Operative Management of Tuberculous Spondylitis with Local Instrument Products
| Main Authors: | Rahim, Agus Hadian; Hasan Sadikin General Hospital, Bandung, Tiksnadi, Bambang; Hasan Sadikin General Hospital, Bandung, Ramdan, Ahmad; Hasan Sadikin General Hospital, Bandung, Kamijantono, Harry; Hasan Sadikin General Hospital, Bandung, Setiawan, Herry; Hasan Sadikin General Hospital, Bandung, Handoyo, Andreas Vincent; Hasan Sadikin General Hospital, Bandung, Yusman, Arrio; Hasan Sadikin General Hospital, Bandung |
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| Format: | application/pdf eJournal |
| Bahasa: | eng |
| Terbitan: |
Journal of the Indonesian Medical Association
, 2011
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| Online Access: |
http://indonesia.digitaljournals.org/index.php/idnmed/article/view/1007 |
Daftar Isi:
- The high demand of spine instrumentation was caused by the increased number of spine tuberculosis, mainly in low income population. The high price of branded instntment leads to local instrument products usage for low income population. This is a descriptive report of tuberculous spondylitis operative management using local instrument performed in Hasan Sadikin General Hospital, Bandung during 2005-2008. There were 61 cases of tuberculous spondylitis which underwent surgery and then evaluated in the outpatient clinic. Nine patients who got local instrument have their vertebral bone healed in 12-17 months after surgery while only seven in patients who got branded instrument. Nine patients who had local instrument expeienced healing after 18-23 months post operation compared to ten who got branded instrument. After 23 month post operation six patients who had local instrument and two who had branded instrument experienced healing of their vertebra. About 18 patients have not shown vertebral healing after this observation ended. Local instrument was reported to give stability of damaged vertebral segment and caused vertebral healing. To be used as an alternative instrument, further research should be conducted to measure the effectiveness of local instrument compared to branded instrument. J Indon Med Assoc. 2011:61:285-8Keywords : tuberculous spondylitis, local instrument