Radiography Cervical Vertebrae with Suspect Spodylosis at the Prof. Dr Chairuddin Panusunan Lubis Educational Hospital University of North Sumatra Medan

ABSTRACT


INTRODUCTION
Ve r tebra Cervicalis is bone rear consisting from on seven segments that have segment bodies small and hollow the section big.On the head his wings there is hole then nerve called the transverse foramen [1].Spondylosis is spinal vertebral abnormalities, accompanied by degeneration and formation of new bones accompanied by stiffening of the connections between the vertebral segments [2].
Cervical spondylosis is something disease common degenerative disease of the bones cervical.This is most common caused by changes in the intervertebral discs due to change age [3].According to Ballinger (2003), radiographic techniques are the science of studying the procedures for photographing objects being examined using X-rays [4].And at the same time to obtain optimal radiographic images so as to be able to make an accurate diagnosis.Abnormalities that occur in the cervical spine including spondylosis [5].For show abnormalities in these organs needed X-ray in field radiology [6].Because of That needed inspection radiology For show There is or not spondylosis and its influence to the surrounding organs [7].
Based on the background above, the author wants to study in more depth the examination of the cervical vertebrae in the form of a scientific paper with the title : "Radigraphy of the Cervical Vertebrae with Suspected Spondylosis at Prof. Dr. Hospital [8].Chairuddin Panusunan Lubis, University of North Sumatra [9].

Types of research
Cervical spine radiology with suspected spondylosis uses qualitative research.According to Sugiyono (2013) Qualitative research is a research method based on post-positivism philosophy.Used to research the conditions of natural objects, where research is the key instrument, data source sampling is carried out purposively and snowball Int Jou of PHE  369 collecting techniques using triangulation (combination), data analysis is tinductive/qualitative, and qualitative research results emphasize meaning rather than generalization [10].

Time and Place of Research
Radiographic examination of Cervical Vertebrae with suspicion of Spondylosis Research time: May 2023.Research location : Radiology Installation at Pendikan Hospital , Prof. Dr. Chairuddin Panusunan Lubis, University of North Sumatra [11].

Population and Sample
Population is the entire subject of research.The population in this study was all patients at home patient who performs a cervical spine radiographic examination.The samples in this study were patients who underwent radiographic examination of the cervical spine with suspected spondylosis.The sampling technique uses a Purposive Sampling technique, namely taking samples according to the researcher's needs, so that the sample in this study consists of one person in the form of medical record data in the form of x-ray films [12].

Research Instrument
Research instruments are tools or facilities used Computed Radiography, image plate, computed radiography film, contrast media, fluoroscopy, image printer, apron, medical record data from x-rays.In research, collecting data makes the work easier and the results are better, more accurate, complete and systematic so that they are easier to process.

Data collection technique
Data collection techniques are the most strategic step in research, because the main aim of research is to obtain data.
In researching this scientific paper the author can collect data: 1.Observation According to S. Nasution (1996) Observation is a process composed of various biological and logical processes.Two of the most important are the processes of observation and memory.In this scientific paper, data is obtained by directly observing and following the Cervical Vertebra examination carried out on the patient starting from the time the patient arrives until the patient goes home with the results.

Documentation
According to (Sanafiah, 2002) Dukomen is a record of events that have passed.Documentation can be in the form of writing, drawings, or someone's monumental works.Document study is a tool for using observation and interview methods in qualitative research.By studying the results of vertebral radiographs Cervica l found during clinical practice are either normal or have abnormalities, especially spondylosis [13].

Interview
According to (Sutrisno, 1989) an interview is a meeting of two people to form information and ideas through questions and answers, so that meaning can be contributed to a particular topic.In this scientific paper, we conduct interviews with the patient's family regarding the disease the patient is suffering from.Discussion and collaboration with radiographers, and consultation with supervisors related to examination and writing of scientific papers.

