Spine
Spinal tumors
Spinal cancer includes all types of tumors of the spine and spinal cord, both primary and metastatic. The main symptom is lumbalgia.

Diagnostics
If during the neurological examination there is a suspicion of a spinal tumor,
then an MRI or CT scan is prescribed.

Treatment
The main goal of treatment is complete removal of the tumor. When choosing a surgical method, the age, general health of the patient, the type of tumor, primary or metastatic tumor, etc. are taken into account.

If a benign tumor is small, does not increase and does not compress adjacent tissues, then dynamic monitoring is carried out at the first stages of treatment. If the tumor is malignant, surgery, radiotherapy and drug therapy are necessary.

Cost of diagnosis and treatment: 35.000.000 - 37.000.000 won
Intervertebral hernia
An intervertebral hernia is a pathological protrusion of the intervertebral disc into the spinal canal, which causes neurological symptoms and lumbalgia.
Hernia diagnosis is carried out by examination and X-ray examination.

Diagnostics
Diagnostic methods: X-ray of the spine, MRI of the spine. Despite the fact that intervertebral hernias are not visualized during X-ray examination, this examination is mandatory, because it is carried out for the purpose of differential diagnosis.

Treatment
Methods of treatment: symptomatic treatment (taking anti-inflammatory and painkillers, traction treatment, ultrasound, electrophoresis, massage, wearing a corset, percutaneous electrical stimulation, epidural steroid injection, physical therapy), surgical treatment.

Indications for surgery are: the absence of a positive result after symptomatic treatment carried out for 6-12 weeks, pain that cannot be tolerated, paresis of the lower extremities, violation of urination and defecation.
Ankylosing spondylitis
Bekhterev's disease (ankylosing spondylitis) is a rheumatic disease of the joints of the spine,
expressed in inflammation of the ligamentous apparatus of the spine and the formation of ankylosis.
In most cases, the sacroiliac joint and the lumbar spine are affected, however, with the progression of the disease, other departments may also be involved.

Diagnostics
Diagnostic methods: spine X-ray, bone scintigraphy, CT, MRI, blood test for HLA-B27 antigen.

Treatment
Maintaining correct posture, physical therapy, medical treatment (nonsteroidal anti-inflammatory drugs, salicylate, antirheumatic drugs, methotrexate, corticosteroids), surgical treatment (osteotomy, joint replacement).

Cost of diagnosis and treatment: 2,300,000 + treatment
Spinal canal stenosis
Spinal canal stenosis is a narrowing of the central spinal canal, lateral pocket or intervertebral foramen, which leads to the appearance of lumbar pain and various neurological symptoms of the lower extremities.

Diagnostics
Diagnostic methods: X-ray of the spine, myelography, nucleography (X-ray examination of the intervertebral disc), CT, MRI, EMG.

Treatment
Methods of treatment: symptomatic treatment from 3 weeks to 3 months (physiotherapy,
posture correction, traction therapy, drug therapy, physical therapy to strengthen the muscles of the back, wearing a corset, blockade), surgical treatment.

Cost of diagnosis and treatment: 14.000.000 - 33.000.000 won"
Scoliosis
A normal spine in the frontal plane should be straight, in the sagittal plane it should have four physiological bends.

Scoliosis is a pathological condition in which the spine is curved to the right or left.
There is also a lateral curvature, accompanied by rotational deformation of the vertebral bodies.

The most common among adolescents is idiopathic scoliosis, which is characterized by the absence of symptoms. In rare cases, patients complain of pain in the lumbar spine. However, lumbar pain is not a specific symptom of scoliosis and the frequency of their occurrence is not associated with either the site of curvature, nor with the degree of curvature, nor with the degree of degenerative spondoloarthritis. So, for example, pain may be completely absent with scoliosis with an angle of 80 degrees and have a pronounced character with a scoliosis angle of 20 degrees.

​If the angle of scoliosis is less than 70-80 degrees, then in most cases there are no symptoms.
An angle of more than 80 degrees can lead to a gradual decrease in lung function, in particular, the vital capacity of the lungs. At 90-100 degrees, shortness of breath may occur during physical exertion, and with an angle of scoliosis over 120 degrees, a pulmonary heart.

Diagnostics
Radiography of the spine, MRI of the spine, spirometry (to measure the vital capacity of the lungs). With congenital scoliosis and related pathology of the heart, kidneys and other organs, ultrasound of the heart, ultrasound of the abdominal cavity is performed.

Treatment
The purpose of treatment for mild scoliosis is to prevent its progression. Treatment of moderate and severe scoliosis is carried out in order to eliminate the deformation and maintain the condition of the spine after correction.
And also to achieve an aesthetic effect and normalization of organ functions.

Methods of treatment: observation, corsetotherapy, surgical treatment.

Cost of diagnosis and treatment: 27.000.000 -32.000.000 won"
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