Thursday, February 14, 2019

Osteoporotic compression fracture threatens the spinal health of old age.

A compression fracture means broken bones by the external impact.
In the old age, osteoporosis weakens the bones and there is a high risk of compression fracture,
that’s why much care is necessary. If a compression fracture occurs in the spine and hip joint, it is easy to lose a normal life until you die because you are sick in bed.
 
Photo:Dr. Shih Min,Lee Neurosergeon of Wooridul Spine Hospital

A female, named  Ko 74 years old, started to feel  back pain suddenly after  field work from last autumn. She didn’t fall down or injured so that she was taking rest at home but her pain was getting worse and  worse every. After all she has visited me to appeal for severe radiating pain of left buttock.
After the X-ray examination I found that lumbar 2 was broken.
It is called ‘osteoporotic compression fracture.
Ko was revealed as a patient with osteoporosis who had been treated with injections every three months from three years before the accident.
According to the data from the National Health Insurance Corporation, 855,978 patients in Korea are receiving osteoporosis treatment as of 2016
Due to an aging society, average age of the population is getting higher and the number of osteoporosis patient is also increasing.
Osteoporosis is more common in women than men because of the hormone changes after menopause (estrogen deprivation) and occurrence of the rapid bone absorption.
Therefore, if you are older than 60 years, you should take a bone density test every 1-2 years to evaluate and prevent the risk of compression fracture. Taking calcium and vitamin D helps prevent osteoporosis.
There are calcium-rich foods such as milk, dairy products (cheese, yogurt, milk fermented beverages, etc.) and anchovies. The recommended daily dose of calcium is 800~1000mg, vitamin D is 800 IU.
In addition, regular exercise such as walking fast, proper aerobic exercise, stretching and strength exercise are beneficial for maintaining and strengthening bone density.
Due to cold weather like these days, there is a lack of activity and it is easy to lose momentum. It also depresses the immune system and muscle weakness to elderly people. Furthermore, it is vulnerable to trauma owing to the physical characteristics of elderly people. In many cases, the spine and hip joint bones are broken with compression fracture when they slip on ice, lift the heavy stuffs.
The average age of the patients undergoing surgery for these compression fractures was 70.53. And overwhelmingly 85.69% of them are women.
A total of 20,209 patients who underwent vertebral compression fracture diagnosis and had vertebroplasty at Chungdam Wooridul Hospital from 2000 to 2017 were analyzed.
This means that if you are aged and suffering from low back pain after falling or lifting a heavy object as in the previous example, Ko(f/74), it means that you should not hesitate to visit neurosurgeons or orthopedic specialists.
Anyone who is a specialist can easily detect a moderate compression fracture with a simple X-ray examination. Of course, a slight compression fracture that is not seen in X-ray imaging can be diagnosed by more precise examination such as MRI.
When osteoporotic compression fracture occurs it usually complains of back pain.
However, when the broken vertebral body is pushed backward,
it presses spinal nerve so that stimulates radiating pain of lower extremities, abnormal sensation, lower body paralysis due to muscle weakness.
The treatment is based on the medication therapy for osteoporosis, alongside with that medication treatment of a compression fracture & pain would be done preferentially.
Recently, there are many kinds of osteoporosis medications such as injections that are only injected twice a year, hormones that can be also used directly at home without visiting the hospital. It is convenient to consult with a specialist and choose your own suit.
Under doctor’s consultation you can choose your own treatment in your convenience.
Compression fracture problems are resolved by vertebroplasty if the pain does not diminish after 2 weeks of fixation and medication, or if the degree of injury is worse. Vertebroplasty is a method to fix a fractured site by injecting bone cement using a percutaneous medical syringe at the fracture area. It is one of the most widely used procedures because it is safe even in old age, rare complication, performed under local anesthesia. After the procedure, the patient is discharged the next day and go back to their routine quickly with speedy recovery.

