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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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
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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
A scene where the cervical disc is trimmed with an endoscopic laser
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
Advantages of Endoscopic Annuloplasty
- No complication of hoarse voice
- 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 Treatment Time is 45Minute
- Success Rate is over 90%
- Average Hospitalization is 1day
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1
- 1Anterior minimally invasive approaches for the cervical spine
SCI-level international journals on endoscopic cervical annuloplasty written by Wooridul Doctors
Treatment Cases
Stage 38 Stages of Tailored Spine Treatmentsat Wooridul Spine Hospital
No scar and no complication of hoarse voice
Endoscopic Cervical Decompression
Unlike open surgery in which the skin is incised, the disc is completely removed, and an artificial disc is inserted, it is a micro procedure that does not require bone fusion surgery by selectively removing the herniated disc fragment only and preserving the normal disc tissues.
Therefore, this treatment is available for elderly and diabetic patients as well.
No scars left after surgery
Advantages of Endoscopic Laser Decompression
- No complication of hoarse voice
- No spinal epidural hemorrhage
- No need for artificial disc or bone fusion
- Almost no recurrence, short treatment time
- Fast return to daily life
- Safe treatment for elderly and diabetic patients
- Average Treatment Time is 1hour
- Success Rate is over 90%
- Average Hospitalization is 1day
- 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
SCI-level international journals on endoscopic cervical decompression written by Wooridul Doctors
Treatment Cases
Stage 48 Stages of Tailored Spine Treatmentsat Wooridul Spine Hospital
A surgical method that preserves normal tissues with minimal scar
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.
Advantages of Microscopic Laser Decompression
- No bone cut, short treatment time (about 1~2 hours)
- Minimally invasive technique, almost no scars
- Minimalized damage to surrounding normal tissues
- Short hospitalization, fast return to daily life
- Average Hospitalization is 4~5days
- Average treatment time is 50~60minutes
- 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
SCI-level international journals on cervical foraminotomy written by Wooridul Doctors
Treatment Cases
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Before Surgery
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After Surgery
Stage 58 Stages of Tailored Spine Treatmentsat Wooridul Spine Hospital
To maintain your free movement 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.
Advantages and Caution of Artificial Disc Replacement
Average Hospitalization is 4~5days
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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
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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
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After Surgery
Stage 68 Stages of Tailored Spine Treatmentsat Wooridul Spine Hospital
The most common surgery for degenerative cervical disc disorder
Anterior Cervical Discectomy and Fusion
This is a surgery that completely removes the disc between the cervical vertebrae and inserts an artificial bone (autologous bone) into the space.
Since it is difficult to stably fix the artificial bone between the bones, connecting plates and screws are inserted to prevent loosening.
Advantages of Anterior Cervical Discectomy and Fusion
- Stabilized the cervical instability
- Possible to treat severe disc herniation and degenerative disc diseases with anterior approach
- Possible to correct the curved cervical spine including kyphosis
- Safe surgery as the nerves do not need to shift
- Average Hospitalization is 4~5days
Treatment Cases
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Before Surgery
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After Surgery