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&REGISTRATION:

• 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