Neurosurgically your Back Pain
is caused by various diseases such as Sprain, Disc Bulging/Herniation, Foraminal Disc Herniation, Degenerative Disc Disease, Spinal Stenosis, Spondylolisthesis, Spondylolysis, Fracture, Facet Cyst, Tumor, Scoliosis, etc.
Stage 18 Stages of Tailored Spine Treatmentsat Wooridul Spine Hospital
To treat patients quickly, safely and accurately
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Nerve Block and Muscle Stimulation Therapy
When pain occurs due to a disease in the lumbar or cervical spine, the muscles around the lesion become stiff and it can lead to partial disturbance of blood flow and worsening of pain.
In this case, the stiff muscles need to be released with stimulation, and the ligaments, joints, and nerves need to be treated at the same time so that the pain will be alleviated faster.
Using imaging devices such as ultrasound, C-arm, or CT, the location of the nerve is checked and approached safely. The pain may arise during treatment, so local anesthesia and anti-inflammatory drugs are administered as well as stimulation of the ligaments, muscles and facet joints near the lesion. It is to relieve pain and restore function.
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Injection therapy using x-ray images of the vertebrae
The treatment method introduced for the first time in Korea by the doctor of Wooridul Spine Hospital
CT-image Guided Spine Micro-Therapy
It is a non-surgical pain treatment that does not require an incision to the spinal nerves, discs, ligaments or joints surrounding the nerves.
Through simulation of the area to be treated, we find the best way to reach and perform the treatment precisely. Then, we can safely, quickly and accurately reach the target point for diagnosis and treat the patient.
Various Types of Imaging-Guided Spine Microtherapy
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- CT-Guided-Root Block
- CT-Guided Facet Rhizotomy
- Percutaneous Vertebroplasty, Kyphoplasty
- CT-Guided Aspiration & Biopsy
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- CT-Guided Cyst Removal
- CT-Guided Percutaneous Endoscopic Laser Annuloplasty
- CT-Guided Discogram
Neuroplasty / Neurolysis
It is a therapy to treat compressed nerve and adhesion by safely inserting a special tube (moveable catheter) with a diameter of 1 to 2mm using an imaging device (C-arm, CT-guided).
While moving the catheter, secure space to detach, wash, and release the adhesion.
Nucleoplasty
After local anesthesia, the needle is inserted into the disc using an imaging device.
By applying high-frequency thermal energy, the lesion causing pain inside the nucleus pulposus with abnormalities is removed to block the induction and transmission of pain and relieve nerve compression.
Principles of Nucleoplasty
This treatment is to remove the pain nerve and re-tightening the annulus fibrosus by sending the heat generated by the thermal energy generator through the heat conduction wire and then maintaining the appropriate temperature.
Stage 28 Stages of Tailored Spine Treatmentsat Wooridul Spine Hospital
Preservation of disc in normal condition is the key to endoscopic annuloplasty
Endoscopic Annuloplasty
There are no incisions or cuts in the skin, muscles or vertebrae.
A thin endoscopic tube (about 2.5mm in diameter) like a chopstick is inserted into the skin and selectively treat only the lesion in the posterior annulus fibrosus.
The important role of intervertebral disc
When endoscopic annuloplasty is required
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Surgical view: A thin endoscopic tube is inserted and treat the posterior annulus fibrosis with a laser.
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The endoscope tube is only 2.5mm in diameter, there is no scars after the procedure.
Advantages of Endoscopic Annuloplasty
- No cuts in vertebrae
- Almost no incision
- Less risk of complication and sequela
- Fast recovery and return to daily life
- Preservation of normal disc and maintaining disc function
- Average Hospitalization is 1day
- Average Treatment Time is 45 minutes
- 1Percutaneous endoscopic laser annuloplasty for discogenic low back pain
- 2Percutaneous Endoscopic Intra-Annular Subligamentous Herniotomy for Large Central Disc Herniation
- 3Clinical efficacy of percutaneous endoscopic lumbar annuloplasty and nucleoplasty for treatment of patients with discogenic low back pain
- 4Percutaneous Endoscopic Laser Annuloplasty for an LPGA Golfer with Discogenic Low Back Pain due to the Annular Tear Syndrome
SCI-level international journals on endoscopic annuloplasty written by Wooridul Doctors
Treatment cases
Stage 38 Stages of Tailored Spine Treatmentsat Wooridul Spine Hospital
To preserve healthy disc without damage!
Endoscopic Laser Decompression
It is a 'causal treatment' that overcomes the limitations of conservative therapy and a 'minimally invasive spine surgery' that overcomes the risks of open spine surgery.
Without incision or bone cut, a thin endoscopic tube (about 6 mm in diameter) is inserted through the skin.