 
 
 
 
 

Tuesday, January 29, 2019

Wooridul Spine Hospital, hand down to endoscopic spinal surgery techniques to Doctors in USA


The president of Wooridul Spine Hospital Dr. Junseouk Bae has instructed endoscopic spinal surgery to American professors at a medical school in San Francisco.

Dr. Junseok Bae was invited as a faculty member and Keynote lecturer about endoscopic spinal surgery &treatment at UCSF( University of California San Francisco) Orthopaedic Trauma Institute.

The 20 participants were from University of California San Francisco medical school & faculty of Stanford medical school and they were trained advanced endoscopic spinal surgery techniques.
The world’s leading spinal experts Dr. Jian Shen from Nathan Littauer Hospital in New York, Dr. Paul Houle Cape Code Hospital in Massachusetts, Dr. Richard Ibrahim from Spine Competence Center Schreiber Clinic in Germany were attended as a faculty members.

Dr. Junseok Bae has compared how to approach Transforminal & Interlamina which is normally performed  endoscopic disc discectomy for the successful surgery and delivered abundant clinical experiences.
Also he performed lumbar decompression Hands-on courses  to adjust real operation site.
American government acknowledged endoscopic laser disc surgery as a standard treatment, and it was covered by medical insurance from 2017. Endoscopic & laser grafted Korean style operation methods is recognized officially for its safety and effect.
Photo:Dr.Junseok Bae(center) is educating American doctors about endoscopic surgery 

Dr. Paul Haul, a well known neurosurgeon, was educated advanced endoscopic surgery in Wooridul Spine Hospital .

Currently, he teaches these new techniques to doctors in Harvard medical school, Brigham.
He said “Korean style spinal surgery is spotlighting in USA. So it accelerates safe and precise treatment include lumbar, cervical which is connected to cranial nerves, thoracic which is spinal canal is very narrow also vital organs are get together. These cutting edge techniques will changing  paradigm of American spinal surgery in the near future.
The president of  Wooridul Spine Hospital Dr. Junseok Bae said " Endoscopic Spine Surgery has just starting in USA,
Currently, 800 spine surgeons from 45 countries have learned medical practices from Wooridul; and they are actively serve patients in their countries. We have very strong self – confidence about spinal surgery and it is recognized from all over the world. So we will devote ourselves to clinical researches and hand down techniques for the medical innovation"





Monday, January 28, 2019

International Medical Textbook has published "Minimally Invasive Spinal Surgery" with 37 year's know-how


Wooridul Spine Hospital has published international medical textbook which is “Minimally Invasive Spinal Surgery” for the first time in U.K on Jan 22nd 2019.
This textbook contains 37 years of research and operation know-how of Wooridul.
Wooridul Spine Health Academy hosted a symposium & presenting each chapter to commemorate historical moment in JeJu island on Jan 12th 2019.
Photo: Chairman of Wooridul,Dr.Sang Ho-Lee(The third in the left side of the front row)
and Wooridul Doctors are taking a commemoration photo in Jeju Wooridul resort.

It has a great significance that Wooridul Spinal Operation Team(Dr. Lee Sang Ho, Dr. Bae Junsuk, Dr. Jon Sang Hyup, Dr. Lee Ho Youn, Dr. Shin Sangha, Dr. Keum Han Jung, Dr. Moon Ki Hyoung, Dr. Jo Ji Young) has introduced advanced & cutting edge surgical technique about Minimally Invasive Spine Surgery in this textbook.

This textbook attracts attentions on public  cause of many world famous surgeons like Orthopedic Dr. Lewanski South Arizona spine surgery center USA, Dr. Shubart Apex spine center in Germany, Prof. Peinburg North Western Medical University USA were participated to share their medical experiences.

As high interesting & attention is increased about ‘Minimally Invasive Spine Surgery’ in America and Europe, international medical publisher ‘JP Medical’ made this project.
It has described basic theory about lumbar, cervical, thoracic and various treatment cases with advanced & new techniques.
Wooridul spine hospital has focused on spinal treatment over 37 yeas and various minimally invasive surgery & treatment has developed until now.
They opened new age of endoscopic laser spine surgery to graft previous endoscopic laser surgery in 1992.


