Vertebral Examination Techniques for Clinical Scoliosis in the Radiology Department of Muhammadiyah Ahmad Dahlan Hospital Kediri City

Abstract

The vertebral column is the main pillar of the body's bones that supports the head, upper extremities, and chest cavity. The vertebral column is divided into five regions, including the cervical vertebral column, thoracic vertebral column, lumbar vertebral column, sacral vertebral column, and coccygeal vertebral column (Budidarmawan, 2020). One of the abnormalities or pathologies in the thoracolumbar vertebral column is caused by congenital factors. The pathology that can arise is scoliosis. Scoliosis is a deformity of the spine to the lateral side that is excessive in the vertebra. Scoliosis is often experienced by children aged 10-14 years, especially girls. The purpose of this study was to determine the technique of examining the Thoracolumbar Vertebrae with clinical scoliosis in the Radiology Installation of Muhammadiyah Ahmad Dahlan Hospital, Kediri City. This study used a descriptive method with a case study approach. The study was conducted from January 15, 2024, to February 10, 2024, at Muhammadiyah Ahmad Dahlan Hospital, Kediri City. The results showed that scoliosis examinations at Muhammadiyah Ahmad Dahlan Hospital, Kediri City were performed with PA, lateral, right bending, and left bending projections, using a Computed Radiography (CR) machine, with a 35 x 43 cm cassette, marker, 100 cm FFD, horizontal central ray perpendicular to the cassette, and no special preparation. The conclusion of this study is that the projections used in scoliosis examinations at Muhammadiyah Ahmad Dahlan Hospital, Kediri City use 4 projections because they can clearly show the anatomy of the vertebrae to establish a diagnosis and can reduce the occurrence of magnification, and without special preparation. Patients are only asked to remove objects that can interfere with the results of the radiograph image to anticipate the presence of artifacts in the x-ray results.