EVALUASI KLINIS ADOLESCENT IDIOPATHIC SCOLIOSIS PASKA INSTRUMENTASI POSTERIOR DAN PEMASANGAN BRACE DI RUMAH SAKIT ORTHOPAEDI PROF. DR. dr. R. SOEHARSO SURAKARTA

MURTI, WISNU (2013) EVALUASI KLINIS ADOLESCENT IDIOPATHIC SCOLIOSIS PASKA INSTRUMENTASI POSTERIOR DAN PEMASANGAN BRACE DI RUMAH SAKIT ORTHOPAEDI PROF. DR. dr. R. SOEHARSO SURAKARTA. Other thesis, Universitas Sebelas Maret.

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    Abstract

    Background :Scoliosis is a three dimensional deformity of the spine, with lateral, anteroposterior, and rotational components. Eighty percent of all scoliosis cases are idiopathic, with adolescent type is the most common. Many etiologies of idiopathic scoliosis had been described, but none of them could explain clearly. Deformity and rib hump are the patients most complained about. Plain X-ray is the gold standard to diagnose idiopathic scoliosis. The most common systems to classify idiopathic scoliosis are according to King, Lenke. Method : A clinical evaluation by SRS30 scoring system with cross-sectional observation study after posterior instrumentation and brace application of adolescent idiopathic scoliosis in Soeharso Hospital Surakarta. Results : There were 22 patients performed posterior instrumentation and brace application of adolescent idiopathic scoliosis. The youngest patient were 10 years old, the oldest were 26 years old, and the most frequent patient who underwent operation were 13-15 years old (37%). Patients were observed at least six month after remove the brace. The longest period wearing the brace was 18 months (11%). And the shortest period was 8 months (3%). There were 2 patients (9%) still complaining about activity impairment, most of patients have no complain about pain, they were 18 patients (81%). Same result about their appearance after operation, they were 11patients (50 %). And 12 patients (54%) feel no changes about their mental status. There were 21 patients (95%) feel satisfy with management, and only 1 patient (5%) feel not satisfy with the treatment that they received. Conclusion : After posterior instrumentation and brace application of adolescent idiopathic scoliosis, 91% patient can back to activity without restriction, 81% not complaining about pain, 50% feeling more confidence with their appearance, most (54%) didn’t feel any change of their mental status, and 95% patients were satisfy with the result of management. Latar Belakang:Skoliosis merupakan deformitas tulang belakang 3 dimensi, dengan komponen lateral, anteroposterior, dan rotasi. Delapan puluh persen dari semua kasus skoliosis adalah idiopathic, dengan tipe terbanyak adalah adolescent. Banyak etiologi yang telah dijelaskan, namun belum satupun yang mampu menjelaskan secara tepat. Deformitas dan rib humpmerupakan keluhan utama dari pasien skoliosis. X-ray biasa tetap merupakan standar untukmendiagnosa idiopathic scoliosis. System klasifikasi yang paling sering digunakan untuk menggolongkan idiopathic scoliosis adalah menurut King, dan Lenke. Metode : Sebuah evaluasi dengan menggunakan sistem skoring SRS30, dengan pendekatan penelitian observasi cross-sectional pada pasien paska posterior instrumentasi dan pemakaian brace dari adolescent idiopathic scoliosis di RS Ortopaedi Prof. DR. dr. R. Soeharso Surakarta. Hasil : Penelitian dilakukan terhadap 22 pasien yang telah menjalani instrumentasi posterior dan pemakaian brace karena adolescent idiopathic scoliosis. Usia termuda yang menjalani operasi adalah 10 tahun, dan usia tertua adalah 26 tahun, dimana usia terbanyak yang menjalani operasi adalah 13-15 tahun (37%). Pasien dilakukan observasi minimal 6 bulan setelah brace dilepas. Pemakaian brace terlama adalah selama 18 bulan (11%), dan yang tersingkat adalah 8 bulan (3%). Terdapat 2 pasien (9%) masih mengeluhkan keterbatasan aktivitas, sebanyak 18 pasien (81%) sudah tidak lagi merasakan nyeri. Hasil yang sama didapatkan mengenai penampilan mereka paska operasi, dan sebanyak 12 pasien (52%) merasakan tidak ada perubahan keadaan mental mereka. Sebanyak 21 pasien (95%) merasakan puas dengan penanganan, dan hanya 1 pasien (5%) merasakan ketidakpuasannya. Kesimpulan : Setelah instrumentasi posterior dan pemakaian brace pada adolescent idiopathic scoliosis, sebanyak 91% pasien dapat kembali ke aktivitas tanpa keterbatasan, 81% tidak lagi merasakan nyeri, 50% merasakan lebih percaya diri dengan penampilan mereka, kebanyakan (54%) tidak merasakan perubahan keadaan mental, dan sebanyak 95% pasien menyatakan puas terhadap hasil penanganan.

    Item Type: Thesis (Other)
    Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
    Divisions: Fakultas Kedokteran
    Depositing User: Vignasari Kokasih
    Date Deposited: 26 Apr 2014 18:54
    Last Modified: 26 Apr 2014 18:54
    URI: https://eprints.uns.ac.id/id/eprint/13616

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