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All Journal Jurnal Kesehatan Andalas Journal Orthopaedi and Traumatology Surabaya (JOINTS) Journal of Ocean, Mechanical and Aerospace -science and engineering- (JOMAse)
Sahputra, Roni Eka
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Aerospace Engineering Decision Sciences, Operations Research & Management Engineering Health Professions Industrial & Manufacturing Engineering Mechanical Engineering Medicine & Pharmacology

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Profile of Lumbar Spinal Stenosis Patients at Dr. M. Djamil Central Public Hospital from 2018-2022 Akbar, Inasa Faiza; Sahputra, Roni Eka; Elfi, Eka Fithra; Rahmadian, Rizki; Rusjdi, Dina Arfiani; Silvia, Nelmi
Journal Orthopaedi and Traumatology Surabaya Vol. 13 No. 2 (2024): October 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v13i2.2024.52-60

Abstract

Background: Lumbar Spinal Stenosis (LSS) is a pathological condition characterized by narrowing of the spinal canal in the lower back. In Indonesia, comprehensive data on LSS is currently unavailable. This study aimed to determine the profile of LSS patients at Dr. M. Djamil Central Public Hospital. Methods: This descriptive cross-sectional study utilized medical record data from 122 LSS patients at Dr. M. Djamil Central Public Hospital between 2018 and 2022, selected via consecutive sampling. Inclusion criteria included age over 18 years and a confirmed LSS diagnosis. Exclusion criteria included incomplete medical records, lack of MRI results, and follow-up visits without treatment. Univariate analysis was performed using SPSS 25.0 to describe patient characteristics, causative factors, symptoms, location of stenosis, and management type. Results: In this study, 122 samples met the inclusion and exclusion criteria. LSS was mainly found in patients aged 60-69 years (33.6%) and in women (59%). Most LSS patients had obesity (BMI category I, 32%). Many LSS patients were housewives (42.62%) and reported light work activity (63.1%). The most common cause of LSS was degenerative factors (59%). The main symptom experienced by LSS patients was lower back pain (94.3%), frequently accompanied by radicular pain (79.5%). The most common location of stenosis was L4-L5 (43.4%). Most LSS patients in this study were managed both conservatively and operatively (70.5%). Conclusion: These findings contribute to a better understanding of LSS prevalence and distribution among patients. Further multicenter studies are needed to establish a comprehensive national LSS profile.
A Case of Tuberculous Spondylitis in Child with Undernourish Viorika, Erli Meichory; Yani, Finny Fitry; Sahputra, Roni Eka
Andalas Journal of Health Vol. 10 No. 1 (2021): Online March 2021
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v10i1.1709

Abstract

Tuberculous spondylitis accounts for around 2% of all cases of Tuberculosis (TB) and around 15% of extrapulmonary TB cases. It has been reported that a 17 years old boy with a complaint of a bump on the lumbar region and felt low back pain since two years before admission with a history of back trauma. There was a decrease of body weight. There was no paraesthesia nor paralysis. Defecation and micturition were normal. Basic immunization was incomplete. On physical examination found palpable lymph nodes 0,5x0,5x0,5 cm, multiple et regio colli. There was no BCG scar. Impression nutritional status was undernourished. There was fixed palpable mass at back size about 5x4x5 cm, hard, no fluctuations, no rebound tenderness. Lung examination was normal. Tuberculin test showed induration sized 20 mm. Gene Xpert result Micobacterium Tuberculosis (MTB) not detected. On chest X-ray examination found L1-2 corpus destruction. MRI Spine was suggestive of compressive fractures and suggestive of a bilateral psoas abscess. Decompression and lumbar stabilization surgery were performed. The histopathology examination results were consistent to spondylitis TB characteristics. The patient was discharged on 6th hospitalization and given anti-tuberculous drug.Keywords:  bump, extrapulmonary, fracture, spondylitis, tuberculosis
Structural of Pedicle Screw on Biomechanical Characteristics of Spinal Scoliosis Correction Deformation Weriono, Weriono; Rusli, Meifal; Dahlan, Hendery; Sahputra, Roni Eka
Journal of Ocean, Mechanical and Aerospace -science and engineering- Vol 69 No 1 (2025): Journal of Ocean, Mechanical and Aerospace -science and engineering- (JOMAse)
Publisher : International Society of Ocean, Mechanical and Aerospace -scientists and engineers- (ISOMAse)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36842/jomase.v69i1.529

Abstract

Scoliosis correction methods often involve orthopedic procedures such as implant placement to stabilize movement and correct spinal deformity. The choice of surgical method is highly dependent on the location and nature of the fracture. Fractures with significant damage require a different approach compared to cases of minor injuries. Three dimensional finite element model of C1–L6 spine was used to simulate conditions with single cylindrical implant fixation under a vertical downward loading force 50 N and cylindrical screw types made of titanium alloy. The human spine, encompassing the cervical, thoracic, and lumbar regions, exhibits a complex biomechanical response when subjected to physiological loads. Displacement that occurs due to axial force can be the result of pedicle screw movement with vertebrae of the spine. Installation of 4 (four) rows of pedicle screws reduces the release of pedicle screws from the spine. The use of more fixation can reduce the stress distribution on the vertebrae of the spine.
Characteristics of Patients with Thoracolumbar Fractures at Dr. M. Djamil Padang Central General Hospital in 2018-2022 Shafira, Zahra; Sahputra, Roni Eka; Noer, Mustafa; Rahmadian, Rizki; Burhan, Ida Rahmah; Irawati, Lili
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 14 No. 1 (2025): April 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v14i1.2025.1-9

Abstract

Background: Vertebral fracture is one of the traumas that results in the highest rates of disability and death. Vertebral fractures can occur in various regions, but more than 50% of cases occur in the thoracolumbar region T10-L2. This can be caused by several factors, such as age, gender, and BMI. More than 30% of patients have symptoms of chronic back pain accompanied by neurological deficits. This study discussed the characteristics of patients with thoracolumbar fractures at Dr. M. Djamil Padang Central General Hospital. Methods: This research is an observational descriptive study with a cross-sectional design. Research data were obtained from patient medical records, and the total inclusion sample is 139 patients with thoracolumbar fracture at Dr. M. Djamil Padang Central General Hospital in the 2018-2022 period. The data were processed and displayed as frequency distributions. Results: This research showed that the incidence of thoracolumbar fractures is found in 72 patients, with 72 being women. Mainly occurred between 15-64 years of age (73.4%), with 61.2% of cases caused by low energy trauma. As many as 62.6% of the patients received conservative management accompanied by surgery. Conclusion: This study concluded that thoracolumbar fractures often occur in women of reproductive age. The most common etiology is a fall from a height of less than three meters.
Co-Authors Akbar, Inasa Faiza Burhan, Ida Rahmah Dina Arfiani Rusjdi Eka Fithra Elfi, Eka Fithra Finny Fitry Yani Hendery Dahlan, Hendery Lili Irawati Meifal Rusli, Meifal Mustafa Noer Rahmadian, Rizki Shafira, Zahra Silvia, Nelmi Viorika, Erli Meichory Weriono