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All Journal International Journal of Integrated Health Sciences Indonesian Journal of Rheumatology Sumatera Medical Journal Neurologico Spinale Medico Chirurgico Jurnal Ilmu Bedah Indonesia Asian Australasian Neuro and Health Science Journal (AANHS-J) Jurnal Locus Penelitian dan Pengabdian Jurnal Neuroanestesi Indonesia
Rully Hanafi Dahlan
Department Of Neurosurgery, Faculty Of Medicine, Universitas Padjadjaran-Dr. Hasan Sadikin General Hospital
Aerospace Engineering Automotive Engineering Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Electrical & Electronics Engineering Health Professions Immunology & microbiology Mathematics Medicine & Pharmacology Neuroscience Public Health

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Myelopathy caused by Ossification of Thoracic Ligamentum Flavum Yudoyono, Farid; Dahlan, Rully Hanafi; Ompusunggu, Sevline Esthetia; Hamijoyo, Laniyati; Arifin, Muhammad Zafrullah
Indonesian Journal of Rheumatology Vol 8, No 1 (2016)
Publisher : Indonesian Rheumatology Association

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Abstract

Hypertrophy of the posterior spinal elements leading to compromise of the spinal canal and its neural elements is a well-recognized pathological entity affecting the lumbar or cervical spine. Such stenosis of the thoracic spine in the absence of a generalized rheumatological,metabolic, or orthopedic disorder, or a history of trauma is generally considered to be rare. Spinal ligaments, such as the ligamentum flavum (LF), are prone to degeneration and can lead to back pain and nerve dysfunction. Ossification of ligamentum flavum (OLF) is a pathological condition that cause neurological symptoms and usually occurs in the thoracic spine and less frequently in the cervical spine. However the disease is now being increasingly recognized as acause of thoracic myelopathy. We report a rare case of thoracic myelopathy caused by OLF. A 48-year-old male presented with a chief complaint of weakness of bilateral lower extremities. Neurological examination revealed sensory deficit at Th 11 level below. Magnetic resonance imaging and computed tomography demonstrated OLF at the right T9–11 level. Thoracicmyelopathy caused by OLF was consider and surgical intervention was performed. Posterior decompression and laminoplasty has been performed for this patient. Keywords: ossification of ligamentum flavum, thoracic myelopathy, laminoplasty
Intervertebral Disc Characteristic on Progressive Neurological Deficit Farid Yudoyono; Rully Hanafi Dahlan; Muhammad Zafrullah Arifin
International Journal of Integrated Health Sciences Vol 5, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Objective: To examine the intervertebral disc characteristic on magnetic resonance imaging (MRI) in lumbar herniated disc (LHD) patients with progressive neurological deficit.Methods: Patients were collected retrospectively from Dr. Hasan Sadikin General Hospital Database from 2011–2013 with LHD, had neurological deficit such as radiculopathy and cauda equine syndrome for less than four weeks with a positive sign confirmed by neurological examination and confirmatory with MRI examination.Results: A total of 14 patients with lumbar herniated disc disease (10 males, 4 females) suffered from progressive neurological deficit with an average age of (52.07±10.9) years old. Early disc height was 9.38±0.5 mm and progressive neurological deficit state disc height was 4.03±0.53 mm, which were significantly different statisticaly (p<0.01). Symptoms of radiculopathy were seen in 11 patients and cauda equine syndrome in three patients. Modic changes grade 1 was found in five patients, grade 2 in eight patients,grade 3 in one patient, Pfirmman grade 2 in eleven patients and grade 3 in three patients. Thecal sac compression 1/3 compression was seen in four patients and 2/3 compression in ten patients.Conclusions: Neurosurgeon should raise concerns on the characteristic changes of intervertebral disc in magnetic resonance imaging examination to avoid further neural injury in lumbar herniated disc patients.Keywords: Lumbar herniated disc, magnetic resonance imaging, progressive neurological deficit DOI: 10.15850/ijihs.v5n2.1042  
Comparison of Superficial Surgical Site Infection in Simple Interrupted and Hybrid Mattress Suture after Posterior Approach for Spine Surgery Ajid Risdianto; Rully Hanafi Dahlan; Achmad Adam; Firman Priguna; Muhammad Zafrullah Arifin
