Ligament Reconstruction for Spine

As an aging society progresses, the number of elderly patients suffering from degenerative spinal diseases is increasing rapidly. Accordingly, fusion surgery, which was considered as a gold standard treatment for patients with severe disc degeneration, is gradually showing it's limits. In elderly patients, the incidence of pseudoarthrosis, instrument failure, and ASD increases after fusion surgery due to naturally accompanying osteoporosis. Therefore, the reality is that many elderly patients are living with pain only with medication without undergoing surgery despite having spinal disease that requires surgery. The 'Ligament Reconstruction' covered in this book is a new treatment that can cure these patients, and it is a groundbreaking surgical method that can perform soft stabilization with sufficient nerve decompression. In particular, it is thought that elderly patients diagnosed with multiple spinal canal stenosis will be freed from pain with this new surgical method. This book introduces the pathophysiology of spinal stenosis, the characteristics of Sagittal and Horizontal (SH) ligament, and various methods of surgery using SH Ligament.

Introduces ligament reconstruction, offering a less invasive alternative to traditional fusion surgery Focuses on elderly patients with complex spinal conditions Provides an in-depth understanding of spinal pathophysiology and surgical methods

Autorentext

Sang-Ho Lee, MD, PhD

Dr. Sang-Ho Lee is the founder of Wooridul Spine Hospital and a renowned spine specialist who has pioneered and advanced state-of-the-art minimally invasive spinal surgery for over four decades. He developed endoscopic spine surgery, successfully extending its application beyond the lumbar spine to cervical and thoracic disc diseases. He is also recognized as a pioneer in the development of advanced surgical techniques, particularly in spine ligament reconstruction.

Sang-Ha Shin, MD

Dr. Sang-Ha Shin, a neurosurgeon, serves as President of Wooridul Spine Hospital in Seoul, where he is devoted to clinical work, academic research, and medical education. Through numerous endoscopic and spinal stenosis surgeries, he has accumulated extensive clinical experience. In 2025, he served as President of the Spine Health Academy, contributing to the advancement of global spine care through numerous publications, conference presentations, and textbook authorship. As Director of the Wooridul International Minimally Invasive Spine Surgery Program, he is also committed to training the next generation of spine specialists and disseminating the latest surgical innovations worldwide.

Junseok Bae, MD

Dr. Junseok Bae is Honorary President of Wooridul Spine Hospital in Seoul, where he also directs the Research Center. His clinical and academic focus is on minimally invasive and endoscopic spine surgery, and he contributes actively to education, research, and editorial work, including as Executive Editor of Neurospine. He is a member of several professional societies, including the Scoliosis Research Society (SRS), the International Society for the Study of the Lumbar Spine (ISSLS), the Society for Minimally Invasive Spine Surgery Asia-Pacific (SMISS AP), the Korean Minimally Invasive Spine Surgery Society (KOMISS), and the Korean Society of Endoscopic Spine Surgery (KOSESS), through which he continues to support the advancement of spine care nationally and internationally.

Shin-Jae Kim, MD

Dr. Shin-Jae Kim is Director of the International Healthcare Center and Chair of the Social Contribution Committee at Wooridul Spine Hospital in Seoul. He earned his medical degree and Master of Medicine from Chung-Ang University, where he also completed his internship and neurosurgery residency, and he is board-certified in neurosurgery.

Inhalt

Part I. Introduction.- Chapter 1. Pathophysiology of lumbar spinal stenosis.- Chapter 2. Clinical presentation of lumbar spinal stenosis.- Chapter 3. Radiologic evaluation of lumbar spinal stenosis.- Chapter 4. Anatomical considerations of the lumbar spine for ligament reconstruction.- Chapter 5. Historical consideration of the soft lumbar stabilization.- Chapter 6. Biomechanical evaluation of soft lumbar stabilization.- Chapter 7. Surgical technique for ligament reconstruction using Sagittal and Horizontal (SH) ligament.- Chapter 8. Application of ligament reconstruction in combination with interlaminar or interspinous device.- Chapter 9. Polyethylene terephthalate as an artificial ligament and it's various medical application.- Chapter 10. Clinical outcomes of ligament reconstruction.

Part II. Various decompression technique combined with ligament reconstruction.- Chapter 11. Microscopic open midline decompression.- Chapter 12. Bilateral partial hemi-laminectomy.- Chapter 13. Unilateral laminotomy for bilateral decompression.- Chapter 14. Unilateral biportal endoscopic decompression.- Chapter 15. Full endoscopic interlaminar decompression

Part III. Recently expanded clinical indications of the ligament reconstruction.- Chapter 16. Multi-level lumbar spinal stenosis.- Chapter 17. Spinal stenosis at lumbo-sacral junction.- Chapter 18. Usefulness to prevent adjacent segment disease following fusion surgery.- Chapter 19. Baastrup's disease and adjacent spondylolysis.- Chapter 20. Degenerative disc disease.- Chapter 21. Combination with laminoplasty for spinal tumor.- Chapter 22. Adjuvant surgery for degenerative kyphosis.- Chapter 23. Proximal soft landing in multi-segment fusion surgery.

Part IV. Complication and its management of ligament reconstruction.- Chapter 24. Postoperative infection.- Chapter 25. Postoperative hematoma.- Chapter 26. Spinous process fracture.- Chapter 27. Allergic reaction.- Chapter 28. Delayed CSF leakage.- Chapter 29. Facet synovial cyst.