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Division of Spinal Service

  Spine surgery is the key service of Beijing DCN Orthopaedic Hospital. Instructed by Prof.Geng-Ting Dang, a leading scholar of spine surgery in China, Division of Spinal Service has become a professional and academic team of high standard, integrating drug treatment, nerve block,minimally invasive surgery, interventional procedure, and routine surgery. In combination with the internationalized physical therapy and rehabilitation, a characteristic system of conservative, surgical

  and rehabilitative treatment has been in place, for common spinal degenerative diseases and also spinal sepsis, tumor, and anomaly. The Division also provides consultation and treatment for refractory, complicated and failed surgical case at local hospitals, with a favorable outcome.

  Common spinal diseases:

  1. Cervical spondylosis

  2. Lumbar disc herniation

  3. Spinal stenosis

  4. Lumbar spondylolisthesis

  5. Scoliosis and spinal abnormal

  6. Spinal fracture and injury

  7. Spinal tumor

  Therapeutic Modalities of Spinal Disorders

  Conservative treatment

  1) Epidural injection

  (1) Cervical epidural injection

  Cer vic al epidur al inje c t ion ha s b een successfully used for the treatment of cervical spondylosis complicated with acute disc rupture and nerve root disease, cervical injury syndrome with myofascial pain, cervical pain following laminectomy, reflex sympathetic dystrophy,postoperative nerve pain, acute viral brachial neuritis, and myospasmic headache. Cervical epidural steroid injection is most efficacious for acute disc herniation, definite nerve root symptom, and localized myofascial pain.

  (2) Thoracic epidural injection

  Thoracic epidural steroid injection can attenuate thoracic nerve root pain caused by disc herniation, trauma, diabetic neuropathy, herpes zoster, and idiopathic thoracic nerve pain.

  (3) Lumbar epidural injection

  In the case of nerve root injury complicated with disc herniation or lateral osteotic spinal stenosis, a single successful injection through intervertebral foramen can effectively attenuate the radiating pain of lower limb although its effectis transient, justifying the favorable outcome of surgical treatment for nerve root pain though.For patients refractory to puncture treatment or those suffering from nerve root pain for over 12 months, the surgical outcomes are less favorable.Patients with acute waist and leg pain for less than 3 months respond well to epidural steroid injection.

  2) Facet joint injection

  Facet joint may be the cause of waist pain, in theoretical association with joint interlocking,synovial incarceration, chondromalacia, synovitis,and inflammation and mechanical injury of articular capsule. Osteoarthritis is another causeof articular process pain.

  The facet joint blockage injection is indicated for facet joint associated pain at the discretion of orthopaedic surgeon. The blockage injection of facet joint under fluoroscopy is thought to be the gold standard that identifies or excludes facet joint as the cause of spinal or lower limb pain.

  3) Sacroiliac joint injection

  Sacroiliac dysfunction, also called sacroiliac mechanical pain or sacroiliac joint syndrome, is the most common cause of sacroiliac joint pain. The intra-articular irritative injection will elicit pain whereas the blockage anesthesia can attenuate the symptom, which also establishes the diagnosis of sacroiliac joint pain.

  4) Discography

  Minimally invasive treatment

  (1) Ozone nucleolysis

  In ozone nucleolysis, the imaging guidance allows the minimally invasive puncture to deliver the mixture of oxygen and ozone into intervertebral disc and result in nucleus pulposus dehydration.

  The mechanisms of therapeutic actions are listed as follows:

  1. The oxidization of chemical mediators produced by pain will increase the oxygenation and decrease the inflammation at the disease site.

  2. The improvement in microcirculation and venous congestion will augment the oxygen and blood supply to the compressed site.

  (2) Endoscopic discectomy

  Endoscopic discectomy is a new advanced minimally invasive spine surgery that revolutionizes and improves spine surgery as a safe and effective technical alternative to invasive spine surgery.

  Indications

  1. Patients with initial onset, serious lower limb pain, walking difficulty, and refractory to conservative treatment;

  2. Patients with a long-history and recurrent simple disc herniation that impairs daily work and life but without osteotic spinal stenosis;

  3. Patients with a recurrent simple disc herniation following the discectomy.

  Surgical procedure

  (3) Percutaneous vertebroplasty

  Percutaneous vertebroplasty and kyphoplasty are new techniques in which the percutaneous intervertebral injection of bone cement under the image monitoring is used to treat spinal osteolysis and calcium deficiency. It can attenuate pain, correct kyphosis, improve patients¨quality of life.

 
 
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