International Journal of Integrated Health Sciences Vol 3, No 2 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Objective: To compare the incidences of superficial surgical site infection after posterior approach procedures in simple interrupted suture groups compared with hybrid mattress suture group. Methods: A number of 38 patients who underwent posterior approach procedure were randomized into two groups. First group was sutured using simple interrupted suture while the second was using hybrid mattress suture. Bivariate statistical analysis was performed using Chi square test and Mann Whitney test. The superficial surgical site infection incidence was evaluated and recorded for both groups.Results: A superficial surgical site infection was found in 26.3% of the simple interrupted group and no infection was found in the hybrid mattress group. Statistical analysis showed a p value of 0.046.Conclusions: Compared to simple interrupted suture, hybrid mattress suture has less superficial surgical site infection in posterior approach for spine surgery.Keywords: Hybrid mattress suture, simple interrupted suture, superficial surgical site infection, wound healing DOI: 10.15850/ijihs.v3n2.589
Robotic Surgery for Giant Presacral Dumbbell-Shape Schwannoma Farid Yudoyono; Muhammad Zafrullah Arifin; Rully Hanafi Dahlan; Sevline Estethia Ompusunggu; Shin Dong Ah; Yi Seong; Ha Yoon; Yoon Do Heum; Kim Keung Nyun
International Journal of Integrated Health Sciences Vol 3, No 1 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Objective: To demonstrate the feasibility of using da Vinci robotic surgical system to perform spinal surgery.Methods: Magnetic resonance imaging (MRI) of a 29-year-old female patient complaining right pelvic pain for 1 month revealed a 17x8x10 cm non-homogeneous dumbbell shape encapsulated mass with cystic change located in the pelvic cavity and caused an anterior displacement of urinary bladder and colon.Results: There was no systemic complication and pain decrease 24 hours after surgery and  during 2 years of follow up. The patient started a diet 6 hours after the surgery and was discharged 72 hours after the surgery. The pathological diagnosis of the tumor was schwannoma. Conclusions: Giant dumbbell shape presacral schwannomas are rare tumours and their surgical treatment is challenging because of the complex anatomy of the presacral. Clinical application of da Vinci robotic surgical system in the spinal surgical field is currently confined to the treatment of some specific diseases or procedures. However, robotic surgery is expected to play a practical future role as it is minimally invasive. The advent of robotic technology will prove to be a boon to the neurosurgeon.Keywords: da Vinci robotic surgical system, presacral, schwannoma DOI: 10.15850/ijihs.v3n1.407
Morphometric Analysis of the Corpus, Spinal Canal and Torg Ratio Using Midsagittal Cervical Vertebrae Computed Tomography Scan: Indonesian Population Rully Hanafi Dahlan; Priandana Adya Eka Saputra; Farid Farid Yudoyono; Sevline Esthetia Ompusunggu; Muhammad Zafrullah Arifin; Agung Budi Sutiono; Ahmad Faried
International Journal of Integrated Health Sciences Vol 2, No 1 (2014)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Objective: To determine the normal ranges of cervical spinal canal morphometry in Indonesian population and to compare the acquired data collected from other populationsMethods: Computed tomography measurements on the diameter of midsagital spinal canal and corpus of cervical vertebrae and its Torg ratio from the lower cervical (C3-C7) canal from 24 normal Indonesian adults were performed at the Radiology Department of Dr. Hasan Sadikin General Hospital. Patients who had cervical spine disorders and those under 20 years old were exluded.  We used computed tomography scan midsagittal view to measure the aforementioned parameters.    Results: The average diameter for the cervical spinal canals for the Indonesian population is comparable with those of other Asian populations such as Hongkong and India, albeit with smaller Torg ratio.     Conclusions: This study reports the normal radiological anatomy of the midsagital spinal canal and corpus of cervical vertebrae as well as Torg ratio from the lower cervical vertebrae among Indonesian population. The measurements result of this study shows that, although slightly smaller, the measurement results for those parameters are identical with other Asian populations.    Keywords: Corpus cervical vertebrae, midsagittal cervical spinal canal, Torg ratio DOI: 10.15850/ijihs.v2n1.285
Analisis Faktor Prediksi Keberhasilan Traksi Servikal Berdasarkan Tercapainya Realignment Tulang Servikal Pada Evaluasi Foto Polos Servikal Lateral Serial Pasien Dengan Cedera Tulang Servikal Subaksial Ahmad Faried; Muhammad Zafrullah Arifin; Rully Hanafi Dahlan; Firman Priguna Tjahjono; Agung Budi Sutiono
Jurnal llmu Bedah Indonesia Vol. 43 No. 1 (2014): September 2014
Publisher : Ikatan Ahli Bedah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46800/jibi-ikabi.v43i1.72

