VIVA – Spine

Communication and Ethic

Case 1
F, 18 y.o., with the chief complaint of crooked back since 5 years ago. There was no history of
pain and weakness of the upper and lower extremity.
 Questions
1. What is the diagnosis of this patient?
2. Please do it in Bahasa, how do you explain the patient’s
condition to her parent?
 EXAMINER’S GUIDE

Literature:

Weinstein SL, Dolan LA, Cheng JCY, Danielsson A, Morcuende JA.

Adolescent idiopathic scoliosis. Lancet 2008;371:1527-37.

Slattery C, Verma K. Classifications in brief: the Lenke Classification for

adolescent idiopathic scoliosis. Clin Orthop Relat Res 2018;476:2271-2276.
1. What is the diagnosis of this patient?
Diagnosis of the patient is Adolescent Idiopathic Scoliosis Lenke IA (+)
2. Please do it in Bahasa, how do you explain the patient’s treatment
to her parent?
Treatment of choice (Observation, Orthoses and Operation)
Case 2
F, 56 y.o., with the chief complaint of discomfort sensation and pain in her neck. Patient was
diagnosed with Burst pathologic fracture of the 3rd - 4th cervical spine Frankel D. The patient had
a history of cervical surgery 5 months ago by a Neurosurgeon in Bekasi.
 Questions
1. Considering the patient’s condition and previous history of
treatment, based on ethical value how do you manage
the patient?
 EXAMINER’S GUIDE

Literature:
Benson, et al. 2014. Ethical Orthopaedics (EFORT)
Jones and Barlett Learning, LLC. 2013. Medical, Legal, and Ethical issues.
1. Based on ethical value how do you manage the
patient? (please Explain In Bahasa)
a. Beneficence – Bringing about good.
b. Nonmaleficence – Preventing harm, to do no harm.
c. Autonomy – Self-reliance, independence, liberty rights, individual choice,
freedom of will.
d. Justice – Acting with fairness or equity.