Wednesday, July 11, 2018

The Chairman of Wooridul Spine Hospital, Dr. Sang Ho Lee, was on SBS CNBC Doctor Q: ‘Build a Healthy Spine’


      


On Saturday, June 9, the chairman of Wooridul Spine Hospital, 
Dr. Sang Ho Lee, has appeared on the <Doctor Q, talk about my body> of SBS CNBC in Korea.

                       


<Doctor Q, Talk about my body> is the program 
which introduces best doctors in the medical field. 

The doctors themselves share health information 

and communicate with viewers through counseling. 

Dr. Lee explains spinal diseases and cases to viewers more easily.






There are five symptoms of disk-related backache:
Hard to sit for long time
Do not want to lift heavy objects due to discomfort/pain
Unable to straighten your back right away when you stand up
Severe backache after strenuous exercise or hard work



















Major symptoms of spinal stenosis:
Feel better to sit down. Stand up may cause pain in your back, buttock or leg.
Weakness, heaviness or dullness in your body when you walk
Body aches, electric sensation or heaviness in your leg may occur when you lying down flat.
Unable to walk about 100 meters and take a rest repeatedly














He explained the main symptoms of spinal stenosis 
as well as treatment called ligament reconstruction.





The spinal stenosis can be treated with ligament reconstruction which is one of the cause treatments.


The advantage of ligament reconstruction is 
it does not require blood transfusion, 
bone transplant or screw/artificial bone insertion. 

The patient can walk right away on the operation day.

Ligament Reconstruction

Ø  Method: Under general anesthesia, make around 5cm incision, through the endoscopic view, decompress the nerve with advanced equipment like laser, and tie up between instable spinous process with special ligament made of polyethylene.
Ø  Operation time: 2 hours (The operation time can be changed upon the surgical range.)
Ø  Anesthesia: General




There are a number of phone calls for telephone counseling during this talk show.
Dr. Lee tried to help people 
with spinal disease as possible as he can.





Thursday, June 21, 2018

[Interview] Germany / Renate






I am Renate Jameson, I live in Manila, Philipines.

For the last year, I have had terrible back problems, pain and I was diagnosed cervical problems.

I started to search on the internet and I found Wooridul Hospital in Seoul.  So I wrote to them inquiring whether I would be a suitable candidate for minimally invasive surgery. They wrote back that unfortunately I was not suitable candidate for that procedure but they will do a traditional ACDF procedure which I accepted.

The operation has been a success and I like to thank Dr. Han Joong Keum. My pains were greatly alleviated and I will return to Manila much happier person.

I experience here in Wooridul Hospital has been a very positive one. The staff are efficient and friendly and I think this hospital gives confidence so I would not hesitate to recommend to anybody who has back problems.


[Interview] Indonesia / Hardian








Hello, my name is Hardian. I am from Indonesia.

 I was introduced to this hospital by Dr. Martin Night from the Spine Hospital.

I feel comfortable in here and most important I feel confidence treatment in this hospital.

I was treated and doing surgery for anterior foraminotomy, which release my pain in this shoulder, both and also my arms.

I would recommend this hospital other people especially Indonesian who has same problem with me and will confidence that this doctor and this hospital can treat you well.

And especially for medical staff in this hospital and the one thing I can say 'You are the best'.


Thursday, June 14, 2018

[Guest Book] Golysheva Galina


This is an appreciation letter from a Russian patient who had spine surgery. She had OLD and now she is recovering well!


