Publikasi Scopus FKUI 2021 per tanggal 30 April 2021 (299 artikel)

Harun J., Akbar D.L.
57222088137;57219271823;
The management of neglected spondylitis tuberculosis with dislocated C1 and C2 odontoid destruction: A case report
2021
International Journal of Surgery Case Reports
80
105606
Department of Orthopaedic and Traumatology, Indonesia Army Central Hospital, Indonesia; Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo National Central General Hospital, Indonesia
Harun, J., Department of Orthopaedic and Traumatology, Indonesia Army Central Hospital, Indonesia; Akbar, D.L., Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo National Central General Hospital, Indonesia
Introduction and importance: Spinal tuberculosis was the most common TB infection in human body. Musculoskeletal tuberculosis (TB) mostly affected lower thoracal or upper lumbar spine. However, TB infection can also occurs along vertebral spine. We reported a rare case about TB infection in cervical spine. We provided the clinical manifestation and therapeutic method for the patient. Cervical TB infection is a very rare case. Especially, when it involves in C1 and C2 like we provided on this case. Case presentation: A 24 years-old male came to the orthopaedic clinic with neck pain that aggravated by neck movement. He previously diagnosed with TB infection on his lung within 3 months. We performed x-ray data to determine the source of neck pain. Examination revealed anterior collapse of C1, destruction of odontoid process, and soft tissue swelling. We also performed MRI cervical to assess the destruction of anterior corpus C1. Clinical discussion: We decided to operate the patient with reposition and posterior stabilization of C1 using occipital plate from posterior approach and added some synthetic bone graft. The medical treatment is anti-tuberculosis drugs, usually conducted conservatively in mild-to-moderate cases. But, if there is deterioration in neurological deficit or persisting deficit with spinal cord compression, such as C1 and C2 involvement, surgery can be considered. There are two types of surgery; posterior fixation and fusion and anterior release and posterior stabilization. Conclusion: TB musculoskeletal infection must be evaluated regularly to consider the perfect time for additional surgical treatment. The good decision to operate the moderate to severe case could improve the patient's functional outcome. © 2021
Cervical spine; Neck pain; Posterior stabilization; Spinal tuberculosis; Spondylitis TB
povidone iodine; streptomycin; tuberculostatic agent; adult; antibiotic therapy; Article; case report; clinical article; human; laminectomy; male; neck pain; neglected disease; nuclear magnetic resonance imaging; odontoid process; priority journal; spinal cord decompression; spine stabilization; tuberculous spondylitis; X ray; young adult
Elsevier Ltd
22102612
Article
Q3
233
16893