Identitas

Agus Sumaja/Lk/ 33 Th/ 0000957995

Robiati Binti Abdullah/Pr/ 52 Th/0001296196

Zubaidah Binti M Soleh/Pr/71 Th/0001314953

Rubayah Binti Rentani/ Pr/75 Th/1299173

Nurminah Binti H. Hasan/Pr/69 Th/0000605537

Rachmiati Binti Kafen/ Pr/66th/0001312288

Indriyani Putri Kasela/ Pr/15th /0001237435

Gondoria Ritonga/ Pr/63th/0001200376

Yudi Herwansyah/ Lk/25th/0001302018

Semiati Binti Bari/ Pr /56 Th /0001321334

Desi Nopianti / Pr / 25 Thn /0001294413

Sartika Dewi/Pr/33thn/1237650

Hairin Fabeza Putri //Pr/14th/0001262724

Nurjanah Bt Muluam/Pr/1290425

Aditya Putra / Lk / 12 Th / 1271459

Yusmawati Binti M Noer/ Pr/ 65 Th/0001319211

Rina Afriana/Pr/ 25 Th/0001260563

Sumiati Binti Wasjak/59 Th/Pr/ 0001306894

Msy.Nilawati Binti Mgs Nirroza/Pr/50/0001302640

Amir Mahmud Hasibuan/ Lk/ 32/0001316115

Irma Ratna Sari/32/Pr/0001279808

Trisno/Lk/47th/0001297348
Rachmiati Binti Kafen/ Pr/66th/0001312288

Siti Khomsah / Pr / 58 Th / 1304301

Sugiyono/45 Th / Lk/ 0001304259/

Sakrudin Bin Bakroni/Lk/ 1249542

Nurhayati Binti Ropiah

Lilik Ismawati / Pr/ 61th/1010031

Sunaryo Bin Maryono/Lk/1280866

Kusdewi/Pr/57th/0001276614

Karmilawati Bt A. Kawi/Pr/58th/1289362

Siti Jumiati/Pr/0000390468

Merhatul Hermin/Lk/1244752

Syamsul Bin Samadi/Lk/49thn/0001260297

Evan Sumantri / Lk / 37 Thn / 0001287484

Indra Wati Binti Abdul Muin/Pr/59thn/1307745

Siti Khomsah / Pr / 58 Th / 1304301

Mustapa Bakri/ Lk/ 56 /0001315323/

Maryam Binti Mgs. M. Husin / Pr / 64 Th / 0001306479

Wagiyanto Bin Rumin/ Lk/ 51 Th /0001320708

Sugiono Bin Suyani/Lk/ 45 Th/0001304259

Eva Bin Mat Lambur/ 45 Th /Lk/0001318148

Piyayanti Mala/ Pr/51th /0001310222

Rahayu Binti Karmin/ 53th/Pr/ 0001230912

Kartini Sulistiningsih
Mardiana Binti Samsul / 47 Th / Pr / 1287139

A'anfat Hammubina/ Lk / 43 Th/ 1301664/

Bimo Galih Saputra/

Melyana Ade Saputri/16th/Pr/0001314325

Aditya Putra / Lk / 12 Th / 1271459

Fahrizi Zusia Swerty / Pr / 15 Thn / 1290918

Muhammad Abimanyu Pratomo/ Lk/26 Th/0001303739

Sulis Binti Rasyid/Lk/46/0001312295

Dukat Harmoko/Lk/55 Th/0001225823

Usmaita Binti Usman Bakar/Pr/40thn/879476
Hasnul Anwar / Lk / 74 Th / 1224799

Rosmiyastri Binti Amir Husin/ Pr/ 56 Th/ 0001312251

 Diagnosis

dx.union fr tibia sinistra Konversi plate/ screw, metal exposed . osteomyelitis

dx spondilitis TB V Th 9-10 frankle C

dx Fr compresi VL 1 + spinal canal stenosis vl 4/5 vl 5 s1

dx fraktur kompresi VL1-2 tanpa root injury + osteoporosis

dx sacrailitis dengan multiple fr compresi V Th 12 dan lumbal 2 ec osteoporosis kontrol post
vertebroplasty V Th 12 + L2 degeneratif lumbal scoliosis
dx fraktur kompresi VL1 spoondilolisthesis VL 4/5 Meyerding I-II sakroilitiis + geriatri +
hipertensi
dx.implant pull out Vth 2,3, post scoliosis corection 05/2022

