CORRELATION OF LUMBAR FORAMINAL STENOSIS DEGREE ON SAGITTAL MRI WITH JOABPEQ (JAPANESE ORTHOPAEDIC ASSOCIATION BACKPAIN QUESTIONNAIRE) AND ODI (OSWESTRY DISABILITY INDEX) ON LUMBAR FORAMINAL STENOSIS L5-S1 PATIENTS

Bagas Widhiarso(1*), Anggita Tri Yurisworo(2), Andhi Prijosedjati(3), Pamudji Utomo(4), Handry Tri Handojo(5)

(1) Resident of Orthopaedic & Traumatology Faculty of Medicine Sebelas Maret University/Dr. Moewardi General Hospital/Orthopaedic Hospital Prof.Dr.R. Soeharso
(2) Resident of Orthopaedic & Traumatology Faculty of Medicine Sebelas Maret University/Dr. Moewardi General Hospital/Orthopaedic Hospital Prof.Dr.R. Soeharso
(3) Staff Orthopaedic & Traumatology Faculty of Medicine Sebelas Maret University/Dr. Moewardi General Hospital/Orthopaedic Hospital Prof.Dr.R. Soeharso
(4) Staff Orthopaedic & Traumatology Faculty of Medicine Sebelas Maret University/Dr. Moewardi General Hospital/Orthopaedic Hospital Prof.Dr.R. Soeharso
(5) Staff of Radiology Department of Orthopaedic Hospital Prof.Dr.R. Soeharso.
(*) Corresponding Author

Abstract

Lumbar Foraminal Stenosis (LFS) dapat secara signifikan mengurangi fungsi dan kualitas hidup pasien dan Magnetic Resonance Imaging (MRI) adalah alat pendukung yang umum digunakan untuk mengukur beratnya stenosis. Lee score umumnya digunakan untuk mengukur derajat LFS pada MRI sagital. Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) dan Oswestry Disability Index (ODI) digunakan untuk menilai disabilitas dan skor fungsional pada pasien LFS. Penelitian ini bertujuan untuk mengetahui korelasi antara derajat LFS pada MRI sagital dengan kualitas hidup pada pasien dengan LFS. Penelitian ini merupakan penelitian analitik observasional yang melibatkan 25 pasien dengan gejala klinis LFS di RS. X Surakarta. Pasien dinilai dengan mengisi kuesioner JOABPEQ dan ODI, kemudian dilakukan evaluasi MRI sagittal lumbar untuk menentukan derajat Lee score, kemudian melakukan uji korelasi pada data yang diperoleh. Penelitian ini menunjukkan korelasi yang signifikan antara Skor Lee dengan JOABPEQ dan ODI. Tingkat LFS berdasarkan Lee Score memiliki korelasi yang signifikan dengan tingkat disabilitas menggunakan JOABPEQ dan ODI. JOABPEQ memiliki korelasi yang lebih signifikan dengan Skor Lee dibandingkan dengan ODI.

Kata Kunci : Lumbar Foraminal Stenosis, Lee Score, JOABPEQ, ODI

 

Lumbar Foraminal Stenosis (LFS) can significantly reduce the patient’s function and quality of life and Magnetic Resonance Imaging (MRI) is commonly used supporting tool to measure the degree of stenosis. Lee Score is commonly used to measure the degree of LFS on sagittal MRI. Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) and Oswestry Disability Index (ODI) to assess disability and functional scores in LFS patients. This study was conducted to determine the correlation between the degree of LFS on sagittal MRI images with quality of life in patients with LFS.This study is an observational analytics study involving 25 patients with clinical symptoms of LFS in X Hospital Surakarta. Patients were assessed by filling JOABPEQ dan ODI questionnaires, then performed sagittal lumbar MRI evaluation to determine the degree of Lee Score, then performed correlation test on the data obtained.This study shows a significant correlation between Lee Score with JOABPEQ and ODI. The degree of LFS based on Lee Score has a significant correlation with the degree of disability using JOABPEQ and ODI. JOABPEQ has a more significant correlation to Lee Score compared with ODI.

