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With Precision Spine Surgery and Digitized Intelligent System, Kuang Tien General Hospital Reconstructs Patient Mobility

Kuang Tien General Hospital's Neurosurgery Department is the first to develop a medical PDA Kuang Tien General Hospital intelligent monitoring system which allows coordination of all steps of the surgery to provide knowledge of the operation status to all relevant parties and facilitate the procedure.

With Precision Spine Surgery and Digitized Intelligent System, Kuang Tien General Hospital Reconstructs Patient Mobility
"All the important nerves and blood vessels run through the spine, so spine surgery has its risks. (In general, the risk of nerve damage during a spine surgery is as high as 30%). This is why everywhere in the world, techniques for spine surgery is developing toward higher precision, better safety, and smaller opening for a faster recovery," said Dr. Tzu-Yung Chen, an authority figure in neurosurgery in Taiwan, and President of the Shalu Branch of Kuang Tien General Hospital.

In Taiwan, about 100,000 people suffer from degenerative spine problems and require treatment every year, and 1 in 8 men or 1 in 5 women over the age of 65 have had vertebral fracture caused by osteoporosis. In recent years, spine surgery has advanced toward becoming minimally invasive, with more consideration for the balance of the spinal column during movement. Kuang Tien General Hospital's Neurosurgery Department introduced the Renaissance System in 2015, which allows doctors to perform minimally invasive surgery with ultra-high precision using 3D computer guidance to avoid permanent nerve damage. It is the only system of its kind in Central Taiwan (Taiwan has 4 such systems). A total of 350 successful surgeries have been performed with the Renaissance System at Kuang Tien General Hospital, the third most in Asia, with more high-difficulty surgeries than other hospitals. The Renaissance System allows doctors to perform a variety of spine surgeries with a posterior approach by combining 3D navigation and scanning software with a robotic arm. Possible surgeries include bone screw insertion by open or minimally invasive surgery, bone cement injection, which is common for osteoporotic fractures, and spine tumor surgery with localization. Using the Renaissance System allows finding the insertion location of instruments with 100% accuracy to prevent complications, decreases bleeding, cuts down surgery duration, and reduces infections. Most importantly, it allows the muscles supporting the spine to remain functional, allowing the patient to resume normal activities sooner. As many as 35,000 implants around the world have been placed perfectly using the Renaissance System, which has earned a reputation in the medical field as the ticket to rebirth for patients of spine injury.

Kuang Tien General Hospital's Neurosurgery Department is also the first to develop a medical PDA mobile intelligent monitoring system to improve the efficiency of the medical staff. Using the system, the preparation of surgical consumables, instruments and surgical records are evaluated and read through a graphical interface, and vital signs no longer require input through the cumbersome pen and paper or laptop computers. The digital mobile device allows coordination of all steps of the surgery to provide knowledge of the operation status to all relevant parties and facilitate the procedure.  The digitized care system also extends home after the patients are discharged from the hospital via the cloud. Through pictures and videos accessed by QR code, guidance for how to correctly use assistive devices and perform core muscle exercises are given to reduce recurrence of spine problems.

Key performance measures of Kuang Tien General Hospital's Neurosurgery Department include 100% completion rate of preoperative preparation, 100% execution of mid-surgery time-out, 100% confirmation of the safety of the surgery location, 95% of patients can leave the bed within 3 days, and over 85% satisfaction rate for rehabilitation instructions. The Department has even introduced several special defense mechanisms such as increased protection from pressure sores, cryotherapy, and simplified dynamometer for a comprehensive spine care. Kuang Tien General Hospital's spine treatment protocol has become a benchmark that medical teams from all over the world want to learn as they seek to train more staff in spine treatment to provide patients with meticulous and high-quality technique.

(Editing by Nicole Yang, Research Center for Biotechnology and Medicine Policy)
 
  • Collaboration opportunities: Please contact Kuang Tien General Hospital's Neurosurgery Department for inquiries regarding  collaboration in treatment technique and process integration.
  • Kuang Tien General Hospital's Neurosurgery Department received Taiwan's Symbol of National Quality certification for "Establishing Seamless Healthcare Service-Spinal Surgery Care" in 2017.
  • For more information see the Taiwan Healthcare+ and 2018 Taiwan Healthcare+ Expo
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