dx. spondilolisthesis vl 4/5 + spinal canal stenosis VL4/5 5-S1+ SAKROILITIS OA genu
sinistra grade 4 DM

dx. spondilitis tbc ,V Th 12-L1, , frankel D + post drainage abces psoas ,

dx. Susp spondilitis TB VL 1 + Cauda equina

dx Spondilitis VL2-3, Kifotik Deformity, Root Injury VL2-3

dx susp spondilitis TB VL5-S1

dx spondilitis tb Vth11-12 frankle E +kipotik deformity

dx. Spondilitis TB Vth 12 frankle E

dx Skoliosis Idiopatik juvenile PT NS, MT 80, TL 50 CSVL C kyphosis -, unsegmental

vertebrae
dx Spondilolistesis VL1-2, Spinal canal stenosis + Adjecent segment disease, post stabpost
2011 VL2-5+ Osteoporosis
dx.negleted fr compresi V lumbal 1 + root injury
dx. spondilolistesis L4/5 dan spinal canal stenosis L 4L5, L5S1

dx. cervical myelopati susp spinal canal stenosis cervical 3/4

dx. masa intradura ekstramed setinggi V lumbal 1-2 , tanpa defisit nerology

dx retensi HNP VL4/5 post PELD

dx.Spondylodiscitis L2-3 dengan Kifotik deformity + Root injury

dx fraktur kompresi VL1 spoondilolisthesis VL 4/5 Meyerding I-II sakroilitiis + geriatri +
hipertensi

dx. deg lumbar scoliosis, spondilolisthesis VL4/5, spinal canal stenosis V L4/5, L5-S1 RA

dx spoondilodiscitis VL3/4 + foraminal stenosis VL3/4 dx, , root injury hypertiroid

dx Spinal canal strnosis VC5-7 + osteoporosis

dx. MBD Vth 5-6 + Fr kompresi Vth 6, frankle A susp Ca paru kanan
dx. Degenerative lumbal Scoliosis + Foraminal stenosis Vl 4-5 + Osteoporosis + SLE

dx. Multipel lesi + paraplegi inferior susp. BMD frankle C

dx. Incomplete burst fr Vth 11 spinal canal stenosis VL 2-3/4-5

dx. Spondilolithesis VL 4/5, dgn lumbal disc spinal canal stenosis VL 4/5, spondilodicitis VL
4/5

dx. Spinal cord stenosis VL 4/5

dx. Kyphotic deformity lumbal, anterior fusi VL 4/5

dx. Spondiscitis VL5-S1, bulging disc VL 4/5

dx Neglected Fr Kompresi VL1 + Root Injury

dx.Fracture compresi VL1 ec osteoporosis, foraminal stenosis VL5_S1 sinistra OA genue Sx
K/L 3 + osteoporosis bone

dx. deg lumbar scoliosis, spondilolisthesis VL4/5, spinal canal stenosis V L4/5, L5-S1 RA

dx. spondilodiscitis VL4/5 + abces di daerah V lumbal 4/5, spinal canal stenosis V cervical 3-5

dx. Mutiple fr compresi V Th12-L1 , frankel E pseudo artrosis V lumbal 1 BMD spine - 3,4,
neck femur - 2.2
dx.Paraplegia inferior with Fracture kompresi ec Susp Spondylitis TB V.T3 dd bone tumor
Frankel A
dx.spoondilodiscitis VL3/4 + foraminal stenosis VL3/4 dx, , root injury ec susp spondilitis TB,
hypertiroid dd/ Muscle fatigue