Keywords:Lumbar Foraminal Stenosis, Lee Score, JOABPEQ, ODI

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References

Attias, N., Hayman, A., Hipp, J.A., Noble, P., and Esses, S.I. 2006. Assessment of MRI in the diagnosis of lumbar spine foraminal stenosis: a surgeon’s perspective. J Spinal Discord Tech., 199(4):249-56.

Brodke, D.S., Goz, V., Lawrence, B.D., Spiker, W.R., Neese, A., and Hung, M. 2017. Oswestry Disabilty Index: a psychometric analysis with 1,610 patients. Spine J., 17(3) 321-7.

Fukui, M., Chiba, K., Kawakami, M., Kikuchi, S., Konno, S., Miyamoto, M., Seichi, A., Shimamura, T., Shirado, O., Taguchi, T., Takahashi, K., Takeshita, K., Tani, T., Toyama, Y., Wada, E., Yonenobu, K., Tanaka, T., and Hirota, Y. 2008. Japanese Orthopaedic Association Back Pain Evaluation Questionnaire. Part 3. Validity study and establishment of the measurement scale: Subcommittee on Low Back Pain and Cervical Myelopathy Evaluation of the Clinical Outcome Committee of the Japanese Orthopaedic Association, Japan.. J OrthopSci., 13(3):173-9.

Haldeman, S.D., Kirkaldy-Willis, W.H., Bernard, T.N., and Wilks, B. 2002. An Atlas of Back Pain. The Parthenon Publishing Group. London.

Herkowitz, H.N., Garfin, S.R., Eismont, F.J., Bell, G.R., and Balderston, R.A. 2017. Rothman – Simeone and Herkowitz’s, The Spine, 7th Edition. Saunders.

Lee, S., Lee, J.W., Yeom, J.S., Kim, K.J., Kim, H.J., Chung, S.K., and Kang, H.S. 2010. A Practical MRI Grading System for Lumbar Foraminal Stenosis. American Journal of Roentgenology, 194 (4):1095-8.

Park, H.J., Kim, S.S., Lee, S.Y., Par, N.H., Rho, M.H., Hong, H.P., Kwag, H.J., Kook, S.H., and Choi, S.H. 2012. Clinical Correlation of a New MR Imaging Method for Assessing Lumbar Foraminal Stenosis. AJNR Am J Neuroradiol., 33(5): 818-22.

Shipley, J.A. 2008. Lumbar Spinal Stenosis. SA Orthopaedic Journal, 42-7.

Varghese, B., and Babu, A.C. 2018. New Magnetic Resonance Imaging System for Lumbar Neural Foramina Stenosis. International Journal of Anatomy, Radiology and Surgery, 7(1): 56-60.

Yamada, K., Aota, Y., Higashi, T., Ishida, K., Nimura, T., Konno, T., and Saito, T. 2014. Lumbar foraminal stenosis causes leg pain at rest. Eur Spine J., 23(3):504-7.

Yamada, K., Abe, Y., Satoh, S., Yanagibashi, Y., Hyakumachi, T., and Masuda, T. 2017. A novel diagnostic parameter, foraminal stenotic ratio using three-dimensional magnetic resonance imaging, as a discriminator for surgery in symptomatic lumbar foraminal stenosis. The Spine Journal., 17(8):1074-81

Yawara, E., Ohtori, S., Suzuki, M., Oikawa, Y., Yamanaka, H., Tamai, H., Kobayashi, T., Orita, S., Yamauchi, K., Suzuki, M., Aoki, Y., Watanabe, A., Kanamoto, H., and Takahashi, K. 2016. Diagnosis of Lumbar Foraminal Stenosis Using Diffusion Tensor Imaging. Asian Spine J., 10(1):164-9

DOI: 10.23917/biomedika.v11i2.7628

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