Ifran Saleh - Academia.edu (original) (raw)

Papers by Ifran Saleh

International Journal of Surgery Case Reports

Journal of Medical Case Reports

EFORT Open Reviews

Purpose Patients undergoing major orthopedic surgeries, such as total hip replacement (THR), tota... more Purpose Patients undergoing major orthopedic surgeries, such as total hip replacement (THR), total knee replacement (TKR), and trauma surgery, are at an elevated risk of venous thromboembolism (VTE), causing significant morbidity and mortality. Previous studies have investigated aspirin as a thromboprophylactic agent for arthroplasty, besides trauma surgery. Therefore, we sought to analyze the efficacy of aspirin compared to that of other anticoagulants for VTE prophylaxis in patients undergoing major orthopedic surgeries. Methods This study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The study protocol was registered with the PROSPERO register. Randomized controlled trials that investigated the use of aspirin for thromboprophylaxis in major orthopedic lower limb surgeries were included and analyzed. Quality analysis of the literature and level of evidence were assessed. The primary clinical outcome was VTE. ...

Open Access Macedonian Journal of Medical Sciences

Backgrounds. Microscopic decompression (MD) has been widely used as an alternative to open decomp... more Backgrounds. Microscopic decompression (MD) has been widely used as an alternative to open decompression. Lately, biportal endoscopic spinal surgery (BESS) - a new approach in minimal-invasive spinal surgery – has also been used with good results. Although both groups can achieve adequate lumbar decompression, there is still a lack of evidence regarding their comparison. We aim to compare the outcomes of both techniques in a one-year follow-up. Methods. This is a retrospective study in 100 consecutive patients with symptomatic lumbar spine compression due to herniated nucleus pulposus (HNP) and lumbar canal stenosis (LCS) that was treated by either BESS or MD. Clinical evaluations using Visual Analog Score (VAS), Oswestry Disability Index (ODI), and SF-36 questionnaire were obtained. Objective data such as surgery duration, amount of postoperative drain production, and hospital length of stay were collected. Complications were noted throughout the follow-up time. Results. The BESS ...

Orthopedic Research and Reviews

Until now, the spondylolisthesis reduction technique has relied on posterior instrumentation usin... more Until now, the spondylolisthesis reduction technique has relied on posterior instrumentation using long arm pedicle screws. In this way, the segments will be brought into alignment with the other vertebrae with the pedicle mats being tightened. The aim of this study is to acknowledge whether reduction surgery for degenerative lumbar spondylolisthesis (DLS) using long arm pedicle screws is able to correct the listhesis and spinopelvic parameters. Methods: We carried out a retrospective study of patients with degenerative lumbar spondylolisthesis who went through reduction surgery using long arm pedicle screws in our institutions from January 2019 to March 2022. Preoperative and postoperative radiological outcomes consisting of listhesis and spinopelvic parameters were assessed. Results: We found a statistical difference between the magnitude of listhesis immediately after surgery and preoperatively (p<0.001), with a successful correction of 85.85%. There was significant decrease in the value of pelvic tilt (p=0.044) and increase in the value of sacral slope (p=0.008) after surgery. Conclusion: Reduction surgery using long arm pedicle screws for DLS was able to reduce the listhesis effectively up to 85.5%, and also to restore the parts of spinopelvic parameters, the pelvic tilt and sacral slope, approaching normal values.

Instituto de Derecho Publico Arturo M. Bas, 2008

The study aimed to identify the practice of servant leadership of school principals in Kuwait fro... more The study aimed to identify the practice of servant leadership of school principals in Kuwait from their teachers' perspectives and its relation to their job satisfaction. The current study followed the descriptive approach. The tool of this study is the Organizational Leadership Assessment (OLA) which consisted of (41) items. The study sample included (794) teachers in public schools in Kuwait. The study results are as following:  Teachers' perspectives toward servant leadership practiced is in moderate levels. Based on six categories of servant leadership, building community ranked first, followed by providing leadership, valuing others, developing people, displaying authenticity, and shares leadership.  Teachers expressed a high level of job satisfaction.  A statistically significant positive correlation was found between school principal servant leadership practices from teachers' perspectives and teachers' job satisfaction.  No differences were found in teachers' perspectives toward school principals servant leadership due to their years of experiences.

