Pada lokasi tulang belakang terdapat spinal cord yang menjadi sumber persarafan bagian perifer dan menghubungkan sinyal neurologis antara otak dengan bagian tubuh lainnya. Maka dari itu cedera yang terjadi pada bagian tulang belakang sangatlah fatal dan mengakibatkan defek – defek neurologis seperti kelumpuhan. Di Indonesia masih sedikit penelitian mengenai cedera tulang belakang dan spinal cord injury. Oleh karena itu penulis ingin mengetahui mengenai profil penderita cedera tulang belakang akibat trauma di RSUP Sanglah tahun 2015Metode: Penelitian ini menggunakan metode deskriptif observasional dengan desain cross sectional study yaitu dengan melakukan pengumpulan data satu kali dan menggunakan data rekam medis. Dari segi waktu secara retrospektif, Responden dalam penelitian ini dipilih melalui total sampling. Variabel yang diteliti pada penelitian ini antara lain jenis kelamin, umur, lokasi cedera, penyebab terbanyak cedera pada tulang belakang.Hasil: Hasil penelitian di RSUP Sanglah menunjukkan bahwa profil penderita cedera tulang belakang akibat trauma di RSUP Sanglah tahun 2015 adalah sebagian besar berjenis kelamin laki-laki (75%), berada dalam kelompok umur 51-60 tahun (26.7%), dengan penyebab terbanyak adalah jatuh dari ketinggian (62.9%), lokasi terbanyak yang mengalami cedera adalah pada bagian cervical dengan 45.8% dan paling banyak kasus penderita cedera tulang belakang adalah tanpa disertai SCI dengan presentase 52.4%.Simpulan: Berdasarkan hasil penelitian, dapat disimpulkan profil penderita cedera tulang belakang akibat trauma di RSUP Sanglah tahun 2015 sesuai dengan hasil penelitian lain dan literatur yang ada.

Effect of Preoperative Embolization on the Intraoperative Bleeding during Posterior Stabilization in Thoracolumbal Fracture Cases at Prof. Dr. R. D Kandou Hospital Manado

“…Therefore, although the posterior radicular arteries were blocked selectively, the vertebrae could still get vascularized from the posterior spinal artery. [1][2][3][4][5][6][7][8][9][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49] In the second patient, we performed the posterior stabilization procedure of the 4-5th lumbar vertebrae. The preoperative embolization was performed to block the 2nd of right posterior radicular artery with PVA of 250-355 micron using a micro catheter with a diameter of 1 fr up to 2.5 fr.…”

“…In this patient likewise, the bleeding could be reduced because the posterior radicular arteries were blocked, while vascularization from the posterior spinal artery still continued. [1][2][3][4][5][6][7][8][9]35 Compared with the previous posterior stabilization procedure, the amount of intraoperative bleeding in a similar area like the two samples is reduced. This is supported by Tuchman et al 35 that during the 2 nd step of operation (24 hours after embolization) the amount of intraoperative bleeding was less than the first step.…”

“…The possibility is the existence of the embolan escaped to a higher level, therefore, it reduced the vascularization to the spinal cord resulting in temporary muslce weakness, or the effects of trauma when the posterior stabilization procedure was performed. [1][2][3][4][5][6][7][8][9]34,35,[39][40][41][42][43][44][45][46][47][48][49] As for the third patient, we performed the posterior stabilization procedure of the 7th thoracal vertebra. The preoperative embolization was performed to block the right posterior radicular artery of the 5th thoracic vertebra and the left posterior radicular artery of the 9th thoracal vertebra using PVA of 250-355 micron in diameter and a micro catheter of 3.0 fr and distal of 2.4 fr (150 cm x 30 cm).…”

Masalah Respirasi pada Penderita Cedera Medula Spinalis Servikal

“…Predileksi tersering yaitu daerah servikal dengan 45,8%. 6 Spinal cord injury (SCI) akut menyebabkan gangguan yang komplet atau inkomplet dari fungsi motorik, sensorik, autonomik dan reflek. Cedera pada medula spinalis ini sering menyebabkan gangguan atau disfungsi sistim respirasi dan jantung, bahkan dua hal tersebut sering menyebabkan kematian.…”

The Effectiveness of Role Play on Knowledge and Skills of Spinal Injury Indications Evacuation Improvement

“…Spinal cord injury is a condition where a person experiences physical changes so that, in carrying out their activities, they need the help of other people as they experience paralysis. The more severely a person experiences a spinal fracture, the greater the effects of dysfunction that person will experience (Swannjo & Suyasa, 2020). Factors that cause spinal cord injuries include traffic accidents, falls, and sportsrelated injuries, with the order of locations most affected being the cervical, thoracic, lumbar, and least sacral areas (Munawarah et al, 2019;Sudadi & Zaki, 2018).…”