Publikasi Scopus 926 artikel (Per 14 Maret 2022)

Surachman A.J.D., Yanuarso, Akbar D.L.
57222404106;57222408215;57219271823;
Emergency decompression and stabilization of 1st thoracic spinal cord injury and sacral fracture in a Covid-19 patient: A case report
2021
International Journal of Surgery Case Reports
81
105670
Orthopaedics and Traumatology Department, Indonesia Army Central Hospital, Jakarta, Indonesia; Resident of Orthopaedics and Traumatology Department, Dr. Cipto Mangunkusumo National Central General Hospital/ Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
Surachman, A.J.D., Orthopaedics and Traumatology Department, Indonesia Army Central Hospital, Jakarta, Indonesia; Yanuarso, Orthopaedics and Traumatology Department, Indonesia Army Central Hospital, Jakarta, Indonesia; Akbar, D.L., Resident of Orthopaedics and Traumatology Department, Dr. Cipto Mangunkusumo National Central General Hospital/ Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
Introduction and importance: Spinal cord injury is mostly caused by traumatic accident and usually associated with several injuries. The ideal treatment of orthopaedic injury is to perform surgical decompression and stabilization early. Case presentation: A 24-year-old-male patient came in emergency department with history of severe pain in his thoracic vertebrae after fell from 10 m height. His buttock was hit the ground first and patient was alert. He felt hypoesthesia below the injured level and dysfunctional motor and sensory of both lower extremities. We put pedicle screw at the C7, Th1, Th2 and Th 3. Then we put rods and nuts. After that, we did decompression by laminectomy of the C7 and Th1 and we put vacuumed drain for the wound. Clinical discussion: This patient was diagnosed with traumatic spinal cord injury of 1st thoracic vertebra ASIA Impairment Scale (AIS) C and sacral fracture Denis classification zone II of right side with confirmed Covid-19 case. First patient treated with 1000 mg methyl prednisolone. An early surgical treatment was open reduction and internal fixation (ORIF) sacral fracture. We put a two-hole 4.5 narrow dynamic compression plate (DCP) at the lateral side of posterior ridge of iliac bone, between posterior superior iliac spine (PSIS) and posterior inferior iliac spine (PIIS). Conclusion: Immediate surgical decompression and stabilization for spinal cord injury give significant improvement in motor and sensory function. Appropriate management for Covid-19 patient with Favipiravir and some supplements, had been proved control the virus and give patient good quality of life. © 2021
Covid-19; Sacral fracture; Spinal cord injury
D dimer; favipiravir; methylprednisolone; adult; antiviral therapy; Article; bleeding prophylaxis; bolus injection; buttock; case report; clinical article; compression fracture; coronavirus disease 2019; corticosteroid therapy; COVID-19 nucleic acid testing; disease severity; drug dose reduction; early intervention; emergency surgery; emergency ward; enhanced recovery after surgery; erythrocyte concentrate; falling; general condition improvement; human; hypesthesia; iliac bone; intensive care unit; laminectomy; limb dysesthesia; limb weakness; lower limb; male; medical history; motor dysfunction; muscle strength; nasopharyngeal swab; nuclear magnetic resonance imaging; open fracture reduction; operative blood loss; osteosynthesis; palpation; pelvic pain; pelvis radiography; physical examin
Elsevier Ltd
22102612
Article
Q3
232
17549