International Journal of Surgery Case Reports

Advances in Orthopedics

Background. The purpose of this study was to evaluate the feasibility of the virtual clinic for o... more Background. The purpose of this study was to evaluate the feasibility of the virtual clinic for outpatient follow-up care after TKR surgery. Methods. A total of 546 TKR surgeries were performed from January 2017 to December 2019. 30 patients were not able to go the hospital for routine follow-up. The data collections were taken for age, gender, year of surgery, functional score (Oxford Knee Score (OKS)), and active range of motion (ROM). The virtual clinic was conducted with the physician assistant and the operating surgeon via WhatsApp video call (WhatsApp Inc., Mountain View, California, USA) or Zoom (Zoom Video Communications, Inc., San Jose, California, USA). Result. The average follow-up period was 39.1 months. The earliest follow-up was 20 months, while the longest follow-up was 97 months. The average OKS score was 45. The average consultation time for the virtual clinic is 9 minutes 21 seconds. Most of the patients were satisfied with the online consultation, with only two pa...

The Journal of Indonesian Orthopaedic & Traumatology, Aug 20, 2018

Orthopedic Research and Reviews, 2022

Background The cantilever method is a standard for two-dimensional deformity correction, as in sp... more Background The cantilever method is a standard for two-dimensional deformity correction, as in spondylitis tuberculosis kyphotic deformity. An accurate and secured pedicle screw placement as part of the correction tools is essential to accommodate reduction while preventing screw-related complications. Many literatures have described the pedicle screw misplacement in cases with “normal” bone quality (ie, scoliosis, Scheuermann’s kyphosis, ankylosing spondylitis, trauma) or in the obviously abnormal bone such as osteoporosis. However, to our knowledge, the pedicle screw accuracy in cases of deformity correction of tuberculous kyphosis was not previously reported. Methods This is a retrospective study of 168 pedicle screws in 14 consecutive cases of spondylitis tuberculosis with kyphotic deformity. The cantilever reduction method with freehand screw insertion technique was done in all cases to correct the deformity. Postoperative computed tomography (CT) evaluation was done to evaluat...

Journal of Southeast Asian Medical Research, 2020

Scoliosis in Marfan syndrome is a common occurrence, constituting up to 63% prevalence. Correctio... more Scoliosis in Marfan syndrome is a common occurrence, constituting up to 63% prevalence. Correction is not always easy as the structural anatomy differs from the general population. We present a female 23 years old with chief complain of curved back since 10 years before admission. The patient had high stature and positive Marfan syndrome’s criteria. The patient also complained of shortness of breath. The curvature was progressive becoming more severe over time. In radiographs we found that the main thoracic curve Cobb’s angle of 920 and main lumbar curve Cobb’s angle 760. We performed scoliosis correction with pedicle screws and rod by posterior approach. Intra-operative blood loss was 1900 cc. Postoperatively, the patient had weakness at the lower limbs but resolved after several days and gained full motoric function after one week. Severe scoliosis is an indication for surgery to correct the spinal deformity that causes several complications such as pulmonary and cardiac complicat...

Case Studies on Transport Policy, 2021

Annals of Medicine and Surgery, 2020

Medical Journal of Indonesia, 2009

Adult scoliosis is defined as a spinal deformity in a skeletally mature patient with a Cobb angle... more Adult scoliosis is defined as a spinal deformity in a skeletally mature patient with a Cobb angle of more than 10 degrees in the coronal plain. Posterior-only approach with rod and screw corrective manipulation to add strength of contra bending manipulation has correction achievement similar to that obtained by conventional combined anterior release and posterior approach. It also avoids the complications related to the thoracic approach. We reported a case of 25-year-old male adult idiopathic scoliosis with double curve. It consists of main thoracic curve of 150 degrees and lumbar curve of 89 degrees. His curve underwent direct contra bending posterior approach using rod and screw corrective manipulation technique to achieve optimal correction. After surgery the main thoracic Cobb angle becomes 83 degrees and lumbar Cobb angle becomes 40 degrees, with 5 days length of stay and less than 800 mL blood loss during surgery. There is no complaint at two months after surgery; he has alre...

