FINALREPORT
SURABAYAOPERATIVECOURSEBYASIAPACIFICSPINESOCIETY–ORTHOPAEDIC&TRAUMATOLOGYDEPARTMENTOFDR.
SOETOMOGENERALHOSPITALSURABAYA,INDONESIA
2016
PREFACE
Technology in medical field nowadays grows very rapidly, so the medical
practitionersshouldbeabletoadaptwiththechangesandtechnology.Sodoesthefieldoforthopedic,especiallyinthefieldofspinalsurgeryorSpine,whichisknowntohavecomplex
casesandhandlingmethods.Therefore, it isnecessaryto increasethecapacityofmedical
practitionersinthisfield.
Wehopethisworkshopandlivesurgerycanbeamediumtotransfertheknowledge
and science in the field of medicine. And we hope through this event, can improve the
competitiveness and the competenceofmedical practitioners, especially in Spine surgeryfield.
Wethankyouforthesupportofallparties,APSSregional,ChairmanofDr.Soetomo
GeneralHospital,alltheorganizers,allparticipantsandsponsorswhosupportedthisevent.Wearesorryiftherearedeficienciesinoftheevent,butwe'vebeentryingtogivethebest.
Thus,hopefullyourgoodcooperationwillbecontinuedandsuccessisourstogether.
Warmregards,
KetutMartiana,MD
A. BACKGROUNDS
Technology in medical field nowadays grows very rapidly, so the medical
practitionersshouldbeabletoadaptwiththechangesandtechnology.Sodoesthefieldof
orthopedic,especiallyinthefieldofspinalsurgeryorSpine,whichisknowntohavecomplex
casesandhandlingmethods.Therefore, it isnecessaryto increasethecapacityofmedicalpractitionersinthisfield.
In order for technology transfer and improving the quality of Orthopaedics &
Traumatology specialists tobeable toplaya role inglobal competition, it isnecessary to
hold the event Course & Live Surgery that will be conducted by APSS (Asia Pacific Spine
Society) in collaborationwith the Orthopaedic & Traumatology Department Dr. Soetomo
GeneralHospitalSurabaya.
B. GOALS1. Improvingthecapacityandknowledgeofmedicalpractitionersthroughlearningin
the form ofworkshops and live surgery in the field of Orthopaedics especially inSpineSurgery
2. Improving the competitiveness of the medical practitioners in the OrthopaedicSurgeryfield
3. Introducing the latest methods and techniques for handling complex cases inOrthopaedicSurgery.
C. EVENTS
1. Sawbonesworkshop2. Seminars3. LiveSurgery
D. SCHEDULE
DATE TIMEFriday,December16th2016 09.00 AM – 05.00 PM
Saturday,December17th2016 07.00 AM – 05.00 PM Sunday,December18th2016 08.00 AM – 05.00 PM
E. PLACE
1. SawBoneWorkshop&SeminarsAtDiagnosticCenter7thfloor,Dr.SoetomoGeneralHospital,Surabaya
2. LiveSurgeryAtSurgicalCenter6thfloor,Dr.SoetomoGeneralHospital,Surabaya
F. COMMITEES
APSSCHAIRMAN :KuniyoshiAbumiPATRONS
• Harsono,MD.(DirectorofDr.SoetomoGeneralHospitalSurabaya)• Dwikora N. Utomo, MD, PhD (Head of the Orthopaedic & Traumatology
Department)LOCALCHAIRMAN:
• IKetutMartiana,MDVICECHAIRMAN:
• TriWahyuMartanto,MDSECRETARY
• LukasWidhiyanto,MD• ImeldaLumbanGaol,MD
TREASURER:
• TeddyHeriWard,MD• DraSuparti
SCIENTIFIC&WORKSHOPTEAM:
• PrimadennyAriesaAirlangga,MD• FachrizalAchmad,MD• ChristopherA.Simanjuntak,MD• CitraAdhiPrasetya,MD• StacyBenedicta,MD
PUBLICATION&DOCUMENTATIONTEAMS:
• MouliEdward,MD• HizbillahYazid,MD• Pandu,MD• TrixieBrevi,MD
ACCOMMODATION&TRANSPORTATIONTEAMS:
• SulisBayusentono,MD• RitzkyPratomoAffan,MD• HannanAhmadPutra,MD
INSTRUMENTATIONSTEAMS:
• HardianM.Basuki,MD• BahauddinAndiFahmi,MD• SatriaAgungRizky,MD• KadekSetaPrawira,MD
SECRETARY®ISTRATION:
• SecretariatOrthopaedicandTraumatologyDepartment–Dr.SoetomoGeneralHospital,Surabaya.
