Tuesday, 18 June 2019

Retak/Patah Tulang Belakang


Efek Samping Operasi Pemasangan Pen di Tulang Belakang


Beberapa efek samping diantaranya

Adjacent segment disease [7], nyeri sendi Sacroiliac [14], daging dibawah kulit di sekitar pinggang sakit (masih terasa setelah 1 bulan pasca operasi).

Apakah Pen Dapat Dibuka ? Kapan Pen di Tulang Dapat Dibuka ? Apa Saja Yang Mesti Diperhatikan Sebelum Pen Dibuka dan Setelah Dibuka ? 


Menurut [13], jika sudah sembuh, pen aman untuk dibuka, tapi disini kasus fracture nya di  Thoracolumbar bukan di Lumbar, bagaimana jika kasus fracture nya di lumbar, yang karena lokasinya, akan menerima tekanan lebih tinggi dari segmen-segmen tulang yang berada diatasnya ?

Sedangkan pada [18], ada kasus dimana pen dapat dibuka 1 tahun setelah operasi.

Pada [15], pasien berusia 29 tahun, 9 bulan buka pen, setelah buka pen, ada sedikit komplikasi, lalu ditreatment dgn cara konserfatif, pakai korset dan pereda sakit, akhirnya sembuh total... 

Hanya ada warning, kalau pen dipasang dibawah L2, dan terjadi komplikasi, nyeri atau iritasi jaringan, pen wajib dibuka ...

Kasus-Kasus yang Hampir Sama


[16]

Salah satu yang ditangani oleh Dr.dr. Rahyussalim, Sp.OT(K)-Spine [17]

Referensi

  1. Nutritional Aspects of Bone Health and Fracture Healing, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804294/
  2. Spinal Compression Fracture Treatment, https://www.youtube.com/watch?v=bllQmgcGleA
  3. Precautions and Exercises after Spine Surgery, https://www.youtube.com/watch?v=wRea1GrRkxA
  4. Activity after Spine Surgery, https://www.youtube.com/watch?v=pgodXc8sqjg
  5. Lumbar Compression Fracture, https://www.physio-pedia.com/Lumbar_Compression_Fracture
  6. Lumbar Spine Trauma Imaging, https://emedicine.medscape.com/article/398102-overview
  7. Pain after Back Fusion, https://www.youtube.com/watch?v=JFHKYCpUspM
  8. Cortical Blindness Following Spinal Surgery: Very Rare Cause of Perioperative Vision Loss, https://www.researchgate.net/publication/234012422_Cortical_Blindness_Following_Spinal_Surgery_Very_Rare_Cause_of_Perioperative_Vision_Loss
  9. Open vs. Percutaneous Pedicle Screw Insertion for Thoracolumbar Traumatic A3 and A4 AO Fractures - 18-Months Follow-Up, https://www.researchgate.net/publication/320681921_Open_vs_Percutaneous_Pedicle_Screw_Insertion_for_Thoracolumbar_Traumatic_A3_and_A4_AO_Fractures_-_18-Months_Follow-Up
  10. Accuracy of percutaneous pedicle screw insertion in spinal fixation of traumatic thoracic and lumbar spine fractures, http://surgicalneurologyint.com/surgicalint-articles/accuracy-of-percutaneous-pedicle-screw-insertion-in-spinal-fixation-of-traumatic-thoracic-and-lumbar-spine-fractures/
  11. Functional Outcome of Surgical Management of Thoracolumbar Spine Fractures Using Pedicle Screw and Rod System-A Prospective Study, http://www.ijrhs.org/article/2014/2/4-13
  12. 3D Spine Simulator, http://no2pain.com/3d-spine-simulator
  13. Is It Beneficial to Remove the Pedicle Screw Instrument After Successful Posterior Fusion of Thoracolumbar Burst Fractures?, https://www.researchgate.net/publication/276439464_Is_It_Beneficial_to_Remove_the_Pedicle_Screw_Instrument_After_Successful_Posterior_Fusion_of_Thoracolumbar_Burst_Fractures
  14. Sacroiliac joint pain after lumbar/lumbosacral fusion: current knowledge, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3459112/
  15. Vertebral body compression fracture after percutaneous pedicle screw removal in a young man, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4633417/
  16. T12-L3 Fixation across L2: Burst Fracture, https://www.spineuniverse.com/professional/case-studies/corenman/t12-l3-fixation-across-l2-burst-fracture
  17. Pedicle screw position changing policy for nerve injury problems during screw insertion on thoracolumbar compression fractures, https://www.sciencedirect.com/science/article/pii/S2210261216303741
  18. Removal of the internal fixation after 12 months in patients with traumatic fractures of the thoracic and lumbar spine: A retrospective evaluation., https://www.gulfmedicaljournal.com/download/supplement2_12/sup2-12%20(14).pdf
  19. Operasi Sakit Punggung, https://p-ortho.com/operasi-sakit-punggung/

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