Annals of Medicine and Surgery

Annals of Medicine and Surgery

International Journal of Surgery Case Reports, 2020

Highlights • Both arthrotomy debridement only or followed by total hip replacement could be an op... more Highlights • Both arthrotomy debridement only or followed by total hip replacement could be an option in treating synovial chondromatosis of the hip.• Both treatment option shows a successful outcome by HHS and LEFS questionnaires without any recurrence marks.• Grade of osteoarthritis and patient age can be a distinguish factor for choosing a treatment option.

Introduction. Facet joint, also known as zygapophyseal joint, is considered as an important struc... more Introduction. Facet joint, also known as zygapophyseal joint, is considered as an important structure to play role as one of source of pain in the back that had been recognized since fifth decade ago. Radio frequency is one of treatment modality based on minimal invasive technique for back pain due to pathology of facet joint. Unfortunately, radiofrequency does not give permanent result, so it must be repeated in certain time. The radiofrequency works by producing heat thus it denervates nerve at facet joint. This heat can also destroy surrounding tissues, such as cartilage of facet joint that will further lead to source of back pain. The purpose of this research to evaluate and compare histology changes of facet joint nerve and cartilage of sheep that performed radiofrequency for different time and exposure. Material and methods. This is an experimental study that uses six sheeps as animal trial test. Radiofrequency was applied for 60 and 120 seconds for immediate, three and six we...

Introduction: Slipped Capital Femoral Epiphysis (SCFE) is well associated with an underlying endo... more Introduction: Slipped Capital Femoral Epiphysis (SCFE) is well associated with an underlying endocrine pathology. The clinical implication is multiplied: avoiding anesthesia complication in SCFE surgical treatment, assessing the need of prophylactic pinning at contralateral hip, and early detection of underlying disease. This case report will discuss the lessons learned from the management of endocrine-related SCFE with coexisting pituitary tumor, along with the long-term clinical outcome. Methods: A 17-year-old male was diagnosed with unstable SCFE and underwent in situ pinning of the femoral head using 3 cannulated screws. Results: Hormonal examination showed hypogonadism, hyperprolactinemia, and growth hormone deficiency. Brain scan displayed macroadenoma of pituitary gland. Five years later, the patient reported overall satisfaction of the treatment. Conclusion: Clinical manifestation of delayed sexual maturation was the result of deficiency of the sex hormones and also related ...

International Journal of Surgery Case Reports

Journal of Medical Case Reports

EFORT Open Reviews

Purpose Patients undergoing major orthopedic surgeries, such as total hip replacement (THR), tota... more Purpose Patients undergoing major orthopedic surgeries, such as total hip replacement (THR), total knee replacement (TKR), and trauma surgery, are at an elevated risk of venous thromboembolism (VTE), causing significant morbidity and mortality. Previous studies have investigated aspirin as a thromboprophylactic agent for arthroplasty, besides trauma surgery. Therefore, we sought to analyze the efficacy of aspirin compared to that of other anticoagulants for VTE prophylaxis in patients undergoing major orthopedic surgeries. Methods This study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The study protocol was registered with the PROSPERO register. Randomized controlled trials that investigated the use of aspirin for thromboprophylaxis in major orthopedic lower limb surgeries were included and analyzed. Quality analysis of the literature and level of evidence were assessed. The primary clinical outcome was VTE. ...

Open Access Macedonian Journal of Medical Sciences

Backgrounds. Microscopic decompression (MD) has been widely used as an alternative to open decomp... more Backgrounds. Microscopic decompression (MD) has been widely used as an alternative to open decompression. Lately, biportal endoscopic spinal surgery (BESS) - a new approach in minimal-invasive spinal surgery – has also been used with good results. Although both groups can achieve adequate lumbar decompression, there is still a lack of evidence regarding their comparison. We aim to compare the outcomes of both techniques in a one-year follow-up. Methods. This is a retrospective study in 100 consecutive patients with symptomatic lumbar spine compression due to herniated nucleus pulposus (HNP) and lumbar canal stenosis (LCS) that was treated by either BESS or MD. Clinical evaluations using Visual Analog Score (VAS), Oswestry Disability Index (ODI), and SF-36 questionnaire were obtained. Objective data such as surgery duration, amount of postoperative drain production, and hospital length of stay were collected. Complications were noted throughout the follow-up time. Results. The BESS ...

