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Neurologico Spinale Medico Chirurgico
Published by Universitas Udayana
ISSN : -     EISSN : 26212064     DOI : https://doi.org/10.36444/nsmc
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience
Neurologico Spinale Medico Chirurgico (NSMC) is an open-access, single-blind peer-reviewed journal, published by Indonesian Neurospine Society (INSS) under the flag of Indonesian Neurosurgery Society (INS) and Faculty of Medicine, Udayana University. NSMC publishes articles which encompass all aspects of basic research/clinical studies. The journal facilitates, bridge and integrate the intellectual, methodological, and substantive diversity of medical knowledge, especially in the field of surgery, neurology, neurosurgery, spine, neuroanesthesia, medicine, and health. The journal appreciates any contributions which promote the exchange of ideas between practising educators and medical researchers all over the world.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 36 Documents
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Search results for , issue "Supplementary Issue - Conference Abstracts" : 36 Documents clear
Kyphoplasty Technique for Thoraco-Lumbar Compression Fracture Alfred Sutrisno Sim
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
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Abstract

Osteoporotic vertebral compression fracture (VCF) is a significant causeof morbidity and mortality among elderly patients. Fractures canhappen because of osteoporosis, tumors, or other conditions.In the past two decades, kyphoplasty has emerged as surgicaloptions that play a central role in the treatment of vertebralcompression fractures. Before the common use of kyphoplasty, theprincipal surgical option for treatment of compression fractures wasdecompression and fusion. However, surgical fixation frequentlyfailed in elderly patients because of osteopenia. Kyphoplastyhas expanded to include treatment of osteoporotic compressionfractures, traumatic compression fractures, and metastaticcompression fractures. Osteoporotic compression fractures are nowthe most common indication for this procedure.Kyphoplasty utilizes an inflatable balloon to create a cavityfor the cement with the additional potential goals of restoringheight and reducing kyphosis. Kyphoplasty is an effectivetreatment options for the reduction of pain associated withvertebral body compression fractures. Biomechanical studiesdemonstrate that kyphoplasty is initially superior for increasingvertebral body height and reducing kyphosis, but these gainsare lost with repetitive loading. Complications secondaryto extravasation of cement include compression of neuralelements and venous embolism. These complications are rarebut more common with vertebroplasty. Kyphoplasty is a safeand effective procedure for the treatment of vertebral bodycompression fractures.
Supraclavicular Approach on Thoracic Outlet Syndrome Amiril Mu’imin
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
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Abstract

Background: Thoracic Outlet Syndrome (TOS) is a clinical syndrome that refers to abnormal compression of the neurovascular in the neck and axilla with signs and symptoms manifesting in the shoulders, neck, arms, hands and sometimes fingers. It may be underdiagnosed because this syndrome is poorly understood. The compression is primarily neurogenic, vascular, or both. As the number of patients undergoing successful treatment increases, TOS is becoming a common diagnosis. In those patients in whom pain is refractory to conservative care, surgery should be considered. The aim of this study is to evaluate the outcome of a supraclavicular approach to treat the thoracic outlet syndrome patients in Dr. Ramelan Navy Hospital Surabaya. Materials and methods: This study is a case series of 16 patients (10 females and 6 males) of 19-50 years old, who underwent neurovascular compression with the supraclavicular approach. Symptoms were evaluated with medical records based on peri-operative anamnesis and physical examination. Results: The follow-up with 16 patients showed excellent results such as decreasing pain, decreasing sensory or motoric symptoms, and complications like pneumothorax hematothorax, and injury of artery, vein or plexus brachialis were not found. Conclusion: Supraclavicular approach is relatively effective and safe for neurovascular decompression of TOS. Excellent outcomes were observed with a small incision, safe and minimal complications.
Neurological Recovery in Traumatic Spinal Cord Injury Patient with Delayed Surgical Intervention Mochamad Targib Alatas
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
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Abstract

Early surgical treatment for traumatic spinal cord injury (SCI) patients has been proven to yield better improvement on neurological state, and widely practiced among surgeons in this field. However, it is not always affordable in every clinical setting. It is undeniable that surgery for chronic SCI has more challenges as the malunion of vertebral bones might have initiated, thus requires more complex operating techniques. In this case series, we report 7 patients with traumatic SCI whose surgical intervention is delayed due to several reasons. Initial motoric scores vary from 0 to 3, all have their interval periods supervised between outpatient clinic visits. On follow up they demonstrate significant neurological development defined by at least 2 grades motoric score improvement. Physical rehabilitation also began before surgery was conducted. These results should encourage surgeons to keep striving for the patient’s best interest, even when the injury has taken place weeks or even months before surgery is feasible because clinical improvement for these patients is not impossible.
Decision Making in Peripheral Nerve Injury Ferry Senjaya
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
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Abstract

The decision making process during diagnosis and treatment of a peripheral nerve injury can be complex at times. The nature and cause of nerve injury, its location, and its severity require very distinct decisions with regards to timing and intervention chosen. For good decision-making, a good knowledge of the pathophysiological conditions of peripheral nerve and its response to injury is paramount. In this article, the decision-making process related to pre-operative, intra-operative, and post-operative periods are discussed.
Our Surgical Strategy for Thoracic Outlet Syndrome Yasuhiro Nakajima
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
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Abstract