dx spondiloarthrosis lumbal

dx susp Foraminal stenosis VL5-S1 sinistra ec HNP (parasentral L5/S1)

dx A:incomple spinal cord lession susp Spondilitis Tb V Th 11-12 frankle E

dx susp rppt injurt Vl5-S1 dx + adjusment segmental disease post stabpost VL3-S1
dx. extrusi VL4/5, L5-S1 + DM
dx. susp spinal canal stenosis VL 5/S1 ec HNP (dekstra) migrasi back pain + susp instability
whole spine

dx. susp spondilitis TB V Th8,9 , frankel E kifotic deformity vertebra thoracal

dx adolescent idiopatic scoliosis lenke 5 cobb angle 42 drjt lumba

dx Skoliosis Idiopatik

dx Idiopatic Adolesence Skoliosis Lenke 1 Lumbar A Normal Kifotik

dx AVN Bilateral

dx. post orif distral fibula dan tibia. dnegan equinus deformity fraktur tibial platyeau medial
(Schatzkerr III) dengan varus gernu
dx union fr femur sinistra post op orif p/s
dx AVN hip bilateral
dx. implant loosening post thr dekstra susp infeksi post artroplasty DDH

dx degenerative lumbal scoliosis + spinal canal stenosis VL4/5 HNP V C4/5 + OA Hip sinistra
 Pro Implant

pro. debridement + Skin closure + konversi Exfix

pro stabilisasi posterior laminektomi fusi debridement

pro kypoplasty

pro kifoplasti VL1/2

pro. Rencana SI joint Blok + Genicular pain block

pro vertebroplasty VL1 +stabilisasi posterior VL4-5 -S1 augementasi

pediclescrew dengan cement, posterior fusi k/p TLIF
pro Remove implant + debridement

pro stabilisasi posterior VL 3+ S1 + PLIF 4/5 + laminektomi 4/5 5/s1 + fusi

posterior

pro decompresi + laminectomy + stabilisasi , posterior fusi, biopsy , koreksi

deformity drainage abcess psoas
pro Laminectomy decompresi + stabilisasi posterior + Fusi + biopsy

pro Dekompresi Laminektomi, Stabilisasi Posterior, Fusi, Biopsi

pro stabilisasi posterior+ laminektomi+ biopsi+ Fusi posterior

pro stabilisasi posteiror, koreksi deformitas, laminektomi, fusi posterior

pro. Stabilisasi posterior, laminectomi + abcess psoas dextra

pro Rekonstruksi skoliosis, tanpa IOM (neuro tidak bisa)

pro stabilisasi posterior + Fusi + Augmentasi bone cement

pro. decompresi + stabilisasi posterior

pro laminektomi decompresi +stabilisasi posterior fusi + PLIF L 4/5

pro ACDF

pro durotomy dan extirpasi massa

pro laminotomy + disectomy VL4/5

pro. stabilisasi posterior V.L 1-5 + laminectomy dekompresi + koreksi kifotik +

Fusi + biopsi
pro vertebroplasty VL1 +stabilisasi posterior VL4-5 -S1 augementasi
pediclescrew dengan cement, posterior fusi k/p TLIF
pro. Laminectomy, flavectomy, disectomy VL4/5, TLIF, Stabilisasi posterior
VL4_S1, fusi posterior