Orthopedic Research and Reviews

Until now, the spondylolisthesis reduction technique has relied on posterior instrumentation usin... more Until now, the spondylolisthesis reduction technique has relied on posterior instrumentation using long arm pedicle screws. In this way, the segments will be brought into alignment with the other vertebrae with the pedicle mats being tightened. The aim of this study is to acknowledge whether reduction surgery for degenerative lumbar spondylolisthesis (DLS) using long arm pedicle screws is able to correct the listhesis and spinopelvic parameters. Methods: We carried out a retrospective study of patients with degenerative lumbar spondylolisthesis who went through reduction surgery using long arm pedicle screws in our institutions from January 2019 to March 2022. Preoperative and postoperative radiological outcomes consisting of listhesis and spinopelvic parameters were assessed. Results: We found a statistical difference between the magnitude of listhesis immediately after surgery and preoperatively (p<0.001), with a successful correction of 85.85%. There was significant decrease in the value of pelvic tilt (p=0.044) and increase in the value of sacral slope (p=0.008) after surgery. Conclusion: Reduction surgery using long arm pedicle screws for DLS was able to reduce the listhesis effectively up to 85.5%, and also to restore the parts of spinopelvic parameters, the pelvic tilt and sacral slope, approaching normal values.

Instituto de Derecho Publico Arturo M. Bas, 2008

The study aimed to identify the practice of servant leadership of school principals in Kuwait fro... more The study aimed to identify the practice of servant leadership of school principals in Kuwait from their teachers' perspectives and its relation to their job satisfaction. The current study followed the descriptive approach. The tool of this study is the Organizational Leadership Assessment (OLA) which consisted of (41) items. The study sample included (794) teachers in public schools in Kuwait. The study results are as following:  Teachers' perspectives toward servant leadership practiced is in moderate levels. Based on six categories of servant leadership, building community ranked first, followed by providing leadership, valuing others, developing people, displaying authenticity, and shares leadership.  Teachers expressed a high level of job satisfaction.  A statistically significant positive correlation was found between school principal servant leadership practices from teachers' perspectives and teachers' job satisfaction.  No differences were found in teachers' perspectives toward school principals servant leadership due to their years of experiences.

International Journal of Surgery Case Reports

Advances in Orthopedics

Background. The purpose of this study was to evaluate the feasibility of the virtual clinic for o... more Background. The purpose of this study was to evaluate the feasibility of the virtual clinic for outpatient follow-up care after TKR surgery. Methods. A total of 546 TKR surgeries were performed from January 2017 to December 2019. 30 patients were not able to go the hospital for routine follow-up. The data collections were taken for age, gender, year of surgery, functional score (Oxford Knee Score (OKS)), and active range of motion (ROM). The virtual clinic was conducted with the physician assistant and the operating surgeon via WhatsApp video call (WhatsApp Inc., Mountain View, California, USA) or Zoom (Zoom Video Communications, Inc., San Jose, California, USA). Result. The average follow-up period was 39.1 months. The earliest follow-up was 20 months, while the longest follow-up was 97 months. The average OKS score was 45. The average consultation time for the virtual clinic is 9 minutes 21 seconds. Most of the patients were satisfied with the online consultation, with only two pa...

The Journal of Indonesian Orthopaedic & Traumatology, Aug 20, 2018

Orthopedic Research and Reviews, 2022

Background The cantilever method is a standard for two-dimensional deformity correction, as in sp... more Background The cantilever method is a standard for two-dimensional deformity correction, as in spondylitis tuberculosis kyphotic deformity. An accurate and secured pedicle screw placement as part of the correction tools is essential to accommodate reduction while preventing screw-related complications. Many literatures have described the pedicle screw misplacement in cases with “normal” bone quality (ie, scoliosis, Scheuermann’s kyphosis, ankylosing spondylitis, trauma) or in the obviously abnormal bone such as osteoporosis. However, to our knowledge, the pedicle screw accuracy in cases of deformity correction of tuberculous kyphosis was not previously reported. Methods This is a retrospective study of 168 pedicle screws in 14 consecutive cases of spondylitis tuberculosis with kyphotic deformity. The cantilever reduction method with freehand screw insertion technique was done in all cases to correct the deformity. Postoperative computed tomography (CT) evaluation was done to evaluat...