Abstract

Pendahuluan. Cedera tulang servikal merupakan cedera tulang belakang yang paling ditakuti, baik bagi dokter, pasien dan keluarganya. Semua pasien dengan cedera tulang servikal subaksial yang tidak stabil, harus segera dilakukan fiksasi menggunakan traksi servikal. Foto polos servikal lateral masih merupakan standar dalam menganalisis stabilitas stuktur tulang servikal dan masih memiliki nilai diagnostik tinggi dalam menge- valuasi keberhasilan traksi servikal pasien cedera tulang servikal. Keberhasilan traksi servikal dapat diprediksi dengan melihat tercapainya realignment tulang servikal berdasarkan evaluasi foto polos servikal lateral serial pada pasien cedera tulang servikal subaksial. Metode. Penelitian ini merupakan studi retrospektif yang dilakukan terhadap 30 pasien cedera tulang servikal subaksial yang masuk Unit Gawat Darurat (UGD) Rumah Sakit dr. Hasan Sadikin Bandung (RSHS) periode 2009–2013. Studi ini menggunakan metode statistik logistik regresi dengan kemaknaan berdasarkan nilai p < 0,05 dan confidence interval sebesar 95%. Hasil. Studi ini menunjukkan bahwa dari semua karakteristik pasien cedera servikal subaksial yang dilakukan traksi servikal (closed reduction), didapatkan interval kedatangan ke rumah sakit dan facet lock (FL) merupakan faktor utama suatu kegagalan traksi servikal. Interval kedatangan pasien ke RSHS pada keberhasilan traksi servikal bermakna signifikan secara statistik (p=0.015; 2–sided tail dengan Pearson's chi–square) dan distribusi FL pada keberhasilan traksi servikal bermakna signifikan secara statistik (p=0,001; 2 sided tail dengan fisher's exact test). Odds ratio untuk ada atau tidak adanya FL adalah 3,8 dengan 95% confidence interval 0.5–27.1; dengan p=0,001. Kesimpulan. Disimpulkan bahwa dalam penanganan dan terapi cedera servikal subaksial > 24 jam perlu di–informed concent–kan akan kegagalan upaya traksi, serta bilamana terdapat FL tidak perlu dilakukan suatu upaya traksi servikal (closed reduction) percobaan, melainkan harus langsung dilakukan terapi definitif (opened reduction) serta stabilisasi
Myelopathy caused by Ossification of Thoracic Ligamentum Flavum Farid Yudoyono; Rully Hanafi Dahlan; Sevline Esthetia Ompusunggu; Laniyati Hamijoyo; Muhammad Zafrullah Arifin
Indonesian Journal of Rheumatology Vol. 8 No. 1 (2016): Indonesian Journal of Rheumatology
Publisher : Indonesian Rheumatology Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.231 KB) | DOI: 10.37275/ijr.v8i1.11