Surgical treatment for thoracic outlet syndrome (TOS) is a very controversial surgery because objective diagnosis, such as image and electrophysiological examination, is very difficult. Clinical provocation tests including brachial plexus compression tests, such as Morley and Roos, and vascular compression tests, such as Wright and Eden, are not high in specificity and are likely to be positive even in healthy persons and patients with carpal tunnel syndrome. We place emphasis on the laterality of latency and amplitude in the sensory neural action potential (SNAP) of the medial antebrachial cutaneous nerve and ulnar nerve. After enough stretching exercises of scapular stabilizers and brachial plexus block, we always select surgery. In this presentation, I would like to show our diagnosis method and treatment strategy including surgery.
Unilateral Laminotomy for Bilateral Microsurgical Decompression in Treating Multiple Spinal Stenosis Wawan Mulyawan; Yudi Yuwono Wiwoho
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
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Abstract

Multiple spinal stenosis with significant signs and symptoms is one of the complex problems in spine pathology. For a simple reason, many spine surgeons do conservative decompressions, such as decompressive laminectomy or bilateral laminotomy and flavectomy, with one incision (preservation of lamina). Unilateral laminotomy in the lumbar area for bilateral access in spinal canal is quite rare and is performed for the treatment of multiple spinal stenosis. With this technique, microsurgical decompression is done with partial resection of the ipsilateral facet, the medial part of the laminar arch, and the partial contralateral facet, with the complete removal of the ligamentum flavum. By this methods, the aim for complete bilateral flavectomy and partial bilateral facetectomy are the key for the success of clinical improvements in treating multiple spinal stenosis.
Biomechanics Among Various Techniques of the Cervical Laminoplasty Dewa Putu Wisnu Wardhana; Tjokorda Gde Bagus Mahadewa; Sri Maliawan
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
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The nature of cervical spine motions consists of multiple components of the cervical spine, intervertebral disc, ligaments, and adjacent facet joints. Cervical spinal stenosis is disabling and this chronic degenerative disorder commonly occurs in middle age-elderly persons. Surgical options for those spinal cord disorders generally are the anterior or posterior approach. Historically, a conventional multi-level laminectomy was performed to decompress the spinal cord but there is a high rate of late biomechanical complications such as segmental instability, and kyphosis. Laminoplasty was developed to relieve the spinal cord compression and maintain the posterior elements. Lately, there are various techniques of the cervical laminoplasty, the biomechanical impact of these techniques will be described.
Saving Good Quality of Sleep for Cervical Herniated Nucleus Pulposus Patients Ridha Dharmajaya
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
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Abstract

Background: Cervical herniated nucleus pulposus compresses the nerve roots with clinical pain manifestation and causes sleeping disturbances. The aim of this study was to determine the difference in the quality of sleep before and after surgery. Method: This is a retrospective cohort study. Patients were asked to complete the Pittsburgh Sleep Quality Index (PSQI) and all data was analyzed with the McNemar Test.Result: The outcome revealed that in 98 patients, 72 (73.4%) patients had increased their quality of sleep after surgery. Conclusion: There was a significant difference in the quality of sleep pre- and post-surgery.
Anterior Approach to Thoracic and Thoraco-Lumbar Spine Sahat Edison Sitorus
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
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Abstract

Anterior surgery approaches have been used for thoracic and upper lumbar spine. These approaches provided a very good exposure to the anterior part of vertebrae and allows for decompression of the spinal canal that help to improves neurological status in patients with neurological deficits The primary indications for the anterior approach in vertebral surgery are the conditions with the destruction of corpus vertebrae and disk diseases caused by several diseases. The aim of surgery is to decompress the neural element, reduction and stabilize the anterior part of the vertebra with and without posterior stabilization. Specifically, it could know the underlying disease and eradication of the disease. Access route is determined by the spinal and the length of the procedure, the location of the more prominent lesion, with special attention for the anatomy of the vessel, visceral, nerve, diaphragm for thoracic-lumbar approach and avoid injuring artery between T4-L4 that critical for spinal cord injury. A multidisciplinary team effort with thoracic and urologic surgeon increases the likelihood of the outcome.
Surgery of Intramedullary Tumours Julius July
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
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Surgery still offers a cure to the majority of intramedullary tumours. The challenge of the surgery is taking out the tumour while preserving the function. Very often the patient has a huge tumour with very minimal symptoms, such as mild numbness. The slow growth of the tumour nature provides enough time for the cord fibres to adapt accordingly. Usually, the motor function is preserved and most of the pathologies are benign. For this reasons, the majority of cases have good long-term tumour control. The functional outcome is depending on the preoperative functional state, especially for motor function. The patient should be educated prior to surgery, especially to anticipate the post-surgical rehabilitation period. The surgical technique should preserve the motor function, but the fine movement usually gets worst for several months after surgery and slowly recover within 6 months. We share our experience of 45 surgical cases with intramedullary tumour (14F;31M), the pathologies distributions are 20 ependymomas, 8 astrocytomas (1/8 anaplastic astrocytoma), 7 cavernomas, 8 hemangioblastomas, 1 glioblastoma multiforme, and 1 tuberculoma. The location distribution varied from 27 at the cervical cord, 11 thoracal, 4 thoracolumbal, and 3 MO-upper cervical. The surgical outcome for all cases experienced sensory changes and recovered over 6 months. Almost all cases experienced some degree of spasticity and fine movement difficulty and they are improving over 6 months. Motor strength is usually preserved. One case of GBM, improve gradually for the first two months then followed by the disease course regardless of the treatment. The tuberculoma case required one year to recover her neurological function with adequate treatment.

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