Orthopaedic Spine Surgery Singapore

Ankylosing spondylitis | nerve compression

Inspiring Hope · Empowering Lives · Nurturing Well-Being

orthopaedic@spring-hope.com     |   hp/wa +65 9145 5793  

orthopaedic@spring-hope.com  
+65 9145 5793  

  • Home
  • Missions & Values
  • Dr Tony Setiobudi
  • Medical Services
    • Spine
    • General Orthopaedic
    • Hip & Knee
    • Foot & Ankle
    • Shoulder & Elbow
    • Hand & Wrist
    • Physical Therapy
  • Bahasa Indonesia
  • Medical Insurance
  • Blog
  • Contact Us
Home > Archives for Spine > Spine Surgery

Tumor Tulang Belakang – Salah Satu Penyebab Sakit Pinggang

November 1, 2017 by Tony Setiobudi

By Dr Tony Setiobudi BMedSci, MBBS, MRCS, MMed (Ortho), FRCS (Ortho)

Tumor Tulang Belakang - Salah Satu Penyebab Sakit Pinggang

Pernahkan anda mengalami sakit pinggang?

Kebanyakan kita menyepelekan sakit pinggang yang sebagian besar akan sembuh sendiri jika beristirahat. Padahal, bisa jadi itu bukan sakit pinggang biasa. Untuk sakit pinggang yang berhubungan dengan masalah otot dan degenerative memang tidak serius. Tapi, sakit pinggang ini bisa menjadi masalah serius jika disebabkan oleh tumor.

Berikut ini adalah contoh kasus tumor tulang belakang. 

Ibu Maria (bukan nama sebenarnya), 42 tahun, mengeluh sakit pinggang selama 3 bulan. Berat badan turun 5 kg. Dua hari sebelum ke dokter, secara tiba-tiba beliau tidak bisa jalan karena kaki merasa sangat lemah. Hasil pemeriksaan lengkap menunjukkan ibu Maria menderita tumor tulang belakang yang menjepit saraf. Tumor ini menyebar dari usus besar (tumor primari). Saraf yang terjepit menyebabkan kelemahan di otot kaki  sampai pasien tidak kuat berjalan. Beliau menjalani operasi untuk mengambil tumor, membebaskan saraf dan menstabilkan tulang belakang. Setelah operasi ibu Maria bisa berjalan kembali dengan normal. Pasien menjalani chemotherapy dan radiotherapy untuk membasmi tumor lebih lanjut.

Tumor di tulang belakang adalah penyebab sakit pinggang yang berbahaya yang memerlukan penanganan segera. Tumor ini dapat membesar secara cepat dan tiba-tiba. Jika menjepit saraf, pasien bisa mengalami kelumpuhan secara tiba-tiba. Sering kali tumor di tulang belakang terjadi karena penyebaran sel tumor dari tempat lain seperti di usus, prostat, payudara dan lain-lain. Banyak sekali pasien yang mengeluh sakit pinggang tanpa keluhan lain seperti kasus Ibu Maria. Dengan pemeriksaan lengkap, tumor di tulang belakang  dan asal tumor (tumor primari) bisa ditemukan dan ditangani secara keseluruhan. Jika pasien mengabaikan keluhan sakit pinggang, tumor ini tidak akan terdeteksi atau mungkin akan terdeteksi dalam kondisi yang lebih parah.

Jenis sakit pinggang seperti apa yang tidak boleh diabaikan?

Sebagian besar sakit pinggang tidak berbahaya. Jika sakit pinggang disertai berat badan menurun secara drastis, sakit pinggang lebih parah saat beristirahat, atau sakit pinggang yang terus menerus dan tidak pulih lebih dari satu bulan, pasien perlu segera periksa ke dokter untuk menegakkan diagnosa apakah hal ini berhubungan dengan tumor.

Mengapa tumor tulang belakang mengakibatkan sakit pinggang?

Tumor tulang belakang dapat menyebabkan sakit pinggang karena beberapa hal.

  • Tumor membuat tulang belakang menjadi tidak stabil.
  • Tumor membuat tulang belakang rapuh dan gampang patah. Sakit pinggang meningkat secara tiba-tiba jika ada patah tulang di punggung.
  • Tumor bisa menjepit saraf. Hal ini menyebabkan sakit pinggang terkadang menjalar ke kaki atau ke perut dan dada.

Apakah pentingnya untuk mendeteksi tumor tulang belakang secara dini?

Dengan berjalan waktu tumor bisa makin membesar, jika masih berukuran kecil tentu saja lebih gampang dioperasi dari pada sudah berukuran besar. Lebih baik lagi dioperasi sebelum tumor menjepit saraf dan mengakibatkan kelumpuhan.

