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All Journal International Journal of Integrated Health Sciences Journal of Medicine and Health Indonesian Journal of Rheumatology Neurologico Spinale Medico Chirurgico Jurnal Neuroanestesi Indonesia Journal of Medicine and Health
Farid Yudoyono
Faculty Of Medicine Universitas Padjadjaran Bandung
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Smith-Peterson osteotomy and lordotic posterior column compressive screw fixation proceed by postural pillow reduction improved realignment for unstable lumbar burst fracture Farid Yudoyono; Hasan Baraqbah; Deasy Herminawaty
Neurologico Spinale Medico Chirurgico Vol 3 No 2 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i2.106

Abstract

Lumbar burst fractures (LBF) is a common trauma case of the spine, recently still a difficult problem to solve. Experts have published the approaches and techniques, but there is still a high incidence of morbidity and mortality, unsatisfactory clinical and radiological results especially in developing countries. The minimal tissue destruction approach with rigid screw-rod construction allowed to lowering surgical costs and earlier patient recovery with successfully clinical and radiological results in the short term follow up.
Three-level thoracolumbar vertebroplasty with screw-rod-wire construct in Kummels disease patient with neurological deficit after low impact injury Farid Yudoyono; Ivanmorl Ruspanah; Hasan Baraqbah
Neurologico Spinale Medico Chirurgico Vol 3 No 3 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i3.124

Abstract

Kummel disease (KD) or avascular necrosis is characterized by osteonecrosis of the vertebrae which often occurs in the thoracic area with compression fractures, intravertebral vacuum clefts, change in posture to kyphotic within months to years after minor trauma. KD is a rare disease but its incidence continues to increase with age and osteoporosis increases. Fixation of unstable thoracic fractures using the transpedicular pedicle screw (TPS) has been accepted as a procedure performed by experts. However, TPS itself has several complications combination with vertebroplasty and wire can reduce the incidence of the misplaced screw.
Dural tear with multiple nerve root entrapment simultaneously after unstable spine injury: Intraoperative finding Farid Yudoyono; Arief Pebrianto
Neurologico Spinale Medico Chirurgico Vol 4 No 1 (2021)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v4i1.134

Abstract

Spinal cord injuries (SCIs) caused by trauma that frequently occur are dural tears and cerebrospinal fluid (CSF) leaks. They are not always detected with neuroimaging. Hence, the authors reported two cases of the dural tear with multiple nerve root entrapment after spine injury and described how managed. This case report was about two patients who had unstable spinal fractures. All patients have an asymmetrical neurological deficit. The following magnetic resonance imaging features have analyzed the presence of CSF leakage, epidural haematoma, and spine fractures. Both cases revealed intraoperative finding dural tear with multiple nerve root entrapment. We performed decompression with spinal fixation with a posterior approach, and then the patients were sent home without complication. During the follow-up period, none of the patients developed complications. The severe neurological deficit, fracture of laminar, and ligamentum flavum disruption on the MRI in patients were predictable factors in our cases.
Chronic sacroiliac joint pain treated with pulsed radiofrequency ablation Farid Yudoyono; Dewi Pratiwi; Hendra Gunawan; Deasy Herminawaty
Neurologico Spinale Medico Chirurgico Vol 3 No 1 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i1.3

Abstract

Chronic sacroiliac joint (SI) pain can cause disability in an aging society. Effective treatment of low back pain (LBP) originating from sacroiliac joints is difficult to achieve. We report the successful treatment of pulsed radiofrequency (PRF) ablation in a patient with chronic SI joint pain. There were no post-interventional complications. Clinical improvement reported after 12 months.
Bilateral mirror-like image of cervical synovial cyst in adults Farid Yudoyono; Deasy Herminawaty; Hendra; Dewi Pratiwi; Nasofi Tri Ramdhani
Neurologico Spinale Medico Chirurgico Vol 2 No 2 (2019)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (501.93 KB) | DOI: 10.36444/nsmc.v2i2.8

