Efektivitas Penambahan Proyeksi Hiperfleksi dan Hiperekstensi Pemeriksaan Lumbal sebagai Upaya Penegakkan diagnosa Low Back Pain

Abstract

Background: Lumbar examination at KRMT Wongsonegoro Hospital Semarang in case of low back pain caused by spondylolisthesis not only use AP projection routine and lateral but also adding hyperflexion and hyperextension projections. Research aims to understand effectiveness in addition of hiperfleksi projection and hyperextension at KRMT Wongsonegoro Hospital Semarang. 

Methods: This type of research is qualitative descriptive approached by case study. Data collection by observation and interviews conducted to some respondents consisting of radiographers, radiologist and orthopedist. 

Results: Showed that Low back pain caused by spondylolisthesis, radiographic evaluation should consist of lateral hyperflexion and hyperextension radiographs as these projections help determine the displacement instability of the bone. Flexion-extension radiographs in standing position usually used to measure the degree of intervertebral instability, standing position of flexion-extension radiography is also often used in conjunction with clinical signs and symptoms to decide between management conservative and surgical. The projection also helps the radiologist to determine degree of movement of the bones so that any changes in displacement of position can be clearly seen.

Conclusions: Adding hyperflexion and hyperextension projections in this case can confirm the diagnosis and provide additional information as these projections are made for the purpose of studying the motion function of the spine and can determine the degree of angulation, displacement or narrowing of a vertebra.