Jadi jangan menyepelekan sakit pinggang yang tidak kunjung membaik apalagi jika berat badan menurun dan sakit pinggang memburuk saat istirahat. Segera periksalah ke dokter untuk mencari penyebabnya. 

Tumor Tulang Belakang - Salah Satu Penyebab Sakit Pinggang

Dr Tony Setiobudi adalah spesialis bedah tulang dan super-spesialis bedah tulang belakang di Mount Elizabeth Hospital (Orchard), Singapore. Dr Tony menangani masalah tulang, sendi, saraf, otot dan ligamen pada orang dewasa dan anak. Dr Tony mempunyai keahlian khusus dalam penanganan saraf terjepit (HNP & spinal stenosis) & masalah tulang belakang seperti nyeri punggung & leher, scoliosis, postur bungkuk (kyphosis), tumor & infeksi tulang belakang, cedera saraf besar (spinal cord) & patah tulang osteoporosis.

 

 

Filed Under: Back Pain, Spine, Spine Surgery Tagged With: Back Pain, nerve compression, Paralysis, spine surgery, spine tumor

Osteoporotic Spine Fracture

February 21, 2017 by Tony Setiobudi

By Dr Tony Setiobudi BMedSci, MBBS, MRCS, MMed (Ortho), FRCS (Ortho)

When the bone is soft or osteoporotic, it can fracture with trivial injury or even without injury. Spine bone is one of the most commonly affected bones in osteoporotic fracture. It can be debilitating. But it doesn’t need to affect you. You can prevent osteoporosis by having regular screening and early treatment.

Mild fracture can heal by itself. The pain may not be too bad.

In severe fracture,  the back pain can be very excruciating to the extent that the patient is unable to sit, stand and walk for a period of time. If the pain prevents the patient from  getting out of bed, surgical treatment is required. The surgery depends on the stability of the spinal column. If the spine is stable, the patient needs cement injection (vertebroplasty) to strengthen the bone. If the spine is not stable, bigger surgery is required with the use of spinal implants. Surgical treatment for severe fracture has a high success rate. Immediate stability of the spinal column after surgery will result in significant reduction of pain.

Osteoporotic treatment to strengthen the bone is important regardless whether surgery is required. This is to reduce the risk of having another osteoporotic fracture.

Osteoporotic Spine Fracture

Dr Tony Setiobudi is an Orthopaedic & Spine Surgeon at Mount Elizabeth Hospital (Orchard), Singapore. He treats bone, joint, muscle and ligament problems in adults and children. He has a special interest in nerve compression and spine problems such as back & neck pain, scoliosis, kyphosis, spine tumor & infection, spinal cord injury, osteoporosis fracture, spinal stenosis and slipped disc.

 

Filed Under: Osteoporosis, Spine fracture, Spine Surgery Tagged With: Osteoporosis, osteoporotic fracture, spine surgery, vertebroplasty

Why Fuse the Spine?

February 18, 2017 by Tony Setiobudi

By Dr Tony Setiobudi BMedSci, MBBS, MRCS, MMed (Ortho), FRCS (Ortho)

Why Fuse the Spine? Spine stabilization

Spinal fusion surgery is indicated when the spine is expected to be unstable after the index operation. In general if there is a sign of instability before surgery, spinal fusion is indicated.

Spinal fusion for nerve compression

Spinal fusion surgery is often performed when the spine shows abnormal movement. Freeing up the nerve from compression (spinal stenosis) often requires removal of bones, ligaments and disc materials. This created further instability in the spine. If the spine is unstable prior to surgery, the spine will become more unstable after the surgery. Thus, spinal fusion is required

 

Spinal fusion for deformity (abnormal posture) correction

Scoliosis or kyphosis (hunched back) often requires surgery to correct the deformity. This requires spinal fusion surgery to maintain the correction and to provide immediate stability after major postural correction.

 

Spinal fusion for spinal tumor surgery  

In spinal tumor, the normal bone is replaced by tumor tissue which causes weakness in the spine. Removal of spinal tumor creates void in the spinal segment which makes the spine very unstable. This void is often replaced by metal implant. Spinal fusion surgery is required to hold the metal implant in place and to provide immediate stability.

 

It is important to know the reason why spinal fusion surgery is required. If you have any questions about why you need spinal fusion surgery, you can approach your doctor for further clarification.

Why Fuse the Spine?

Dr Tony Setiobudi is an Orthopaedic & Spine Surgeon at Mount Elizabeth Hospital (Orchard), Singapore. He treats bone, joint, muscle and ligament problems in adults and children. He has a special interest in nerve compression and spine problems such as back & neck pain, scoliosis, kyphosis, spine tumor & infection, spinal cord injury, osteoporosis fracture, spinal stenosis and slipped disc.