Abstract

Cervical synovial cysts (SC), however uncommon, can cause radiculopathy and myelopathy. In this study, we report a case of a cervical synovial cyst presented as myelopathy. A 48-year-old man presented with gait disturbance decreased touch senses and increased sensitivity to pain below the C5 level. Magnetic resonance imaging revealed a 0.3-mm, bilateral mirror-like small cystic lesion in the spinal canal with cord compression at the C5-6 level. We performed a bilateral expansive laminoplasty of C5 using a posterior approach and completely removed the cystic mass. Histological examination of the resected mass revealed fibrous tissue fragments with amorphous materials and granulation tissue compatible with a synovial cyst. The patient’s symptoms resolved within 3 months after surgery. Although cervical SC is often associated with degenerative facet joints, clinicians must be aware that SC may lead to neurological deficits.
Minimally Invasive Surgery: A Conceptual Review Rully Hanafi Dahlan; Sevline Estethia Ompusunggu; Farid Yudoyono
Neurologico Spinale Medico Chirurgico Vol 1 No 1 (2018)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (150.044 KB)

Abstract

We are living in an era that performs minimally invasive approaches to many surgical aspects, and spine surgery is not an exception. Nowadays, minimally invasive spine surgery is a routine procedure in many countries around the world. It began in the mid-twentieth century and has now developed into a large feld of progressive spinalsurgery. This paper will review the philosophy, indications, patient selections, advantages, and disadvantages of minimally invasive spinal surgery
Cervical Spine Trauma Management Rully Hanafi Dahlan; Sevline Estethia Ompusunggu; Farid Yudoyono
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
Publisher : Indoscholar

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Abstract

The incidence of spine injury following accidents are still very high in developing countries. Many problems occur after the accident including primary intervention on the scene, transportation to the public primary hospital, the referral system, and finally, the management at the central hospital. Cervical spinal cord injuries represent 20-33% of total spinal injuries with the prevalence of the subaxial levels. In patients with a preoperative neurological deficit due to spine trauma, in case of spinal cord compression or instability, surgery is often the treatment of choice to grant a chance of neurological recovery, early mobilization, and faster return to usual daily activities compared to the conservative treatment. In the past, many authors suggested a delayed surgical treatment to reduce postoperative complications rate, but recent studies have shown that an early decompression (< 72 h) may facilitate a postoperative neurological improvement probably due to the prevention of the secondary mechanisms of damage in acute SCI. In the context of the advanced management of spinal injuries, the main points of the focused assessment, the important waypoints of a full classification of the skeletal and spinal cord injury, the principles of early prioritization and decision making, the outline of the surgical strategy including indications, timing, approaches, technique and post-operative care, and the outline principles of rehabilitation. The authors in this paper try to summarize and create a guideline of management, based on experience in a regional centre.
Fear-Avoidance Beliefs in Chronic Cervical Zygapophyseal Joint Pain Relieve With Medial Branch Block Farid Yudoyono
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
Publisher : Indoscholar

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Abstract

Background: Chronic posterior neck pain is common, affecting 50–75% of people for 1 year or longer. The zygapophyseal joint is reported to be one of most common causative factors. The fearavoidance is a model that describes how individuals develop chronic pain as a result of avoidant behaviour based on fear. Previous studies shown that medial branch block (MBB) and radio frequency neurotomy were effective for intractable pain. Material And Method: Case 1, TMK, Male, 57 yo, left posterior neck pain, VAS neck 7-8, NDI 46 %, no radiating pain, no neurological deficit. FABQ-PA score showed high fear (60%). Physical examination provokes facet joint pain. Neuroimaging revealed facet degeneration on T1WI and T2WI MRI. Case 2, RDW, Male, 45 yo, left posterior neck pain, VAS neck 8-9, NDI 40 %, no radiating pain, no neurological deficit. FABQPA score showed high fear (63%). Physical examination provokes facet joint pain. Neuroimaging revealed facet degeneration on T1WI and T2WI MRI. Case 3, TAY, Female, 52 yo, bilateral posterior neck pain, VAS neck 8-9, NDI 52 %, no radiating pain, no neurological deficit. FABQ-PA score showed high fear (60%). Physical examination provokes facet joint pain. Neuroimaging revealed facet degeneration on T1WI and T2WI MRI. Results: Our study reveals that C-MBB might ensure pain relief and decrease analgesic need. Physical activity at 1-, 3- and 6-months post-CMBB intervention were 65%, 60% and 68% of patients, respectively, gained > 50% pain relief. Conclusion: Therapeutic MBB may provide an option for chronic high fear-avoidance beliefs pain of zygapophyseal joint.
Analysis of Clinical Results of Three Different Routes of Percutaneous Endoscopic Transforaminal Lumbar Discectomy for Lumbar Herniated Disk Farid Yudoyono; Rully Hanafi Dalan
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
Publisher : Indoscholar

