Dokumen Artikel Penelitian ini milik penulis/peneliti yang diserahkan sebagian (judul dan Abstrak) hak ciptanya kepada Universitas Airlangga untukdigunakan referensi dalam penulisan artikel ilmiah.

Tim Peneliti : yanuar cahyadharma

COMPARATIVE OF PEDICLE SCREW PLACEMENT ( A LABORATORYEXPERIMENTAL STUDY)

Abstrak :

Study Design. Comparative observational analysis study of pedicle screw placement between first degreeand second degree of orthopaedic residens in Airlangga University-Dr Soetomo teaching hospital.Objectives. To compare accuracy of pedicle screw placement between first degree and second degree oforthopaedic residens in Airlangga University-Dr Soetomo teaching hospital in fresh cadaveric spine.Summary and Background data. There are many injury of the spine and with trauma cases increased everyyear. Most of trauma cases is traffic accident. One of the tool to perform stability of the spine post traumais pedicle screw. Pedicle screw is one of orthopaedic surgeon competency. That’s why orthopaedicresidens should ever and can perform this operative procedure. There are so many equipment to decreasedcomplication of pedicle screw placement, but not every hospital have this kinds of tool. The most importantis basic anatomy of pedicle, as Roy – Camille has performed his technique. Methods. Fourteenresidens from first degree and ten residens from second degree has performed pedicle screw placement ineight fresh cadaveric spine without image intensifier. There were two hundred and thirty two screw whichdevided in three spine segments, upper thoracic, lower thoracic and lumbal segment. The accuracy ofplacement is based on AP, lateral and axial view of computerized radiologic, observed by a second degreeresident and a orthopaedic surgeon. Results. There are no difference between first degree and seconddegree residen in upper thoracic spine. But there were statistically difference between first degree andsecond degree residen in lower thoracic and lumbar spine, with second degree resident were moreaccurate than first degree resident. Conclusions. Although there were statistically difference between firstdegree and second degree residen in lower thoracic and lumbar spine, with second degree resident weremore accurate than first degree resident, but overall the accuracy still lower than Roy – Camilleexpectation, 90 % of all pedicle screw placement.

Keyword :

Accuracy, First degree, Second degree, Dr. Soetomo general hospital Surabaya

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