C3–C4 pinched nerve neck surgery is a highly complex neurosurgical procedure with significant risks. Even a minor error during surgery can lead to serious consequences, ranging from nerve dysfunction to paralysis. For this reason, Mandaya Royal Puri Hospital utilizes intraoperative neuromonitoring (IOM) technology to enhance patient safety throughout the surgical process. This technology is operated by dr. Nurul Fadli, Sp.N, a neurologist at Mandaya Royal Puri Hospital who is experienced and specially trained in the use of IOM.
“When we perform nerve monitoring during surgery, or what we call intraoperative neuromonitoring (IOM), we can directly assess whether there is any nerve damage or not,” explained dr. Fadli.
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Severe C3–C4 Pinched Nerve Condition
In this case, the patient experienced severe nerve compression at the C3–C4 level, resulting in weakness in both arms and both legs. This condition occurred because the cervical disc had significantly compressed the nerve, making ACDF (Anterior Cervical Discectomy and Fusion) surgery necessary to replace the damaged disc and relieve pressure on the nerve.
The procedure was performed by dr. Christian Ariono, Sp.BS, a neurosurgeon at Mandaya Puri Hospital, with full support from the neurology team to ensure the safety of the patient’s nerve function throughout the operation.
The Important Role of IOM Technology in Neurosurgery
IOM technology functions as a real-time nerve monitoring system during surgery. With this technology, the patient’s nerve function can be continuously observed, significantly reducing the risk of nerve injury.
dr. Fadli explained, “If the surgeon touches the nerve or comes too close to it, it will appear on the monitoring system, allowing us to warn the operator to avoid potentially dangerous actions.”
With early warnings provided by the IOM system, surgeons can immediately adjust their surgical approach to maintain safety and precision, especially in the neck area, which is highly sensitive and vital.
Pinched nerve neck surgery with IOM technology at Mandaya Puri Hospital is carried out through close collaboration between neurosurgeons and neurologists. During the procedure, the neurologist monitors the patient’s nerve signals, while the neurosurgeon focuses on correcting the cervical bone structure and disc abnormalities.
This collaborative approach is one of the key factors in improving surgical success rates while minimizing the risk of postoperative complications.
Surgical Outcomes and Patient Recovery
After undergoing ACDF surgery with IOM support, the patient showed significant improvement. Movement in the arms and legs gradually returned, and other symptoms caused by nerve compression continued to improve. This outcome demonstrates that proper management of C3–C4 pinched nerve conditions using advanced technology can deliver optimal results for patients.
With the implementation of IOM technology, Mandaya Puri Hospital reinforces its commitment to providing safer, more precise, and high-standard neurosurgical services. This technology plays a crucial role in pinched nerve neck surgery, particularly in complex cases such as C3–C4, which carry a high risk to mobility and overall quality of life.
Profiles and Expertise of dr. Christian and dr. Fadli at Mandaya Puri Hospital
Below are the profiles and areas of expertise of dr. Christian and dr. Fadli at Mandaya Puri Hospital:
1. dr. Christian Ariono, Sp.BS, FICS
dr. Christian Ariono, Sp.BS, FICS is a neurosurgeon with extensive experience in treating various pinched nerve cases, particularly in the neck and spine. He is also highly skilled in nerve tumor surgery, management of cerebral vascular disorders, and other neurological diseases, including meningitis.
As a member of the Indonesian Medical Association (IDI) and the Indonesian Society of Neurosurgeons (PERSPEBSI), dr. Christian is proficient in a wide range of modern neurosurgical techniques, from arthrospine procedures to ACDF surgery for highly complex pinched nerve cases.
dr. Christian Ariono, Sp.BS, FICS practices at Mandaya Royal Puri Hospital with the following schedule:
- 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
2. dr. Nurul Fadli, Sp.N
dr. Nurul Fadli, Sp.N is a neurologist practicing in West Jakarta and serving patients at Mandaya Royal Puri Hospital. He has specialized expertise in electromyography (EMG) and electroencephalography (EEG) examinations, which are used to evaluate nerve function and brain electrical activity.
Through EMG and EEG examinations, dr. Nurul Fadli plays an important role in establishing accurate diagnoses for various neurological conditions, including pinched nerves, epilepsy, and neuromuscular disorders such as myasthenia gravis, allowing patients to receive more precise and targeted treatment.
dr. Nurul Fadli, Sp.N is available at Mandaya Royal Puri Hospital on the following schedule:
- Monday: 18:00 – 20:00 WIB
- Wednesday: 18:00 – 20:00 WIB
- Friday: 17:00 – 20:00 WIB
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