Using endoscopic laser and high-frequency heat, only pathological disc fragments that protrude into or out of the annulus fibrosis are treated while preserving the discs in normal condition.
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Without incisions or cuts in the skin and muscles, a thin endoscopic tube (about 6mm in diameter) is inserted.
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A. Only the lesional disc is contracted with a laser through the endoscope
B. Only the lesional annulus fibrosus is selectively treated with high-frequency heat through the endoscope
When causal treatment is needed
- If conservative treatment fails for 3 months
- If there is weakness in ankle or toe
- If you have motor or sensory problem
- If you have sign of paraplegia or urinary incontinence
Advantages of Endoscopic Laser Decompression
- Performed under local anesthesia (possible for elderly and diabetic patients)
- Minimally invasive technique, almost no scars
- No neural adhesion after surgery by preserving ligaments and nerves
- No blood transfusion required, fast return to daily life
- Treat not only leg radiating pain but also lower back pain
- Preserve normal discs and remove only herniated disc fragments
- Average Hospitalization is 1day
- Average Treatment Time is 50~60minutes
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![[text book] Endoscopic Spine Surgery_second edition](/assets/en/images/medical/waist3_thesis1.jpg)
- 1[text book] Endoscopic Spine Surgery_second edition
Text Book on endoscopic laser decompression written by Wooridul Doctors
Treatment cases
Stage 48 Stages of Tailored Spine Treatmentsat Wooridul Spine Hospital
To preserve healthy disc without damage!
Endoscopic Decompression for Stenosis
This is an endoscopic procedure that can treat spinal stenosis with 2 micro-incisions using an endoscope.
The stenosis is treated using an endoscope through two small incisions.
Advantages of Endoscopic Decompression for Stenosis
- Minimally invasive technique, almost no scars
- No neural adhesion after surgery by preserving ligaments and nerves
- No blood transfusion required, fast return to daily life
- Treat not only leg radiating pain but also lower back pain
- Preserve normal discs and remove only herniated disc fragments
- Average Hospitalization is 4~5day
- Average Treatment Time is 50~60minutes
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1
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- 1Percutaneous endoscopic decompression for lumbar spinal stenosis
- 2Biportal Endoscopic Lumbar Decompression for Lumbar Disk Herniation and Spinal Canal Stenosis: A Technical Note
SCI-level international journals on endoscopic decompression for stenosis written by Wooridul Doctors
Treatment cases
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Before Procedure
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After Procedure
Stage 48 Stages of Tailored Spine Treatmentsat Wooridul Spine Hospital
To preserve healthy disc and remove herniated fragment only!
Microscopic Lumbar Decompression
It is a treatment that preserves the normal tissue as much as possible with a minimal scar.
Using a microscope, the laser is precisely shot so it does not damage the normal spine, dura mater, nucleus pulposus, annulus fibrosus, and posterior longitudinal ligament, thereby decreasing the possibility of postoperative complications.
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When a herniated disc compresses a nerve root, it can cause back or leg pain.
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The laser is fine enough to make a 0.3mm diameter mark between fingerprints
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Fingerprint magnified under a microscope
The endoscopic spine treatment, which Wooridul Spine Hospital developed for the first time in Korea and achieved a generational shift in minimally invasive spine surgery, is the 3rd generation endoscopic procedure.
Advantages of Microscopic Laser Decompression
- Preserve normal discs as much as possible, The prognosis of surgery is good
- Performed under general anesthesia (possible for elderly and diabetic patients)
- Minimally invasive technique, almost no scars
- Less pain after surgery, fast recovery and return to daily life
- Average Hospitalization is 1week
- Average Treatment Time is 1~2hours
- Success Rate is about95%
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1
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- 1Comparative Radiologic Evaluation of Percutaneous Endoscopic Lumbar Discectomy and Open Microdisectomy
- 2Open Lumbar Microdiscectomy and Posterolateral Endoscopic Lumbar Discectomy for Antero- and Retrospondylolisthesis
SCI-level international journals on microdiscectomy written by Wooridul Doctors
Treatment cases
Stage 58 Stages of Tailored Spine Treatmentsat Wooridul Spine Hospital
Without cutting the bones!
We can expect a quick recovery as it preserves spinal joints and saves nerves with minimal incision while stabilizing the spine.
Ligament Reconstruction
Through posterior approach under general anesthesia, cut the skin within 5cm and decompress the nerve using the latest equipment such as a laser under a surgical microscope, and then use a special ligament made of polyethylene to firmly tie the instability between the spinous processes of the spine.
Artificial Ligament
Over time, artificial ligaments turns into your own ligaments, become as strong as your own and preserves normal tissues as much as possible.
