World's First Anterior Cage Insertion Surgery with Vertebral Rear Approach Announced
Jan 06, 2025
Professor Cho Dae-jin of Neurosurgery at Gangdong Kyunghee University Hospital (Director Lee Woo-in) announced the world's first method of inserting an anterior cage through a posterior approach in adult spinal surgery. It was published in the November issue of the world-renowned international journal Clinical Fine Surgery.
Published by Professor Cho Dae-jin's team (Professor Bae Sung-soo, Professor Ahn Jae-beom, and Professor Choi Ui-don), 'Anterior Column Support With Anterior Lumbar Interbody Fusion Cage Through Posterior Approach Maneuver. A Technical Note and Premier Radiologic Report' is the world's first study on the method of anterior cage insertion surgery through posterior transit fusion in adult spinal surgery.
Spinal fusion is the most commonly performed surgical method for stable spinal structure establishment and surgical success during spinal degenerative disease and spinal deformation surgery. For complete union after surgery, it can be performed with various disk approaches depending on the pathology and deformation condition of the spine and the underlying disease of the patient. Typical examples include ▲ anterior lumbar fusion (ALIF), ▲ posterior lumbar fusion (PLIF), ▲ lateral lumbar fusion (DLIF), ▲ intervertebral lumbar fusion (TLIF), and ▲ inclined lumbar fusion (OLIF).
Among them, ▲ inclined lumbar fusion (OLIF), anterior transit surgical method in adult spinal deformities, is one of the most widely used surgical methods. Large interbody grafts can be used, which has a great advantage in improving correction and prenatal care of the sagittal and coronary surfaces. However, there was a risk of developing various complications during the surgery of the 5th lumbar vertebrae.
They include peritoneal rupture during surgery, lumbar plexus and sensory nerve damage, abdominal vascular damage, ureteral trauma or intestinal damage, postoperative abdominal wall hernia, and retrograde ejaculation occurring in men. In particular, if there is pathological obesity, past abdominal surgery, history of radiation therapy, and anatomical vascular mutations, the existing posterior approaches, such as ▲ posterior lumbar fusion (PLIF) or ▲ intervertebral lumbar fusion (TLIF), are inevitably used as the next best option.
Professor Cho Dae-jin's team (Professor Bae Sung-soo, Professor Ahn Jae-beom, and Professor Choi Ui-don) announced a new surgical method that improved the existing rear approach surgery method in their paper. Through the posterior approach, we succeeded in transplanting a large trunk graft, an anterior cage, into the front part of the vertebral body without nerve damage.
Professor Cho Dae-jin's team was able to reduce surgery time and reduce complications while maintaining the advantages of anterior diesel fusion.
Although it is a surgery through a posterior approach, it has achieved similar surgical results to anterior diesel fusion. In particular, the cage used in the new surgical method was developed by Professor Cho Dae-jin for front surgery, which is characterized by a large area of the cage itself and having various angles. Professor Cho Dae-jin's team has been able to insert an anterior cage through a rear approach through the new surgical method, and it is expected to be a groundbreaking alternative for patients who cannot perform anterior transit surgery in the future.
Professor Cho Dae-jin said "The advantages of anterior diesel fusion are well known in cases where fusion is required in adult spinal surgery. If the new surgical method is applied to patients with risk factors in the forward transit surgical method, even if abdominal surgery is not performed, we can expect sufficiently good results while avoiding anxiety union and complications" he said.
Professor Cho Dae-jin's team previously tried five-bar anterior fusion for adult spinal deformity (crotch disease) patients for the first time, and published the first paper on nephrotic osteotomy and nephrotic surgery in tuberculous epigastric (cubular disease) patients. In spinal deformation surgery, a surgical method using a sacral hook was performed, and he has been steadily studying spinal deformation and spinal reoperation.
Meanwhile, Professor Cho Dae-jin served as the director of surgery at Gangdong Kyunghee University Hospital and is currently the director of neurosurgery. Due to its active external activities, he is also active in various academic societies, including the finance director of the Korean Society of Vertebral Neurosurgery, the academic director of the Korean Society of Vertebral Deformation, the chairman of the Korean Society of Vertebral Deformation and Member at Large Korea, and also serves as a research planning advisor to the Korea Institute of Health and Medical Sciences, an advisor to the Korea Health Insurance Review and Assessment Service, and a member of the Health Insurance Professional Evaluation Committee (member of the Ministry of Health and Welfare).