 

Filed Under: Ankylosing Spondylitis, kyphosis, Scoliosis, Spinal Stenosis, Spine Surgery Tagged With: kyphosis, nerve compression, scoliosis, spinal deformity, Spinal fusion surgery, Spinal Stenosis, Spinal tumor

Microdiscectomy | Operation for Slipped Disc

February 11, 2017 by Tony Setiobudi

Microdiscectomy | Operation for Slipped Disc

Explanation about slipped disc and the cause of the pain. Spinal cord is compressed and slipped disc surgery Singapore helps remove the compression and stops the pain.

Slipped disc can be very painful. The typical symptom is pain radiating to the leg with sudden onset. The diagnosis is confirmed with physical examination and MRI scan. Slipped disc surgery (microdiscectomy) can help overcome the pain.

Microdiscectomy is an operation to remove the slipped disc and to free up the nerve. This operation is done with a small incision. The vision during the operation is enhanced using the help of microscope. This operation has a high success rate. The leg pain can disappear or become significantly better immediately after the surgery.

If you have any questions about slipped disc or microdiscectomy, please do not hesitate to contact us.

Author: Dr Tony Setiobudi BMedSci, MBBS, MRCS, MMed (Ortho), FRCS (Ortho), Orthopaedic & Spine Surgeon, Mount Elizabeth Hospital (Orchard), Singapore

 

Filed Under: Slipped Disc, Spine Surgery Tagged With: discectomy, microdiscectomy, Microscope, slipped disc, spine surgery

What Makes Spine Surgery Safe?

September 28, 2016 by Tony Setiobudi

What Makes Spine Surgery Safe?

Many more minimally invasive spine surgeries are performed nowadays compared to a few years ago. The rate of complications has reduced significantly with advanced and modern technology.

The experience of the spine surgeons themselves play a significant role in reducing the complication of spine surgery. It has been showed that surgeons who perform more than 50 spine surgeries in a year has significantly lower rate of complication compared with surgeons who perform less than 50 cases per year. If you need spine surgery, make sure that you choose the surgeon with adequate experience in spine surgery.

Other than the operators, there are modern technology that plays an important role to make spine surgery safe. 

  • Neuromonitoring is used to monitor the nerve function at all time during spine surgery. If there is any problem with the nerve, the neuromonitoring machine can alert the surgeon. This allows the problem to be rectify during the surgery.
  • Microscope helps to provide clearer surgical fields especially when the surgical incision is small. Microscopic magnification allows the surgeons to identify the important structure very clearly.
  • Image Guidance using Xray or CT scan provide radiographic feedback to help us to localise the intended area of surgery. It also allows the surgeon to confirm the accuracy of implant placement.
  • Computer Navigation is navigation system similar to GPS. This is used in spine surgery especially in difficult area such the upper cervical spine. This technology provides specific information to the surgeon on the exact area where they are operating when the anatomical landmarks are minimal.

Thus, experienced surgeon together with appropriate modern technology makes the minimally invasive spine surgery safer than before.

Author: Dr Tony Setiobudi BMedSci, MBBS, MRCS, MMed (Ortho), FRCS (Ortho), Orthopaedic & Spine Surgeon, Mount Elizabeth Hospital (Orchard), Singapore

Filed Under: Spine, Spine Surgery Tagged With: Computer Navigation, Image Guidance, Microscope, Modern technology, Neuromonitoring, Spine Surgeon, spine surgery

Search This Website

Recent Articles

  • Vitamin D for Bones December 15, 2021
  • Top 3 Food for Bone Health December 15, 2021
  • Take Control of Your Knee Pain December 15, 2021
  • High Heels High Risk December 15, 2021
  • Muscle sore after exercise, should I stop? December 15, 2021

Spring Hope Orthopaedic Spine Surgery

Paragon Medical
Tower 1 (Lift Lobby F) #18-06
290 Orchard Road, Singapore 238859

Our Contact

phone: +65 6493 2541
fax: +65 6493 2547
hp/wa: +65 9145 5793
email: orthopaedic@spring-hope.com

Copyright © 2022 · Diligent on Genesis Framework · WordPress · Log in

  • Home
  • Missions & Values
  • Dr Tony Setiobudi
  • Medical Services
    ▼
    • Spine
    • General Orthopaedic
    • Hip & Knee
    • Foot & Ankle
    • Shoulder & Elbow
    • Hand & Wrist
    • Physical Therapy
  • Bahasa Indonesia
  • Medical Insurance
  • Blog
  • Contact Us

 

Loading Comments...