Tesis

Perubahan Posisi Konus Medularis Letak Rendah Pada Pasien Spina Bifida Pasca Rekonstruksi di Rumah Sakit Cipto Mangunkusumo Periode Mei 2015 – Mei 2016 = Change of Low-lying Medullary Cone Position in Patients With Spina Bifida After Reconstruction in Cipto Mangunkusumo Hospital Period May 2015 – May 2016.

Evaluasi pasca operasi spina bifida dengan konus medularis letak rendah yang termasuk di dalamnya penilaian tentang kenaikan konus medularis. Studi retrospektif, periode Mei 2015- Mei 2016. Terdapat delapan pasien spina bifida dengan konus medularis letak rendah yang menjalani operasi. 6 pasien (75%) yang mengalami perubahan letak konus medularis pasca operasi. Kenaikan konus medularis hingga L2, di dapatkan pada 1 pasien usia pra sekolah. Pemeriksaan MRI vertebrae lebih 6 bulan pasca operasi menunjukan kenaikan konus medularis 2-3 level pada kebanyakan pasien . Faktor usia saat operasi dan waktu pemeriksaan radiologis pasca operasi memiliki pengaruh terhadap perubahan konus medularis.
Kata Kunci: Spina Bifida, Konus Medularis Letak Rendah, Rekonstruksi


Post surgery evaluation for spina bifida with low-lying medullary cone includes measurement of medullary cone’s position.A retrospective study from May 2015 to May 2016. There were 8 patients with low-lying medullary cone who had surgery. Six patients (75%) had a changing of medullary cone’s level after surgery. The ascent of conus medullaris level to L2 was found in 1 patient pre school age group. The MRI assessment after 6 months showed the ascent of medullary cone 2 to 3 levels in most patients. Age at surgery and the time of radiological examination after surgery affects the changing of medullary cone’s position.
Key Words: Spina Bifida, Low Lying Medullary Cone, Reconstruction