pro rencana decompresi foraminectomy, stabilisasi posterior, fusi, biopsy

pro laminektomi + Stab post + Fusi

pro. Decompresi + stabilisasi posterior + stabilisasi posterior

pro. Decompresi + stabilisasi posterior

pro. Dekompresi + stabilisasi posterior + biopsi

pro. Stabilisasi posterior + Decompresi VL 2-5 + PLIFVL 3/4 & L4/5 +

Laminectomi + Fusi

Pro. Laminectomi + stabilisasi posterior

Pro. Decompresi PSLD

Pro. Decompresi stabilisasi posterior

Pro. Decompresi + disectomi + biopsi + stabilisasi posterior

Pro Decompresi VL1 + Stabilisasi Posterior

Pro. kyphplasty VL1 + PSLD VL5-S1 sinistra

Pro. Laminectomy, flavectomy, disectomy VL4/5, TLIF, Stabilisasi posterior

VL4_S1, fusi posterior

pro. Biopsy percutaneous VL4/5

Pro. Kyphoplasty V Th 12- L1 + SA joint block

pro Biopsy percutaneous

pro biopsy percutaneous

pro Fascet joint block dengan RF

pro PSLD kiri L5/S1

pro biopsi perkutan

pro foraminal block
Pro. Decompresi VL5 S1 dextra PSLD

Pro. laminektopmi disektomi (PSLD) interlaminar dx

Pro. saran dercompresi, koreksi defprmity, kyphosis , osteotomi, PSO, stabilisasi

posterior, fusi, biopsy antrior mesh cage + Fusi ( thoracophenicolumbotomy)
( thoracophenicolumbotomi)
pro rekonstruksi skoliosis

Pro Rekonstruksi

Pro Rekonstruksi

pro. THR

pro. arthrodesis ankle + TKR

pro removal implant

Pro thr dx
Pro. usul revisi distal fixation cemented bipolar arthroplasty long stem + big
acedtabular cup cage acetabulum
pro laminectomy decompresi +stabilisasi posterior + fusi
 No Telepon Tanggal disetujui Anastesi 1
+6282177117619
8/19/2022
+6282188714466
+6285921610893
3/6/2023
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belum acc anastesi
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+6285267171034 3/6/2023
+6285766661961
local anastesi
+6282186860964

1/26/2023

3/2/2023
+628995830559
+6285384053632 2/7/2023
+6285159914115

+6281373704050
+6285896245455
10/13/2022
+6285783307065
+6288269241463 11/11/2022
+6282379822055
1/17/2022
+6285273374917
+6281272084941
9/22/2022
+6282258117233
+6282179680515
10/10/2022
+6282377900217
082179583998
2/24/2023
08127347414
belum acc anastesi
belum acc anastesi
085268289711
2/21/2023
0895411951351
082384396555
2/9/2023
087796666331
087795500705
2/9/2023
081373365703
081368513669
2/9/2023
0895351782677
 1/26/2023

1/12/2023

085366956239
3/7/2023
085369538484
08228224770
4/21/2022
082280783288
6/17/2022
4/8/2022
082373273195
9/12/2022
085348178102
081271352239
9/19/2022
083192462881
085284289882
9/27/2022
08985646400
089638920840
9/15/2022
089267025893
082185550002
9/15/2022
085267019555
085214093305
9/28/2022
085383911974
+6285297260902 10/13/2022
081315954335
12/27/2022
082176362413

1/12/2023

belum acc anastesi

+6282180071839 1/9/2023

1/9/2023

082185600717
3/7/2023
085368728310
081367500758
local anastesi
082183288327
081958383355
1/31/2023
08174140649
11/18/2022
+6285337740737 10/13/2022

12/15/2022

12/14/2022

+6282184981741 belum acc anastesi

082179680515
10/10/2022
082377900217
+62895621388670 10/13/2022
082175358941
2/3/2023
082282482120
082286815063
belum acc anastesi
085383899869
+6285256251919 belum acc anastesi
+628998788747 8/29/2022
belum acc anastesi

belum acc anastesi

Tanggal disetujui Anastesi 2

3/13/2023

3/14/2023

3/15/2023

belum acc anastesi

belum acc anastesi

belum acc anastesi

belum acc anastesi

belum acc anastesi

belum acc anastesi

belum acc anastesi

rujuk RSCM
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