Udayana University Faculty of Medicine Collaborates with APCSS and Prof Ngoerah General Hospital to Perform Live Surgery

The Asia Pacific Cervical Spine Society (APCSS) held its 16th regular annual meeting at the Bali Nusa Dua Convention Center (BNDCC), Nusa Dua, Bali on 9-11 March 2023. The meeting with the theme "Spinal Plastic Reconstruction: The New Frontier?" holding Live Surgery as one of the events in its series of activities. In carrying out this Live Surgery, APCSS collaborated with Prof. Hospital. Dr. I.G.N.G. Ngoerah Denpasar, Neurosurgery Specialist Study Program, Faculty of Medicine, Udayana University, and Reconstructive Plastic and Aesthetic Surgery Study Program, Faculty of Medicine, Udayana University.

This Live Surgery activity was held on Thursday, March 9 2023, by inviting Reconstructive and Aesthetic Plastic Surgeons from the Mayo Clinic, Arizona, USA; Edward Reece, MD, MS, EMBA, FACS; Sebastian Winocour, MD, MSc, FACS; Rene D. Largo, MD together with Prof. Dr. dr. Tjokorda Gde Bagus Mahadewa, Sp.BS, Subsp. TB and Dr. dr. I Nyoman Putu Riasa, Sp.B.P.R.E., Subsp.L.B.L.(K) in handling cases of Cervical Nucleus Pulposus Herniation. Spinoplasty is a new breakthrough in the treatment of spinal surgery patients by providing Vascularized Bone Graft as a fusion material, which is considered to increase the success rate of surgery in patients with high risks such as degenerative and malignancy.

The case shown in the live surgery is a degenerative case at C3-6 level. Laminectomy and stabilization of fusion with a lateral mass screw at level C3-6 was performed by the Neurosurgery Team at Prof. Dr. Hospital. I.G.N.G Ngoerah. Furthermore, the spinoplasty procedure was carried out by the Plastic Surgery Team, which was led by Edward Reece, MD, MS, EMBA, FACS in collaboration with the Prof. RSUP Team. Dr. I.G.N.G. Ngoerah Plastic Surgery using a vascularized bone graft from the occipital.

The two instructors explained and demonstrated very good and clear techniques, so that the APCSS series participants could listen to and understand these actions. It is hoped that the existence of Live Surgery can increase innovation and choice of surgical techniques on the spine, especially in patients with risk factors so as to provide a better outcome.