Journal of Southeast Asian Medical Research, 2020

Scoliosis in Marfan syndrome is a common occurrence, constituting up to 63% prevalence. Correctio... more Scoliosis in Marfan syndrome is a common occurrence, constituting up to 63% prevalence. Correction is not always easy as the structural anatomy differs from the general population. We present a female 23 years old with chief complain of curved back since 10 years before admission. The patient had high stature and positive Marfan syndrome’s criteria. The patient also complained of shortness of breath. The curvature was progressive becoming more severe over time. In radiographs we found that the main thoracic curve Cobb’s angle of 920 and main lumbar curve Cobb’s angle 760. We performed scoliosis correction with pedicle screws and rod by posterior approach. Intra-operative blood loss was 1900 cc. Postoperatively, the patient had weakness at the lower limbs but resolved after several days and gained full motoric function after one week. Severe scoliosis is an indication for surgery to correct the spinal deformity that causes several complications such as pulmonary and cardiac complicat...

Case Studies on Transport Policy, 2021

Annals of Medicine and Surgery, 2020

Medical Journal of Indonesia, 2009

Adult scoliosis is defined as a spinal deformity in a skeletally mature patient with a Cobb angle... more Adult scoliosis is defined as a spinal deformity in a skeletally mature patient with a Cobb angle of more than 10 degrees in the coronal plain. Posterior-only approach with rod and screw corrective manipulation to add strength of contra bending manipulation has correction achievement similar to that obtained by conventional combined anterior release and posterior approach. It also avoids the complications related to the thoracic approach. We reported a case of 25-year-old male adult idiopathic scoliosis with double curve. It consists of main thoracic curve of 150 degrees and lumbar curve of 89 degrees. His curve underwent direct contra bending posterior approach using rod and screw corrective manipulation technique to achieve optimal correction. After surgery the main thoracic Cobb angle becomes 83 degrees and lumbar Cobb angle becomes 40 degrees, with 5 days length of stay and less than 800 mL blood loss during surgery. There is no complaint at two months after surgery; he has alre...

Annals of Medicine and Surgery

Annals of Medicine and Surgery

International Journal of Surgery Case Reports, 2020

Highlights • Both arthrotomy debridement only or followed by total hip replacement could be an op... more Highlights • Both arthrotomy debridement only or followed by total hip replacement could be an option in treating synovial chondromatosis of the hip.• Both treatment option shows a successful outcome by HHS and LEFS questionnaires without any recurrence marks.• Grade of osteoarthritis and patient age can be a distinguish factor for choosing a treatment option.

Introduction. Facet joint, also known as zygapophyseal joint, is considered as an important struc... more Introduction. Facet joint, also known as zygapophyseal joint, is considered as an important structure to play role as one of source of pain in the back that had been recognized since fifth decade ago. Radio frequency is one of treatment modality based on minimal invasive technique for back pain due to pathology of facet joint. Unfortunately, radiofrequency does not give permanent result, so it must be repeated in certain time. The radiofrequency works by producing heat thus it denervates nerve at facet joint. This heat can also destroy surrounding tissues, such as cartilage of facet joint that will further lead to source of back pain. The purpose of this research to evaluate and compare histology changes of facet joint nerve and cartilage of sheep that performed radiofrequency for different time and exposure. Material and methods. This is an experimental study that uses six sheeps as animal trial test. Radiofrequency was applied for 60 and 120 seconds for immediate, three and six we...

Introduction: Slipped Capital Femoral Epiphysis (SCFE) is well associated with an underlying endo... more Introduction: Slipped Capital Femoral Epiphysis (SCFE) is well associated with an underlying endocrine pathology. The clinical implication is multiplied: avoiding anesthesia complication in SCFE surgical treatment, assessing the need of prophylactic pinning at contralateral hip, and early detection of underlying disease. This case report will discuss the lessons learned from the management of endocrine-related SCFE with coexisting pituitary tumor, along with the long-term clinical outcome. Methods: A 17-year-old male was diagnosed with unstable SCFE and underwent in situ pinning of the femoral head using 3 cannulated screws. Results: Hormonal examination showed hypogonadism, hyperprolactinemia, and growth hormone deficiency. Brain scan displayed macroadenoma of pituitary gland. Five years later, the patient reported overall satisfaction of the treatment. Conclusion: Clinical manifestation of delayed sexual maturation was the result of deficiency of the sex hormones and also related ...