LISTOFCASES:1. CervicalSpine
a. AnteriorCervicali.e.ACDForACCFb. AnteriorCervicali.e.Arthroplastyc. PosteriorCervicalFixationi.e.LateralMassorPedicleScrewFusiond. PosteriorCervicalDecompressioni.e.Laminoplastye. PosteriorCervicalC1/2Fusionf. PosteriorOccipitocervicalFusion
2. CoronalDeformityCorrectiona. AdolescentIdiopathicScoliosisi.e.PosteriorInstrumentedSpinalFusion
3. SagittalDeformityCorrectiona. Ankylosingspondylitisb. Scheuermannkyphosisc. Neglectedtraumaticfractured. TBspinekyphosis
4. SpinalInstability+/-NeurologicalDeficitforStabilization+/-Decompressiona. Traumaticacutefractureb. Spinalinfectionc. Spinalmetastases
5. LumbarSpinalStenosis(LSS)a. Decompression alone i.e medial facetectomy, laminectomy or internal ,
discectomyforHNPb. Decompressionandfusioni.e.OpenTLIF,MISTLIForDLIF
EVENTSREPORT
1. 1stDay–Friday,December16th2016The firts event was pre-surgery disscussion. Pre-surgery discussion held in
DiagnosticCenter.7thfloorofDr.SoetomoHospital,onFriday,December16th2016.Presurgerydisscussionattendedby19speakersbothfromforeignanddomestic,23international participants and 47 local participants. In the pre-surgery disscussion,displayedthediagnosisof thepatient, soparticipantsandsurgeonscandeterminetheactionswouldbetakentopatientsurgery.
ThesecondeventwasSawBoneWorkshopwhichhavetwothemes,were :“ThoracicPedicleScrew,LumbarPedicleScrew,S1ScrewIliacScrewandS2AIScrewFixation”and“PosteriorInstrumentationofCervicalSpineI.EC1/C2Fixation,LateralMassandCervicalPedicleScrewFixation/AnteriorCervicalDiscectomyFusion”. Inthe Saw Bone theworkshop, participantswere divided into random eight groups,
consist of international participants, surgeon, Spine Fellow, residents and generalpractitioner.Eachgroupwasaccompaniedbyoneinstructor.
Picture:SawBoneworkshopwithProfShu-HuaYangasaninstructor.
Picture:SawBoneworkshopwithGabrielLiufromSingapore
Picture:ProfKuniyoshiAbumiwasgivingexplanationduringtheWorkshop
2. 2ndDay-Saturday,December17th2016
Second day, began with opening ceremony and directly opened by Dr.SoetomoGeneral Hospital Director representative, followed by a speech from theLocal Chairman Ketut Martiana, MD and the speech of the APSS Chairman Prof.KuniyoshiAbumi.
Operationsstartedat08.00AMat theSurgerycenterDr.SoetomoGeneralHospital6thflooranddirectlybroadcasttoDiagnosticCenter7thfloor.