Data analysis
Sugiyono (2013) stated that data analysis is the process of systematically searching and compiling data obtained from interviews, field notes and other materials, so that it can be informed to other people.Qualitative data, namely data related to the categorization of characteristics or properties of variables, this data is in the form of sentences, statements and images.The data that has been collected is processed [14].Then connect it to the hypothesis and then get a conclusion [15].From the results of the examination carried out, a radiographic image of the cervical vertebrae with suspected spondylosis was obtained which is good for reading and making a diagnosis in selecting tools and procedures carried out on the patient [16].

Examination Techniques
After The equipment is prepared then the author carries out an inspection.The projections carried out here are in accordance with the examination carried out by the author on the patient, namely Antero-posterior and lateral projections.Antero Posterior Axial Projection Purpose of Examination : To show anatomy and abnormalities in the cervical vertebrae specifically spondi losis .Position Patient : Stand facing the direction of the light Position Object : Place object in the middle of the tape with both hands beside the body and the head tilted as far back as possible [18].

Evaluation of Results
Evaluation The inspection that is : 1. Evaluation picture on Antero proje Posterior optimal, so it is better to use a field area that is appropriate to the object.Apart from that, it is also necessary to pay attention to the radiation dose received by the patient, where the wider the collimation, the greater the radiation dose received by the patient [26].

Communication with Patients
Before the examination is carried out, it is best to explain to the patient first the procedures for cervical examination in language that is easy for the patient to understand and comprehend so that the patient understands and does not move during the exposure and remains in the position that has been positioned until the exposure is complete [27].

Tool Operation
Before examining the lateral projection, it is a good idea to increase the FFD to minimize magnification and when the FFD is increased, the exposure factor is also increased so that the continued penetrating power is able to penetrate the object [28].

CONCLUSION
From the results of the inspection which has been described in this paper with the title "Radiography vertebrae cervical with guess spondylosis " in Installation Radiology House Prof. Education Hospital Dr. Chairuddin Panusunan Lubis, University of North Sumatra so the writer can take conclusion as follows: 1. On implementation radiography vertebrae cervical with guess spondylosis need exists Work The same between radiographer And patient with the aim is to make things easier inspection.2. Radiation protection during cervical spine radiography examination is not appropriate or the field area is too wide.3.In the Antero -Posterior projection it can only show Cervical III to Cervical VII 4. On inspection Vertebrae Cervical with guess Spondylosis requires detail and sharpness picture. 5. Magnification occurs in the lateral projection image Suggestion 1.Before done action radiography vertebrae cervicalis with guess spondylosis, it is necessary to inform the patient about the things that need to be done in language that is easy to understand and that the patient can understand.2. Should When examining cervical spine radiographs, it is necessary to pay attention to the area of the field that corresponds to the object in order to minimize the radiation dose received by the patient 3. to add an antero-posterior open mouth projection to the cervical examination with suspicion of pondylosis to show cervical I and cervical II images.4. For get results sharp picture and optimal detail should use focus small with small OFD and FFD 5.It is recommended that the FFD lateral projection be increased in order to minimize magnification and increase the exposure factor so that the rays that come out are sufficiently transmitted to penetrate the object.

Figure 4 .Figure 5 .
Figure 4. Lateral Position Implementation of Inspections1.Read letters requesting photos, especially diagnoses, while from the sending doctor requesting photos of the cervical vertebrae .2. Patient PreparationOn implementation radiography vertebrae cervical with guess spondylosis does not require special preparation, but patients are asked to remove clothes, accessories and earrings, then replace them with clothes inspection [17]aration of Inspection Tools X-ray planeBefore held inspection should radiographer do warmup tool as well as choose factor exposure required[17].As for preparation tool inspection Vertebrae Cervical with guess Spondylosis in Installation Home Radiology Prof. Dr Chairuddin Panusunan Lubis University Educational Hospital Sumatra North is as following: Brand Aircraft X-ray: Phillips Number Series : 10140193 Type Generator : Med/HF Service Aircraft : Radiography Maximum Voltage (Kv): 150 kV Maximum current (mA): 500 mA