Brachial plexus injury is known to be one of the most serious upper limb injuries, causes paralysis of the upper limbs and changes in activity of daily living, with the consequence disruption of activity of daily living, socio-economic problems, depression, and hopelessness. Management must be done properly. The evaluation and examination consist of detailed anamnesis on chronological events, complete physical examination, imaging studies, and electrophysiology study. Management can be done nonsurgically and surgically. Knowledge of the history of injury, timing of surgery, priority in restoring function, and managing patient expectations are important concepts in treating patient with brachial plexus injury. Timing is a very important thing. The results of these interventions vary depending on several parameters. Recognizing the basic principles of managing brachial plexus injuries is indispensable for all clinicians who treat these injuries.

Background: Spinal stenosis is a narrowing of the vertebral canal that compresses spinal nerves and may cause leg pain and difficulty walking. The symptoms of degenerative lumbar stenosis commonly occur in elderly adults and can be treated conservatively with pain-relieving agents or aggressively with decompressive surgery. However, studies on the effectiveness of steroid epidural injection (EPI) on reducing pain in patients with degenerative lumbar stenosis in Indonesia are lacking. This study aimed to evaluate the short-term effect of the steroid epidural injection method on the reduction of pain and disability in patients with degenerative lumbar stenosis.

Background: Magnetic Ressonance Imaging (MRI) is one of modality to diagnosed lumbar spinal stenosis (LSS) however there were some mismatch between the degree of canal stenosis to functional score of LSS. There are some methods to measure the degree of canal stenosis, on of them is Schizas Score. To asses functional score of patients with LSS, there are some tools can be used. Oswesstry Disability Index (ODI) and Neurogenic Claudication Outcome Score (NCOS) are questionnaire commonly used in LSS. This study aimed to analyze the correlation between the degree of stenosis grading using Schizas Score to the degree of disability using ODI score and Neurogenic Claudication using NCOS.

Tuberculosa represent of orthopaedic challenge, a disease caused by Mycobacterium tuberculosis, one of the most common problem in the developing countries. Indonesia the most TB contributing country. Tuberculosa a Multi-Systemic Disease with Intra Pulmoner or Extra Pulmoner Tuberculosa manifest, One of the Extra Pulmoner Tuberculosa form is musculoskeletal TB, involvement as for spondylitis TB. This study aimed to evaluated Spondylitis TB profile and for database for next study at RSO Prof. DR. R Soeharso dan RSU. Dr. Moewardi Surakarta. The retrospective study included all patients diagnosed with Spondylitis tuberculosa with operative treatment in Prof. Dr. R. Soeharso Orthopaedic Hospital Surakarta from January 2017 to Desember 2017. This research was conducted by gathering patients’ data and evaluating them based on neurological post-operative with ASIA Score. Seventy-five patient with Spondylitis tuberculosa, 54 patients was treated in RSO Prof. dr. R. Soeharso, and 21 patients was treated in RSU dr. Moewardi. There are 35 male (%), and 40 female (%), with average 35 years old. With involved region of Spondylitis tuberculosa are 5 patient Cervical spine, 22 patient Thoracal spine, 21 patient Lumbar spine, 27 patient Thoracolumbar spine. Most operative treatment are Debridement, laminectomy, posterior stabilization for 47 patient. With good neurological outcome after 3 month are 66 case (89%). Spondylitis tuberculosa majority on adult (productive age) with most predilection on thoracolumbar region. With good outcome on Debridement, laminectomy and stabilization treatment.