Publications by authors named "S D A L Tobing"
Introduction: Traditional risk stratification systems based on the clinicopathological criteria have limitations and may not accurately predict outcomes for all patients. The neurologic, oncologic, mechanical, and systemic (NOMS) framework aims to optimise treatment outcomes and improve patient care. Here, we aimed to provide a comprehensive overview of the NOMS framework within the context of spinal metastasis.
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- The cervical spine is crucial for protecting nerves and allowing head and neck movement, but fractures can cause serious complications.
- This case series followed four patients who underwent posterior decompression and stabilization surgery using a specific screw fixation technique, with a 12-month follow-up to track recovery measures.
- The cases included a variety of conditions—ranging from a 72-year-old with a burst fracture to a 14-year-old with a traumatic dislocation—showing overall improvement in cervical curvature and range of motion post-surgery.
Introduction And Importance: Left untreated, spinal tuberculosis can lead to irreversible neurological deficit in patients, lowering quality of life. Combination of antitubercular drugs and surgical approach is important in managing spinal tuberculosis. We report a case of thoracic spinal tuberculosis treated by anterior and posterior fusion via a posterior and costotransversectomy approach.
View Article and Find Full Text PDFIntroduction And Importance: Fractures of the second cervical vertebrae (C2) and its odontoid process account for one of the most frequent cervical spine injuries that cause significant mortality and morbidity. The goal of injury treatment is to restore atlantoaxial complex stability. This article reports a young male patient aged 19 years who underwent surgical treatment due to odontoid fractures type III.
View Article and Find Full Text PDFStudy Design: Retrospective study.
Purpose: The aim of this study was to develop a predictive model for determining perioperative blood transfusion in tuberculous spondylitis patients undergoing posterior decompression and instrumentation.
Background: Tuberculous spondylitis is a common infection found in the spine.