Cedera servikal merupakan salah satu cedera tulang belakang terbanyak pada pasien trauma. Di Amerika Serikat tahun2008 dari 100.000 kasus cedera tulang belakang, sebanyak 67% merupakan kasus cedera servikal. Penilaian awaldilakukan berdasarkan American Spinal Cord Injury Association (ASIA) impairment score namun prognosis outcomesering tidak diperhatikan. Tujuan penelitian untuk menganalisis nilai functional independence measure (FIM) pasiencedera servikal dengan manajemen konservatif dan korelasi dengan umur, jenis kelamin, jenis trauma, onset trauma,abnormalitas servikal, jenis lesi cervical spine, dan ASIA impairment score. Dilakukan studi kohor prospektif padasemua pasien cedera servikal yang memenuhi kriteria inklusi di bagian Bedah Saraf Rumah Sakit (RS) Dr. HasanSadikin Bandung. Subjek dikelompokkan berdasarkan umur, jenis kelamin, trauma tunggal/multipel, akut/kronik,abnormalitas servikal, lesi komplit/inkomplit dan ASIA impairment score. Pemeriksaan nilai FIM dilakukan diPoliklinik Bedah Saraf. Data dianalisis menggunakan uji t dan uji chi-kuadrat. Terdapat 17 pasien cedera servikal yangdirawat di bagian Bedah Saraf RS Dr. Hasan Sadikin Bandung periode April 2009?April 2010. Observasi kohorprospektif rata-rata nilai FIM pasien cedera servikal adalah 4±1,63. Analisis chi-kuadrat menyebutkan bahwa tidakterdapat hubungan umur, jenis kelamin, jenis trauma, onset trauma, abnormalitas servikal dengan besarnya nilai FIMpasien cedera servikal. Terdapat hubungan jenis lesi cervical spine, ASIA impairment score dengan besarnya nilai FIMpasien cedera servikal. Jenis lesi cervical spine dan ASIA impairment score memiliki hubungan bermakna denganbesarnya nilai FIM pasien 6 bulan pascacedera servikal.
Cervical spine injury is one of the most common spinal cord injuries in trauma patients. From 100,000spinal cord injury cases reported in the United States of America (2008), sixty seven percent involve cervical spineinjury. American Spinal Cord Injury Association (ASIA) impairment score is used as an initial assessment but notenough attention prognostic outcome of these patients was paid to. The objective of this study is to analyze the value offunctional independence measure (FIM) cervical spine injury patients with conservative management and its correlationwith age, sex, type of trauma, onset of trauma, cervical abnormalities, type of cervical spine lesion and ASIAimpairment score. A prospective cohort study was performed to all patients with cervical spine injury treated inNeurosurgery Department of Dr. Hasan Sadikin Hospital Bandung that fullfiled the inclusion criteria. The subjects wereclassified based on age, sex, single/multiple trauma, acute/chronic, cervical abnormalities, complete/incomplete lesionand ASIA impairment score. The FIM examination was performed in Outpatient clinic of Neurosurgery. T-test and chisquaretest was done to analyze the data. There were 17 cervical spine injury patients treated in NeurosurgeryDepartment of Dr. Hasan Sadikin Hospital during April 2009?April 2010. The average FIM value of cervical spineinjury in those patients is 4+1.63 by cohort prospective study. There were no correlation between FIM value with age,sex, type of trauma, onset of trauma and cervical abnormalities. Significant correlations were found between FIM valuewith type of cervical spine lesion and ASIA impairment score in cervical spine patients. Type of cervical spine lesionand ASIA impairment score have significant correlation with FIM value of patients in 6 months after cervical injury. |
