How private hospitals’ treatments in Indonesia are supportive towards the environment: A retrospective study

Abstract

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.