Medical Korea

Spine

Why Spine in Korea

01 Global Positioning Of Korea In Terms Of Treatment And Surgery For
Degenerative Spinal Diseases open
- Korea is the leading country in the minimally invasive spine surgery, which is an advanced type of spine surgery and treatment.
  
  The largest number of articles was from China (30.15%), followed by South Korea (28.68%), the USA (13.97%), Germany (9.31%), and Japan (4.90%).
Source

Research Articles Published by European Spine Journal (2020) 29:153-160.
02 Success Rate of Surgeries for Degenerative Spinal Diseases open
Low recurrence and reoperation rates
- Lumbar Herniated Disc Recurrence Rate
  - Transforaminal Endoscopic Lumbar Discectomy : 4.2%
  - Open Microdiscectomy : 3.3%
- Spinal Stenosis Reoperation Rate
  - Fusion : 5.9%
  - Decompression 4.0%
- Patients Satisfaction : 90%
Source

Ahn Y, Lee SG, Son S, Keum HJ. Pain Physician. 2019 May;22(3):295-304.

Kim SK, Park SW, Lim BC, Lee SC. J Neurol Surg A Cent Eur Neurosurg. 2020 Sep;81(5):392-398

Hyun SJ, Jung JM. J Korean Neurosurg Soc. 2018 Nov;61(6):661-668
03 Success Rate of Scoliosis Surgery open
- Success rate of scoliosis surgery
  - 80% - 90% for Idiopathic Scoliosis
  Average admission period
  - About Five Days
  Readmission rate within five years
  - Less than 3%
Source

SmartCare ‘Spine’ (KHIDI, 2017)
04 World-Class Level of The Number of Spines Surgeries open
- According to the main surgery statistical yearbook from Korean National Health Insurance Service, the total number ofspine surgery was increased from 92,390 in 2004 to 174,868 in 2019.
Source

Research articles published by Korean spine surgeons. J Clin Neurosci 2017;36:6-11.

2019 statistics of the National Health Insurance Service

Advanced Treatment

01 Minimally Invasive Spine Surgery (MISS) for Degenerative Spinal Disease open
- Degenerative spinal diseases are pathologic degenerative changes progress in the relevant structures due to continuous use of spinal segments
  
  Research in the field of MISS has made great progress in recent years Treatment and surgery for degenerative spinal disease
Clinical Symptoms

Severe Pain, Neurological Damage Because of Nerve Compression
Clinical Treatment
Nonsurgical Treatments : Pharmacotherapy, Injection, and Exercises Surgical

Treatments : Microscopic Spine Surgery and Minimally Invasive Spine Surgery (Endoscopic Surgery)
Total of 39 Countries Contributed to the MISS Research
- Total of 408 articles were identified between 1997 and 2018
  - China (30.15%)
  - Korea (28.68%)
  - USA (13.97%)
  - Germany (9.31%)
  - Japan (4.90%)
- Highest h-index articles
  - Korea (23)
  - USA (18)
  - Germany (16)
  - China (11)
  - Japan (7)
Source

Research paper. Spine (Phila Pa 1976). 2017 Nov 15;42(22):1717-1722.
02 UBE(Unilateral biportal endoscope) surgery open
- Lumbar fusion surgery is a treatment option for lumbar degenerative disease, such as segmental instability. Currently, various types of minimally invasive spine surgeries have been attempted to treat lumbar degenerative disease. Recently, spinal endoscopic surgeries have been attempted in the field of lumbar decompression and fusion surgery.
  
  Among them, UBE surgery is in the spotlight, and Korean spine surgeons have developed a new surgical method and published it as a thesis. The following are some of the studies in which Korean neurosurgeons introduced these surgical methods and presented the results of the same surgical methods.
- - - A: Preoperative lateral radiograph showing degenerative spondylolisthesis with disc space narrowing at L3–4.
    - B: Postoperative lateral simple radiograph after fully endoscopic lumbar interbody fusion.
    - C: Sagittal CT image obtained 14 months postoperatively, showing interbody fusion.
  Source
  
  Research paper. Neurosurgical focus, 2017, 43.2: E8.
- - - A: Equipment used in unilateral biportal endoscopic decompression. A 0° 4-mm-diameter arthroscope.
    - B: Specially designed dissector for exposure of the interlaminar space and serial dilators.
  Source
  
  Research paper. Journal of Neurosurgery: Spine, 2016, 24.4: 602-607.