• 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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  Safe injection therapy using high-resolution CT equipment that clearly shows the cross-section of the vertebrae and information on nerves and blood vessels.

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

• • CT-Guided-Root Block
  • CT-Guided Facet Rhizotomy
  • Percutaneous Vertebroplasty, Kyphoplasty
  • CT-Guided Aspiration & Biopsy
• • CT-Guided Cyst Removal
  • CT-Guided Percutaneous Endoscopic Laser Annuloplasty
  • CT-Guided Discogram

• Progression of Neuroplasty
  
• Advantages of Neuroplasty
  • Short operation time and day care treatment
  • No scars because a thin tube like an injection needle is used
  • Able to immediately return to daily life a day after the procedure
  • Almost no risk of nerve damage

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.

Endoscopic Annuloplasty (Cervical)

It safely treats only the lesion without damaging the spinal nerve using a endoscope.
A thin endoscopic tube (about 2.5mm in diameter) is inserted into the skin and selectively treat only the lesion in the posterior annulus fibrosus.

The important role of intervertebral disc

• A scene where the cervical disc is being reduced with an endoscopic laser
  

  The three lines are for laser, endoscope, and saline cleaning, and these are contained in a single line of an endoscopic laser with a diameter of 1.5 mm.

• No scars after the procedure
  

Treatment Cases

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• • Before Procedure
    
  • After Procedure
    

  61-year-old female patient complaining of neck and shoulder pain

• • Before Procedure
    
  • After Procedure
    

  52-year-old female patient complaining of neck pain

• To selectively remove the herniated disc fragment only and preserve the normal disc tissue
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  ‘Percutaneous Cervical Decompression’ that selectively treats only the lesion using a 4mm diameter endoscopic tube

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No scars left after surgery

• Before endoscopic cervical procedure
  
• After endoscopic cervical procedure
  

• 1
• 2
• 3

• 1Clinical and Radiographic Changes After Percutaneous Endoscopic Cervical Discectomy: A Long-Term Follow-Up
• 2Percutaneous endoscopic cervical discectomy for discogenic cervical headache due to soft disc herniation
• 3Percutaneous endoscopic cervical discectomy: clinical outcome and radiographic changes

Treatment Cases

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• • Before Procedure
    
  • After Procedure
    

  36-year-old male patient complaining of radiculopathy

• • Before Procedure
    
  • After Procedure
    

  63-year-old female patient who maintains the disc height without recurrence for 19 years

Microscopic Cervical Foraminotomy
(Microscopic Laser Disc Surgery)

It is a surgical method that preserves the normal tissue as much as possible with a minimal scar. The herniated disc fragment is removed and the laser is shot precisely to vaporize the herniated disc fragment, bony spine and thickened ligaments that compress the nerves.
Instead of removing the entire disc from the front of the neck, the ruptured disc fragment can be removed under a microscope by making a small hole about 1 cm in the cervical vertebra.

• The laser is fine enough to make a mark between fingerprints
  
• Fingerprint magnified under a microscope
  

• Minimally Invasive Spinal Surgery

  The laser is fine enough to make a 0.3mm diameter mark between fingerprints from a 400mm distance.

• 1
• 2
• 3

• 1Laser-Assisted Posterior Cervical Foraminotomy and Discectomy for Lateral and Foraminal Cervical Disc Herniation
• 2Effective cervical decompression by the posterior cervical foraminotomy without discectomy
• 3Comparison of Anterior Cervical Foraminotomy and Posterior Cervical Foraminotomy for Treating Single Level Unilateral Cervical Radiculopathy

Treatment Cases

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• Before Surgery
  
• After Surgery
  

Artificial Disc Replacement (ADR)

As with cervical spinal fusion, it is the same to completely remove the disc between the bones, but it is a surgical method that a moving artificial disc is inserted instead of artificial bone to reproduce the role of the disc and maintains its movement.

• ADR (Artificial Disc Replacement) that Maintains Movement
  
• Indication of ADR
  • Cervical OPLL
  • Cervical Disc Herniation
  • Cervical Spinal Stenosis
  • Cervical Foraminal Stenosis
  • Cervical Myelopathy

Advantages and Caution of Artificial Disc Replacement

• Advantages
  • Maintain spinal movement
  • Less complication due to implants
  • Almost no recurrence
  • Short hospitalization, fast return to daily life
  • No need to wear neck brace for long time
  • Small incision
• Caution
  • The surgery is limited in cases of severe instability or aggravation of diseases.
  • If it is accompanied by other diseases besides degenerative changes, a larger (fusion) surgery may be required.

Treatment Cases

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• Before Surgery
  
• After Surgery
  

• ACDF (Anterior Cervical Discectomy and Fusion) that Eliminates the Problems
  
• Indication of ACDF
  • Cervical OPLL
  • Cervical Traumatic Injury
  • Cervical Myelopathy
  • Patients with abnormal health conditions (infection, rheumatoid arthritis, cervical spondylosis)
  • Patients with neoplastic tumors accompanied by pathological fractures or incomplete neurological damage

Treatment Cases

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• Before Surgery
  
• After Surgery