Characteristics of Patients with a Diagnosis of Herniated Nucleus Pulposus

Abstract

Herniated nucleus pulposus is a disorder in which the spinal disc moves and protrudes, pressing on the spinal nerves. It can occur in several places, including the back of the neck, upper back, and lower back. According to PERDOSSI (Indonesian Neurologists Association), findings show that 819 people (18.37%) suffer from HNP. LBP is 18% common in Indonesia, according to the Ministry of Health. Herniated Nucleus Pulposus is still largely unknown, which causes people to start treatment late and accelerates the progression of the disease. This study was conducted to identify the profile of patients with herniated nucleus pulposus. The design of this study was a retrospective descriptive cross-sectional study by examining the medical records of patients at the Indonesian Christian University General Hospital for the period January 2018 to January 2022. In this study, there were 71 patients as samples. The results of this study showed that 52 female patients (73.2%) and 18 male patients (25.3%). The dominant age group was 61-70 years old with a total of 26 patients (37.1%). It was found that the patients with the most jobs were housewives with a total of 32 patients (45.7%). The classification of HNP based on the location of the lesion was dominated by patients with a diagnosis of Lumbar HNP, with a total of 51 patients (72.9%). The body mass index of patients was dominated by patients who had a BMI of 25-29.9 (Obesity I) with a total of 26 patients (37.1%). The history of trauma in this study was less with a total of 7 patients (10%). Patients with smoking habits in this study were more numerous than patients who did not smoke with a total of 36 people (51.4%). it can be concluded the following: 1) Women are more at risk of HNP than men; 2) The age group of 61-70 years is more at risk of HNP; 3) Body Mass Index Value of 25-29.9 (Obesity I) is more at risk of HNP than other values; 4) Housewives are more at risk of HNP than other types of work; 5) The most common location of HNP is lumbar HNP; 6) HNP incidents are more frequent with non-trauma history; 7) Smoking can increase the risk of HNP.