Abstract

Hypertrophy of the posterior spinal elements leading to compromise of the spinal canal and its neural elements is a well-recognized pathological entity affecting the lumbar or cervical spine. Such stenosis of the thoracic spine in the absence of a generalized rheumatological,metabolic, or orthopedic disorder, or a history of trauma is generally considered to be rare. Spinal ligaments, such as the ligamentum flavum (LF), are prone to degeneration and can lead to back pain and nerve dysfunction. Ossification of ligamentum flavum (OLF) is a pathological condition that cause neurological symptoms and usually occurs in the thoracic spine and less frequently in the cervical spine. However the disease is now being increasingly recognized as acause of thoracic myelopathy. We report a rare case of thoracic myelopathy caused by OLF. A 48-year-old male presented with a chief complaint of weakness of bilateral lower extremities. Neurological examination revealed sensory deficit at Th 11 level below. Magnetic resonance imaging and computed tomography demonstrated OLF at the right T9–11 level. Thoracicmyelopathy caused by OLF was consider and surgical intervention was performed. Posterior decompression and laminoplasty has been performed for this patient. Keywords: ossification of ligamentum flavum, thoracic myelopathy, laminoplasty
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

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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
Palliative treatment for multiple spinal metastasis in patient with ovarian cancer Rully Hanafi Dahlan; Sevline Estethia Ompusunggu; Muhammad Kusdiansah; Ismail Baselim
Neurologico Spinale Medico Chirurgico Vol 2 No 1 (2019)
Publisher : Indoscholar

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Abstract

Ovarian cancer is the fourth most common type of female cancer and the fifth leading cause of cancer death in women. It is the fourth most common malignancy in women. Management varies depending on the patient condition, so one patient can undergo aggressive decompression and stabilization followed by adjuvant therapy, while others may respond to medication and supportive care. The decision to pursue radical surgical treatment is complex, but the indications are becoming clearer. These include radioresistant tumors, obvious spinal instability, clinically significant neural compression secondary to retropulsed bone or from spinal deformity, intractable pain unresponsive to nonoperative measures, and radiation failure.
Brachial Plexus Surgery Sevline Estethia Ompusunggu; Rully Hanafi Dahlan
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
Publisher : Indoscholar

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Abstract

The magnitude problems of brachial plexus lesions are not only about the surgical approaches but also the basic problems. Its vague clinical symptoms, the complexity of anatomy structure, the use of advanced imaging followed by electrophysiology to address the lesions, and the challenging of surgical timing and options make those lesions management more challenging. These challenges in Indonesia are more difficult because not so many neurosurgeons are familiar with brachial plexus surgery. Brachial plexus surgery is in evolution. For brachial plexus nerve sheath tumours, a fascicular level resection of tumours and preservation of uninvolved fascicles is now possible. Neuropathic pain may be improved by a dorsal root entry zone lesion procedure. The timing of surgery is different in each pathology, especially in traumatic injury. In traumatic injury, it depends on several factors, e.g. the mechanism of injury, type of injury, the speed of the vehicle, and the mode of fall while victim lands on the ground. The common surgical options in traumatic injury are direct repair by means of an end-to-end suture, external neurolysis, nerve grafting, and nerve transfers. Secondary reconstruction to improve function has been widely introduced such as soft-tissue reconstruction (tendon/muscle transfer or free muscle transfer) and bone procedures (arthrodesis or osteotomy). Brachial plexus surgery demands a broad multidisciplinary approach to a common problem, targeting not only the peripheral nerve, but also the brain, spinal cord, muscle, end-organ, bone and joints, and their complex interactions.
Co-Authors Achmad Adam Agung Budi Sutiono Ahmad Faried Ajid Risdianto Avrina, Rossa Avrina, Rossa Baselim, Ismail M. Choliq, Firman Nur Christian Ade, Christian Dey Ravena Farid Yudoyono Firman Priguna Firman Priguna Tjahjono G., Yustinus Robby B. Ha Yoon Herniati, Dini Dewi Ismail Baselim Kim Keung Nyun Kusumah, R. Windi Rachmawati Laniyati Hamijoyo, Laniyati Muhammad Kusdiansah Muhammad Zafrullah Arifin Nandang Sambas Nu’mani, Harits Priambodo, Radityo Priandana Adya Eka Saputra Raharjo, Ayu Iswandari Sevline Estethia Ompusunggu Sevline Estethia Ompusunggu Sevline Estethia Ompusunggu Sevline Estethia Ompusunggu Sevline Esthetia Ompusunggu Sevline Esthetia Ompusunggu Sevline Esthetia Ompusunggu Shin Dong Ah Utomo, Putra Yi Seong Yoon Do Heum