Biological approach to support surgery achievment

Abstract

Management of orthopedic cases cannot stand alone. For example, when talking about fracture cases, it must be understood that the problem is not only mechanical, but there are also other problems ranging from physical, chemical, biological to psychotherapy. Likewise, in the case of bones that infected by Mycobacterium tuberculosis (TB spondylitis) with a spinal defect of more than one corpus, then the problem that occurs cannot be overcome only by giving anti-tuberculosis (OAT) or antibiotic drugs, because the patient will experience spinal instability, that if not overcome by mechanical approach with fixation installation, will cause problem such as pain that reduces the quality of life of these patients.