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Abstract

Objective: Percutaneous endoscopic transforaminal lumbar discectomy (PETLD) can be performed by using foraminal, intervertebral, and suprapedicular routes. The aim of this study was to assess clinical results of three different routes of PETLD. Methods: One hundred and eleven patients who underwent PETLD between January 2016 and October 2016 were included in this study. PETLD was performed using the foraminal (group A), intervertebral (group B), and suprapedicular (group C) routes in 32, 46, and 33 patients, respectively. Outcomes were evaluated using the visual analogue scale (VAS), Oswestry Disability Index (ODI), and MacNab criteria. Results: Seventy-one men and 40 were women (mean age 53.33 ± 14.12 years). The mean follow-up period was 6.44 ± 3.26 months. The preoperative VAS score decreased significantly (P < 0.01) in all 3 groups, but the postoperative VAS score was higher for the foraminal route than the intervertebral (P<0.001) and suprapedicular routes (P < 0.001). Excellent outcome grade according to MacNab criteria was less in foraminal route (18.7%) than in intervertebral (52.2%) and suprapedicular (56.7%) routes. ODI improved significantly (P < 0.01) in all 3 groups. Conclusion: All 3 routes of PETLD resulted in good to excellent clinical results. Nevertheless, the postoperative VAS score was higher for the foraminal route than the intervertebral and suprapedicular routes, probably because of the neurologic characteristics of the disk location. The surgeon should consider this problem to alleviate pain postoperatively and to better counsel the patient before surgery.
A Case of Giant Dermoid Cyst at Sacrococcygeal in Adult at “X” Hospital in Bandung Farid Yudoyono; Christian Ade; Dilli MA Pratama; Hasan Baraqbah; Adhitya R Yudhadi
Journal of Medicine and Health Vol 5 No 1 (2023)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v5i1.2473

Abstract

Dermoid cysts are benign tumors that can be found anywhere in the body. There is no dermoid cysts clear data yet in Indonesia. In the spine, these tumors generally occur in the lumbar region and are often accompanied by congenital spinal dysrafism and/or dermal sinus passages. Dermoid cysts arise from abnormal growth of the ectodermal folds during pregnancy. Its incidence is 0.7 – 1.8% of all central nervous system tumors. The aim of reported this case is to highlight the role of a diagnostic and evaluate the surgical outcome. A 47 year old female patient with a lump in the sacrococcygeal area measuring 20 x 18 x 16 cm, with hard and soft consistency. MRI images show a hypo and hyperintense mass without spinal deformity. After the tumor was removed, the patient was allowed to go home for the 2nd day without complications. In conclusion, extraspinal dermoid cyst is a rare case that requires special diagnostic and surgical modalities to provide better clinical results.
Co-Authors Achmad Adam Achmad Adam, Achmad Adhitya R Yudhadi Agung Budi Sutiono Ahmad Faried Anugrah O. Widhiatmo Anugrah O. Widhiatmo Arief Pebrianto Avrina, Rossa Avrina, Rossa Beny A. Wirjomartani Beny A. Wirjomartani, Beny A. Christian Ade Dahlan, Rully H. Deasy Herminawaty Deasy Herminawaty Deasy Herminawaty Dewi Pratiwi Dewi Pratiwi Dilli MA Pratama Ha Yoon Hasan Baraqbah Hasan Baraqbah Hasan Baraqbah Hendra Hendra Gunawan Ivanmorl Ruspanah Kim Keung Nyun Laniyati Hamijoyo, Laniyati Mirna Sobarna Muhammad Z. Arifin Muhammad Z. Arifin Muhammad Zafrullah Arifin Nasofi Tri Ramdhani Priandana Adya Eka Saputra Rully H. Dahlan Rully Hanafi Dahlan Rully Hanafi Dalan Sevline Estethia Ompusunggu Sevline Estethia Ompusunggu Sevline Estethia Ompusunggu Sevline Esthetia Ompusunggu Sevline Esthetia Ompusunggu Sevline Esthetia Ompusunggu Shin Dong Ah Yi Seong Yoon Do Heum