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All Journal Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Journal Orthopaedi and Traumatology Surabaya (JOINTS) Indian Journal of Forensic Medicine & Toxicology
I Ketut Martiana
Department Of Orthopaedic And Traumatology, Faculty Of Medicine, Universitas Airlangga/ Dr. Soetomo General Hospital, Surabaya
Health Professions Medicine & Pharmacology Public Health

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Journal : Journal Orthopaedi and Traumatology Surabaya (JOINTS)

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STAND-ALONE CERVICAL CAGE FOR CERVICAL RADICULOPATHY: A RETROSPECTIVE STUDY I Ketut Martiana; Reyner Valiant Tumbelaka
Journal Orthopaedi and Traumatology Surabaya Vol. 9 No. 1 (2020): April 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v9i1.2020.17-21

Abstract

Background: Cervical radiculopathy is a clinical condition characterized by unilateral arm pain, numbness and tingling in a dermatomal distribution in the hand, and weakness in specific muscle groups that can be treated with nonsurgical or surgical method. This study aims to evaluate the outcome of the stand-alone cervical cage surgical method for cervical radiculopathy in our hospital institution from 2013 to 2017. Methods: This is a retrospective observational study on every patient who undergoes a stand-alone cervical cage for cervical radiculopathy in our hospital institution from 2013 to 2017. The study runs from December 2017 until April 2018. We evaluated the clinical outcome with the Neck Disability Index (NDI). The data were collected from medical records, and postoperative follow up is done by house visits, phone calls, and outpatient visits. Results: Five male and one female subjects with a mean age of 58 years old (45–65 years old) underwent the procedure; one patient passed away on three year postoperative due to other events not related to operation procedure;  one patient could no longer be reached. Four patient has an increasing score of  NDI postoperative. There is no postoperative complication Conclusion: Stand-alone cervical cage shows a safe and effective treatment providing a favorable clinical outcome for cervical radiculopathy in our hospital institution from 2013 to 2017.
TRAUMATIC CERVICAL SPINAL CORD INJURY. IS URGENT INTERVENTION SUPERIOR TO DELAYED INTERVENTION? A META-ANALYSIS EVALUATION I Ketut Martiana; Donny Permana; Lukas Widhiyanto
Journal Orthopaedi and Traumatology Surabaya Vol. 8 No. 1 (2019): April 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v8i1.2019.12-18

Abstract

Introduction: Cervical spine is the most mobile part of the human spine, thus making it the most vulnerable compared to all the other vertebral structures. Surgical procedures are usually performed within the first 24 hours, or 4-6 weeks after trauma in order to prevent any secondary trauma. The research was conducted to evaluate the amount of time of the surgical procedure towards the effectivity and improvement of the neurological status in the cervical injury or acute spinal cord injury (ASCI).Methods: A meta-analysis research which evaluate the effectivity of surgical procedure on cervical trauma/ASCI, with the database procured from PubMed, Embase, and Cochrane. The main parameter is the decompression procedure and the clinical outcome which were categorized. The time of surgery or decompression are categorized into “<24 hours” and “>24 hours”, the neurological outcome is categorized into “improvement” and “no improvement”. The data was presented in odd ratio (OR) and confidence interval (CI) and were further analyzed by forest plot.Results: From PubMed, there were 353 articles, Embase 2 articles, and Cochrane 594 articles, but only 3 articles which fulfilled the inclusion criteria. The comparison between the surgical procedure in the cervical <24 hours with the surgical procedure >24 hours was identified for this research. Statistically, there was a significant difference on the neurological status (OR=1,85; 95%CI=1,21-2,84; p<0,01).Conclusion: With meta-analysis background, early decompressive procedure <24 hours for cervical trauma patients produced a significantly better result in improving the neurological status compared to the late decompressive procedure >24 hours.
DEGENERATIVE SCOLIOSIS: A CASE REPORT I Ketut Martiana; M Mukaddam Alaydrus
Journal Orthopaedi and Traumatology Surabaya Vol. 8 No. 2 (2019): October 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v8i2.2019.104-110

Abstract

Background: Scoliosis in adults is a spinal deformity in adult patients with a Cobb angle of more than 10° in the coronal plane. Degenerative scoliosis is a term used for the presence of spinal coronal deviation in the elderly population due to segment degeneration. This case report presents a quite different management option, namely applying intraoperative vertebral correction to the subject. The operative procedure carried out on the patient has experienced success as indicated by improvement in symptoms and curve progressiveness in patients.Case: A patient suffers degenerative scoliosis at Surabaya RKZ Hospital. Data is taken from medical records, patient clinical records, home visits, and physical examination of patients.Discussion: From the results of the post op clinical examination, it was found that pain complaints improved compared to pre-op complaints. From the results of the post op radiological examination, the position of fixation was good, there was no spondylolisthesis, lumbar dextroscoliosis (+), lumbar spondylosis (+), drain tip as high as Th12-L1.Conclusion: Giving operative management can directly improve the patient's quality of life and reduce symptoms experienced in a shorter time.
Co-Authors Donny Permana Donny Permana Dwikora Novembri Utomo Lukas Widhiyanto M Mukaddam Alaydrus Primadenny Ariesa Airlangga Reyner Valiant Tumbelaka Reyner Valiant Tumbelaka