Published by Professor Cho Dae-jin's team (Professor Bae Sung-soo, Professor Ahn Jae-beom, and Professor Choi Ui-don), 'Anterior Column Support With Anterior Lumbar Interbody Fusion Cage Through Posterior Approach Maneuver. A Technical Note and Premier Radiologic Report' is the world's first study on the method of anterior cage insertion surgery through posterior transit fusion in adult spinal surgery.
Spinal fusion is the most commonly performed surgical method for stable spinal structure establishment and surgical success during spinal degenerative disease and spinal deformation surgery. For complete union after surgery, it can be performed with various disk approaches depending on the pathology and deformation condition of the spine and the underlying disease of the patient. Typical examples include ▲ anterior lumbar fusion (ALIF), ▲ posterior lumbar fusion (PLIF), ▲ lateral lumbar fusion (DLIF), ▲ intervertebral lumbar fusion (TLIF), and ▲ inclined lumbar fusion (OLIF).
Among them, ▲ inclined lumbar fusion (OLIF), anterior transit surgical method in adult spinal deformities, is one of the most widely used surgical methods. Large interbody grafts can be used, which has a great advantage in improving correction and prenatal care of the sagittal and coronary surfaces. However, there was a risk of developing various complications during the surgery of the 5th lumbar vertebrae.
They include peritoneal rupture during surgery, lumbar plexus and sensory nerve damage, abdominal vascular damage, ureteral trauma or intestinal damage, postoperative abdominal wall hernia, and retrograde ejaculation occurring in men. In particular, if there is pathological obesity, past abdominal surgery, history of radiation therapy, and anatomical vascular mutations, the existing posterior approaches, such as ▲ posterior lumbar fusion (PLIF) or ▲ intervertebral lumbar fusion (TLIF), are inevitably used as the next best option.
Professor Cho Dae-jin's team (Professor Bae Sung-soo, Professor Ahn Jae-beom, and Professor Choi Ui-don) announced a new surgical method that improved the existing rear approach surgery method in their paper. Through the posterior approach, we succeeded in transplanting a large trunk graft, an anterior cage, into the front part of the vertebral body without nerve damage.
Professor Cho Dae-jin's team was able to reduce surgery time and reduce complications while maintaining the advantages of anterior diesel fusion.
Although it is a surgery through a posterior approach, it has achieved similar surgical results to anterior diesel fusion. In particular, the cage used in the new surgical method was developed by Professor Cho Dae-jin for front surgery, which is characterized by a large area of the cage itself and having various angles. Professor Cho Dae-jin's team has been able to insert an anterior cage through a rear approach through the new surgical method, and it is expected to be a groundbreaking alternative for patients who cannot perform anterior transit surgery in the future.
Professor Cho Dae-jin said "The advantages of anterior diesel fusion are well known in cases where fusion is required in adult spinal surgery. If the new surgical method is applied to patients with risk factors in the forward transit surgical method, even if abdominal surgery is not performed, we can expect sufficiently good results while avoiding anxiety union and complications" he said.
Professor Cho Dae-jin's team previously tried five-bar anterior fusion for adult spinal deformity (crotch disease) patients for the first time, and published the first paper on nephrotic osteotomy and nephrotic surgery in tuberculous epigastric (cubular disease) patients. In spinal deformation surgery, a surgical method using a sacral hook was performed, and he has been steadily studying spinal deformation and spinal reoperation.
Meanwhile, Professor Cho Dae-jin served as the director of surgery at Gangdong Kyunghee University Hospital and is currently the director of neurosurgery. Due to its active external activities, he is also active in various academic societies, including the finance director of the Korean Society of Vertebral Neurosurgery, the academic director of the Korean Society of Vertebral Deformation, the chairman of the Korean Society of Vertebral Deformation and Member at Large Korea, and also serves as a research planning advisor to the Korea Institute of Health and Medical Sciences, an advisor to the Korea Health Insurance Review and Assessment Service, and a member of the Health Insurance Professional Evaluation Committee (member of the Ministry of Health and Welfare).
|
This article was translated by Naver AI translator.
