Pinched nerves, especially those occurring in the neck, often cause severe pain along with functional disturbances such as tingling and weakness in the hands. In some cases, surgery becomes the best solution to treat this condition. Concerns about the risk of nerve injury during surgery can now be minimized thanks to advanced technology such as Intraoperative Neuro Monitoring (IONM), which is available at RS Mandaya Royal Puri.
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The Importance of Precision in Cervical Spine Surgery
Surgery involving the nerves in the neck is not a simple procedure. This area contains complex and vital nerve structures, requiring a high level of precision in every step.
“Pinched nerves in the neck certainly require thorough preparation. Here at Mandaya Royal Hospital Puri, whenever we perform neck nerve surgery, we always request assistance from IOM or IONM, which stands for Intraoperative Neuro Monitoring,” said dr. Christian Ariono, a neurosurgeon at RS Mandaya Royal Puri.
This approach highlights that every procedure is carried out with high safety standards, including the involvement of a multidisciplinary team.
In practice, neurosurgeons do not work alone. They collaborate with neurologists to ensure that nerve function is preserved throughout the operation.
“I work together with a neurologist, who essentially accompanies me to ensure that the patient’s nerves are not injured or damaged during manipulation in neck surgery,” he added.
This collaboration allows real-time monitoring of nerve function, enabling immediate detection of potential risks.
What Is Intraoperative Neuro Monitoring (IONM)?
Intraoperative Neuro Monitoring (IONM) is a medical technology used to monitor the function of the nervous system in real time during surgery. It works by measuring electrical activity in the nerves, allowing the medical team to continuously assess the patient’s nerve condition.
With IONM, surgeons can immediately detect any disturbances or pressure on the nerves during the procedure.
During surgery, every step that may pose a risk to the nerves is closely monitored.
“When we begin manipulating the nerves, the neurologist and I start communicating. For example, I might say that I’m about to decompress the intervertebral foramen, which is closely related to the nerves going to the arm. If my actions cause any pressure or injury, the neurologist will immediately inform me,” explained dr. Christian Ariono.
This active communication allows the surgical approach to be adjusted promptly to prevent further injury.
Without IONM, nerve damage is often only detected after the patient regains consciousness.
“If we don’t use IONM, there’s a possibility that we only realize there’s nerve damage after the patient wakes up. The patient might then complain of numbness or weakness in the fingers. At that point, it’s already too late.”
This highlights the critical importance of real-time nerve monitoring during surgery.
Advantages of IONM Technology in Neurosurgery
The use of IONM offers several significant benefits in enhancing patient safety, including:
- Real-time monitoring of nerve function during surgery
- Early detection of potential nerve injury
- Reduced risk of postoperative complications such as numbness or weakness
- Increased precision in surgical procedures involving sensitive areas
- Greater sense of safety for both patients and the medical team
With this technology, patient safety is significantly improved.
“Patient safety has truly improved significantly with the use of IONM,” emphasized dr. Christian Ariono.
IONM represents a key innovation in modern neurosurgery, particularly for treating pinched nerves in the neck with minimized risk.
With advanced technology and the collaboration of experienced medical teams, pinched nerve surgery can now be performed more safely and with greater control. If you are experiencing symptoms of a pinched nerve, it is important to consult a healthcare facility equipped with technologies like IONM for optimal treatment.
Profile and Expertise of dr. Christian Ariono
dr. Christian Ariono, Sp.BS, FINSS, FICS, FINPS, is a neurosurgeon experienced in treating pinched nerve conditions. He is also skilled in performing nerve tumor surgeries, managing cerebrovascular disorders, and treating various brain conditions such as meningitis.
Throughout his professional career, he has been an active member of Ikatan Dokter Indonesia (IDI) and Perhimpunan Dokter Spesialis Bedah Saraf Indonesia.
For pinched nerve treatment, dr. Christian performs various procedures, ranging from arthrospine techniques to Anterior Cervical Discectomy and Fusion (ACDF).
Practice Schedule
dr. Christian Ariono is available at RS Mandaya Royal Puri:
- Monday: 08:00 – 16:00 WIB
- Tuesday: 08:00 – 12:00 WIB
- Wednesday: 08:00 – 16:00 WIB
- Thursday: 08:00 – 16:00 WIB
- Friday: 08:00 – 16:00 WIB
- Saturday: 08:00 – 16:00 WIB
To make your visit more convenient, you can use the WhatsApp Chat feature, Book Appointment service, or the Care Dokter app (available on Google Play and the App Store) to manage appointments, check queue numbers, and access additional information.
The information provided on this page is intended for educational purposes and general reference only, and may not represent all medical services offered by each doctor. For appropriate treatment based on your condition, it is recommended to consult directly with the doctor.
If you have any questions, suggestions, or need further information, please contact our call center at 0811-1900-2000.