Scheduleof2ndDay,Saturday,17thDecember2016
ListofLiveSurgeryPatientatSecondDay Saturday,December17th2016
Name Diagnosis ActionandOperatorSuwiadiKurniadiMale59yearsold
AnkylosingSpondylitis
PosteriorOsteotomyandInstrumentedFusionOperator:JaeYoonChung/KyuJungCho(Korea)
SriIswahyuniFemale50yearsold
SevereSpondylolisthesisL4-5
OpenTLIFOperator:atWaWong(Hongkong)
AndhikaNurilMale13yearsold
CongenitalScoliosis
Hemivertebrectomy+PSIFOperator:KeithLuk(Hongkong)
Time Event07:00–08:00 RegistrationofParticipants08.00–08.30 OpeningConference
-HospitalDirector’sWelcomeSpeech-TheOrganizingChairman’sWelcomeSpeech–KetutMartiana-TheAPSSPresident’sWelcomeSpeech–KuniyoshiAbumi
08:20–08:35 EthicsinSpineSurgery–KetutMartiana08:35–08:50 PatientSafetyMattersinSpineSurgery-Hardiono08:30–09:05 PathophysiologyofDiscDegenerationandtheProductionofPain.-
JoseManuelF.Ignacio09:5–09:20 Surgical Management of Cervical OPLL: Anterior or Posterior
ApproachisBetter?-KuniyoshiAbumi09:20–09:35 TLIFwithCorticalPedicularScrewFixation.-Dato’K.S.Sivananthan09:35–09:30 The Role ofMinimally Invasive Spine Surgery inMetastatic Spine
Tumours.-ChrisYinWeiChan09:50–10:05 HowtoChoosebetweenFusionandArtificialDiscReplacementfor
LumbarDegenerativeDiscDisease–BambangTiksnadi08:00–17:00 LiveSurgery:
OperationTheatre1OperationTheatre2OperationTheatre3
Picture:SpeechofLocalChairman,KetutMartiana,MD
Picture:SpeechofAPSSChairman,ProfKuniyoshiAbumi,MD
Picture.OpeningCeremonybyDirectorofDr.SoetomoGeneralHospitalrepresentative
Picture:FacultyMemberofAsiaPacificSpineSocietyandDr.SoetomoGeneralHospitalRepresentative
3. 3rdDay–Sunday,December18th2016
Operationsstartedat08.00amattheSurgeryCenter6thfloorandbroadcastdirectly toDiagnosticCenter7th floor.Thesurgerywasperformedby theoperatorfrom the abroadwhom already received permission from the IndonesianMedicalCouncil. On the second day 4 surgerieswere performed. Several surgeries carriedoutbyusingimplantsdonatedbyProfKuniyoshiAbumi.
Picture
ListofLiveSurgeryPatientatThirdDay
Sunday,December18th2016Name Diagnosis ActionandOperator
RikaFemale25yearsold
TetrapareseUMNtypeacatlantoaxialinstability+suspnonunionodontoidfracture
O-C2FusionOperator:KuniyoshiAbumi(Japan)
TirtoHusodoMale59yearsold
CervicalSpondyloticMyelopathy
LaminoplastyOperator:JoseManuelF.Ignacio(Philippine)
SampurnoMale50yearsold
CervicalSpondyloticMyelopathyC5-C6
ACDFOperator:DatoK.SSivananthan(Malaysia)
AnggraeniWulansariFemale26yearsold
IdiopathicScoliosis PSIFOperator:MunKeongKwan+ChrisChan(Malaysia)
Time Event 08:00 – 08:15 Discussion and evaluation post-op cases done on DAY 2 08:15 – 08.30 Thoracic and Lumbar Pedicle Screw Fixation – Kyu Jung Cho 08:30 – 08:45 Surgical Management of Ankylosing Spondylitis Kyphotic
Deformity. - Keith Dip Kei Luk
08:45 – 09:00 Selecting Fusion Levels in AIS Surgery. – Gabriel Liu 09:00 – 09:15 Congenital Scoliosis: Management Principles. - Yat Wa Wong 09:15 – 09:30 Severe Scoliosis: Treatment Options and Complications
Avoidance. - Arvind Jayaswal 09:30 – 09:45 Degenerative Spondylolisthesis – Luthfi Gatam 08:00 – 17:00 Live Surgery:
Operation Theatre 1 Operation Theatre 2
Operation Theatre 3 17:00 Closing and Certificate Presentation
Picture:LiveSurgerySituation
Picture:LiveSurgerySituation
Picture:LiveSurgerywithProfKuniyoshiAbumi