Main Cause of Spinal Stenosis: V-shaped Ligament
Diagnosis of spinal stenosis
When causal treatment is needed
- If conservative treatment fails
- If non-surgical procedure fails
- If MR myelography shows a blocked nerve
- If you have sign of paraplegia, urinary incontinence or muscular atrophy
Advantages of Microscopic Laser Decompression
- Decompress the nerves, stabilize the spine
- No blood transfusion required, fast return to daily life
- Almost no sequela
- Almost no recurrence
- Preserve normal spinal joints with minimal incision
- 1Soft stabilization with interspinous artificial ligament for mildly unstable lumbar spinal stenosis
- 2Spinopelvic Alignment After Interspinous Soft Stabilization With a Tension Band System in Grade 1 Degenerative Lumbar Spondylolisthesis
- 3Factors Affecting Clinical Outcomes in Treating Patients With Grade 1 Degenerative Spondylolisthesis Using Interspinous Soft Stabilization With a Tension Band System
SCI-level international journals on ligament reconstruction written by Wooridul Doctors
Treatment cases
Stage 68 Stages of Tailored Spine Treatmentsat Wooridul Spine Hospital
Advanced surgical technique that preserves the normal tissues of the spine without damage
Anterior Lumbar Interbody Fusion
This surgical method is for the patients with anterior spondylolisthesis, in which 1) the disc is removed first with a minimal incision (3~5cm) without any damage to the normal tissues of the back, including bones, muscles, nerves, 2) the bones are aligned, and 3) the artificial bone is inserted and fixed with screws.
This treatment has been spread to the world by Wooridul Spine Hospital and has already been proven as the best spinal fusion by several papers in the US and Europe.
Advantages of Anterior Lumbar Interbody Fusion
- Minimal wound, no blood transfusion required
- No neural adhesion after surgery by preserving ligaments and nerves
- Less pain after surgery, reduced complication
- Minimally invasive technique, inserted screws safely
- 1Minimally invasive anterior lumbar interbody fusion followed by percutaneous pedicle screw fixation for isthmic spondylolisthesis: minimum 5-year follow-up
- 2Anterior bone cement augmentation in anterior lumbar interbody fusion and percutaneous pedicle screw fixation in patients with osteoporosis
- 3Two-level anterior lumbar interbody fusion with percutaneous pedicle screw fixation: a minimum 3-year follow-up study
- 4Microscopic anterior foraminal decompression combined with anterior lumbar interbody fusion
SCI-level international journals on anterior lumbar interbody fusion written by Wooridul Doctors
Treatment Cases
Stage 78 Stages of Tailored Spine Treatmentsat Wooridul Spine Hospital
Advanced surgical technique that preserve the healthy disc without damage
Mini-deformity Surgery
Comprehensive surgery is required when two or more segments are severely collapsing or compressing the nerve due to severe degeneration, trauma, infection, etc.
Multi-level Anterior Lumbar Interbody Fusion, Corpectomy and Fusion
Stage 88 Stages of Tailored Spine Treatmentsat Wooridul Spine Hospital
To correct the angle of the curvature of the spine as much as possible
Deformity Correction Surgery
This surgery is to prevent further curvature of the spine and create a balanced spine when the curve is more than 40°, when daily life is difficult due to severe deformation, or when the appearance is unsightly.
It is a high-level surgical method that can straighten a severely curved spine, and it can be operated safely with little bleeding and step-by-step surgery through collaboration with a spine specialist, general surgeon and thoracic surgeon.
Establishing a treatment plan with EOS Imaging System
Advantages of Deformity Correction
- Able to correct the curved spine
- Accurate diagnosis and correction with advance equipment, EOS imaging system
- Reduced operation time significantly with team surgery system consisted of more than 3 specialists
- Average Hospitalization is 1week
- 1Lateral interbody fusion combined with open posterior surgery for adult spinal deformity
- 2Decision Making Algorithm for Adult Spinal Deformity Surgery
- 3Comparative analysis of 3 surgical strategies for adult spinal deformity with mild to moderate sagittal imbalance
- 4Does correction of preoperative coronal imbalance make a difference in outcomes of adult patients with deformity?
SCI-level international journals on anterior lumbar interbody fusion written by Wooridul Doctors
Treatment Cases
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Before Surgery
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After Surgery
Corrected the curved spine from 125° to 70° after deformity correction
16-year-old female patient who developed severe scoliosis after treatment with alternative therapies
Accreditation of Spine Specialty Hospital by the Korean Ministry of Health and Welfare
Healthcare Accreditation by the Korean Ministry of Health and Welfare
Healthcare Provider Certification for International Patients by the Korean Ministry of Health and Welfare
Top 10 World’s Best Hospitals for Medical Tourists
30 Most Technologically Advanced Hospitals in the World
The World’s Best Smart Spine Hospital 2021 selected by Newsweek
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