SARI PUSTAKA TRAUMA THORAKOLUMBAR
Oleh : IB Aditya Wirakarna Pembimbing : dr. I.G.L.N.A Artha Wiguna Sp.OT (K) Spine
PROGRAM STUDI PENDIDIKAN DOKTER SPESIALIS BEDAH SUB BAGIAN ORTHOPAEDI DAN TRAUMATOLOGI FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA
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KATA PENGANTAR Puji Sukur penulis panjatkan ke hadapan Tuhan Yang Maha Esa karena berkat-Nya lah sari pustaka yang berjudul “Trauma Thorakolumbar” ini dapat diselesaikan tepat pada waktunya. Tujuan dari penulisan sari pustaka ini adalah untuk menambah pengetahuan penulis dan peserta PPDS-1 Orthopaedi dan Traumatologi tentang trauma thorakolumbar serta sebagai syarat mengikuti pendidikan Program Studi Orthopaedi dan Traumatologi. Penulis juga mengucapkan terima kasih kepada Prof. Dr. dr I Ketut Siki Kawiyana, Sp.B, Sp.OT(K) selaku Ketua Program Studi Orthopaedi dan Traumatologi Fakultas Kedokteran Universitas Udayana/RSUP Sanglah Denpasar serta kepada dr I.G.L.N.A Artha Wiguna Sp.OT(K) Spine, selaku pembimbing penulisan sari pustaka ini, atas bimbingan dan kesediaannya meluangkan waktu untuk memberi petunjuk dan bimbingan demi penulisan sari pustaka. Penulis menyadari sari pustaka ini masih jauh dari sempurna. Oleh karena itu, penulis mohon saran dan kritik demi perbaikan sari pustaka ini untuk kedepannya. Akhir kata, semoga sari pustaka ini dapat berguna untuk perbaikan pemahaman dan pelayanan pada pasien trauma ke depannya. 8 September 2015 Penulis
DAFTAR ISI KATA PENGANTAR ......................................................................................................... i DAFTAR ISI ....................................................................................................................... ii 1.1 Anatomy Tulang Belakang Cervical ............................................................................. 1.2 Tulang Belakang cervical bagian atas ........................................................................... 1.3 Tulang Belakang cervical bagian Bawah ...................................................................... 1.4 Suplai saraf .................................................................................................................... 1.5 Diskus Intervertebralis................................................................................................... 1.6 Ligamen ......................................................................................................................... 2.1 Epidemiologi ................................................................................................................. 2.2 Patofisiologi dari Axial Neck Pain ................................................................................ 2.3 Patofisiologi dari Radiculopati ...................................................................................... 2.4 Patofisiologi dari Mielopati ........................................................................................... 2.5 Klinis dari Syndrome Axial Neck Pain, Cervical Radiculopathy, and Myelopathy ..... 2.5.1 Axial Neck Pain................................................................................................... 2.5.2 Cervical Radiculopathy ....................................................................................... 2.5.3 Cervical Myelopathy ........................................................................................... 2.6. Pemeriksaan Penunjang ................................................................................................ 2.6.1 Radiografi standar ............................................................................................... 2.6.2 Magnetic Resonance Imaging ............................................................................. 2.6.3 CT Myelography ................................................................................................. 2.6.4 Studi Injeksi ........................................................................................................ 2.7 Differential Diagnosis................................................................................................... 3.1 Non-operatif Treatment ................................................................................................ 3.1.1 Treatment Konservatif ........................................................................................ 3.1.2 Terapi Manipulatif ............................................................................................... 3.2 Operative Treatment ...................................................................................................... 3.2.1 General Principles ............................................................................................. 3.2.2 Teknik Operasi .................................................................................................. 3.2.3 Anterior Cervical Discectomy dan Fusion ........................................................ 3.2.4 Autograft Versus Allograft ............................................................................... 3.2.5 Fiksasi dengan plate .......................................................................................... 3.2.6 Fusi dengan cages .............................................................................................
3.2.7 Anterior Corpectomy ........................................................................................ 3.2.8 Anterior Discectomy tanpa Fusi........................................................................ 3.2.9 Total Diskus Arthroplasty ................................................................................. 3.2.10 Posterior Laminectomy ................................................................................... 3.2.11 Laminectomy and Instrumented Fusion .......................................................... 3.2.12 Posterior Foraminotomy.................................................................................. 3.2.13 Laminoplasty ................................................................................................... 3.2.14 Surgical Decision-Making .............................................................................. 3.3 Faktor yang Mempengaruhi Hasil ................................................................................. 3.3 Komplikasi..................................................................................................................... DAFTAR PUSTAKA ..........................................................................................................
DAFTAR PUSTAKA
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