We hope you are always happy and healthy 💕




Open Laser-assisted Lumbar Discectomy 
Purpose and Effects
Advantages

Ø  To improve low back pain and radiating leg pain
Ø  To prevent from ongoing paralysis


ü  Less bleeding and a smaller incision
ü  Less postoperative pain and complications
ü  Preserve the normal tissue as much as possible

Advantages of Minimally Invasive Surgery

ü  Minimize skin incision
ü  Optimize preservation of the normal tissue
ü  Fast recovery and minimization of aftereffect, recurrence rate and pain
ü  Excellent in an aesthetic point of view since the scar is little

Wednesday, June 13, 2018

حياتي مع مسكنات الآلم لفترة الماضي الأخيرة 36 عاما(My Life with Painkiller for the last 36 years)



 حياتي مع مسكنات الآلم لفترة الماضي الأخيرة 36 عاما



الجنسية : فرنسا

العمر/الجنس : 57سنة/ رجل


تاريخ الجراحة : 2016.04
الاعراض:
الآلم في أسفل ظهر وألم التشنج في الارداف خاصة عندما انحني ظهري للأمام  وكنت اعتمد على مسكنات الآلم منذ 36 سنة الاخيرة
التشخيص:
HLD with radiculopalsty
DDD(Degeneration disc disease)

العلاجات :
Soft stabilization with instraspine L5-S1 [2016.4.18]
PELAN L4-5S1 [2016.4.18]

.
قصتي
2016.6.27
السلام عليكم اسمي فرانسوا من فرنسا.
أصيبت بإصابة في ظهري في L4/5 عندما العب التزلج.
بدأت الآلم المستمرة منذ 36 عاما الماضي ولم أستطيع أن أديرظهري للجانبين وأنحني ظهري للأمام لاتقاط الأشياء من الارض لان شديد الآلم في الظهر,الحوض,الساقين والذراعين
رأيت كثير من الأطباء الفرنسيين ولم أحصل التشخيص بي من الأطباء
ولكن دكتور لي سانغ هو اكتشف مشكلتي بناء على التصوير بالرنين المغناطيسي
وكان ينصح بإجراء العلاج بحد أدنى من الاجتياح تحت التخدير الموضعي
قررت أن آتي إلى كوريا الجنوبية وأرى الدكتور لي
رأيت جميع أطباء في مستشفى ووريدول تجمعوا وتبادلوا رأيهم عن حالتي.
وداخل غرفة العملية استطعت أن اتكلم مع الجراح اذا شعرت بالآلم أو عدم الراحة أثناء العلاج.
لذلك كنت مرتاح جدا أثناء العملية وتمكنت من المشي بعد ساعة من العملية بشكل جيد.
 كان رائع أن ما عندي أي الآلم في ساقين بعد العملية
وجدت جميع الموظفين والكوادر الطبية في مستشفى ووريدول مستعدين لعناية المرضى ويهتمين بعلاج المرضى
انا راضي جدا بزيارة كوريا وبتلقاء علاجي في مستشفى ووريدول








Friday, June 8, 2018

[Interview] A patient from UAE had spine surgery at Wooridul



السلام عليكم


أحب اعرف عن نفسي، أنا المكتوم المطروشي من الامارات, ومرافق لأختي مريضة حصه



نحن هنا مستشفى ووريدول عن طريق الهيئة الصحة في أبوظبي



أول ما وصلنا الجميع كان الموظفين متعاونين جدا



كان المريضة تحس بالالم في العمود الفقري والحمدلله بعد العملية الأمور أصبحت طيبة



 وانا انصح لجميع الناس يعانون من مشاكل العمود الفقري يجؤون مستشفى ووريدول



انها مصنوع من جهود خدمات وخاصة طبية



شكرا


Thursday, June 7, 2018

[Guest Book] Kizenko Roza



This is an appreciation letter from a Russian patient who had spine surgery. She had Mini TLIF PPF surgery and now she is recovering well!


We hope you are always happy and healthy 💕




Transverse Lumbar Interbody Fusion
Percutaneous Posterior Fixation
Purpose and Effects
Advantages

Ø  To improve low back pain, leg pain and spinal instability
Ø  To prevent from ongoing paralysis


ü Low possibility of transfusion
ü Less postoperative pain and complications
ü Short period of hospitalization
Advantages of Minimally Invasive Surgery

ü  Minimize skin incision
ü  Optimize preservation of the normal tissue
ü  Fast recovery and minimization of aftereffect, recurrence rate and pain
ü  Excellent in an aesthetic point of view since the scar is little