Korean J Neurotrauma.  2012 Oct;8(2):94-98. 10.13004/kjnt.2012.8.2.94.

Analysis of Precedents Related to the Lumbar Disc Herniation

• Lee KS
• Shim JJ
• Yoon SM
• Doh JW
• Yun IG
• Bae HG

• KMID: 1427716
• DOI: http://doi.org/10.13004/kjnt.2012.8.2.94

Abstract

OBJECTIVE
Herniated lumbar disc (HLD) is a relatively common disorder, while its causality is a matter of debate. Although there are a few rules in the Korean laws, they are usually nonspecific and comprehensive. By these rules, it is hard to solve the legal conflicts determining the work apportionment. The final judgments may be irrelevant by the inappropriate opinions of the doctors who are not concerned on the work apportionment.
METHODS
We searched precedents related to the medical accidents of HLD in the Korean Supreme Court web site. There were 38 precedents related to the HLD from 1990 to 2011. We reviewed types of the court, types of the suits, legal judgments, the point of conflicts, and so on. We tried to find the problems and adequate solution.
RESULTS
The Supreme Court made 20 in 38 precedents related to the HLD. The most common precedents were on the industrial insurance. Compensation suits for damages were the next. These two issues constituted about 70% of the precedents related to the HLD. There were other suits on the insurance money, accidental infliction of injury, and a man of national merit. The judgment on the work apportionment was independent to the year of suits, types of the court, and the types of the suits.
CONCLUSION
By the precedents on the HLD, we could identify the importance of the doctors' opinion in various legal conflicts. Doctors should have concerns on the work apportionment of a certain trauma or a work objectively in HLDs.

Keyword

Intervertebral disk displacement; Lumbar vertebrae; Occupational injuries; Causality; Jurisprudence

MeSH Terms

Compensation and Redress
Insurance
Intervertebral Disc Displacement
Judgment
Jurisprudence
Lumbar Vertebrae
Occupational Injuries

Reference

1). Battié MC., Videman T., Kaprio J., Gibbons LE., Gill K., Manninen H, et al. The Twin Spine Study: contributions to a changing view of disc degeneration. Spine J. 9:47–59. 2009.

2). Cong L., Pang H., Xuan D., Tu GJ. Association between the expression of aggrecan and the distribution of aggrecan gene variable number of tandem repeats with symptomatic lumbar disc herniation in Chinese Han of Northern China. Spine (Phila Pa 1976). 35:1371–1376. 2010.

3). Hadler NM. Regional musculoskeletal diseases of the low back. Cumulative trauma versus single incident. Clin Orthop Relat Res. 221:33–41. 1987.

4). Joo KS., Shin WH., Kim BT., Choi SK., Byun BJ. Comparative study of microdiscectomy and automated percutaneous discectomy in lumbar disc herniation. J Korean Neurosurg Soc. 26:526–534. 1997.

5). Ki SC., Choi YS., Kim KS., Kuk WJ. Lumbar discectomy using tubular retractor and microendoscopy. J Korean Soc Spine Surg. 15:265–271. 2008.

6). Kwon SY., Rhee SK., Chang IS., Kim JH., Lim Y. Epidemiologic and clinical study on occupational herniation of nucleus pulposus (H-NP) in lumbar spine; comparative analysis with non-occupational HNP. Korean J Occup Environ Med. 12:277–291. 2000.

7). Lee DK., Kim JH. A study on the prevention system of musculosk-eletal disorders in Korea and other countries. J Ergo Soc Korea. 29:423–433. 2010.

8). Lee HJ. Review of the supreme court's test for occupational accident. Seoul Law J. 40:182–206. 1999.

9). Lee KS., Doh JW., Bae HG., Yun IG. Medico-legal problems in the treatment of spinal disorders: report of three cases: case report. J Korean Neurosurg Soc. 33:602–605. 2003.

10). Lee KS., Doh JW., Yoon SM., Bae HG., Yun IG. Traumatic disc injuries and the iatrogenic spinal disability. J Korean Neurosurg Soc. 29:935–939. 2000.

11). Lee KS., Jang JC., Jung DS., Jung JH., Hwang SC. Medical Considerations in Reparation and Compensation, ed 5. Seoul: ML Communication, pp95-134. 2011.

12). Lim BC., Song JH., Park HK., Shin KM., Park DB., Kim SH. The clinical analysis of short hospitalization for patients with lumbar disc herniation. J Korean Neurosurg Soc 30: S242-S246. 2001.

13). Mayer TG., Gatchel RJ., Mayer H., Kishino ND., Keeley J., Mooney V. A prospective two-year study of functional restoration in industrial low back injury. An objective assessment procedure. JAMA. 258:1763–1767. 1987.

14). Nakagawa H., Kamimura M., Takahara K., Hashidate H., Kawaguchi A., Uchiyama S, et al. Optimal duration of conservative treatment for lumbar disc herniation depending on the type of herniation. J Clin Neurosci. 14:104–109. 2007.

15). Patel AA., Spiker WR., Daubs M., Brodke D., Cannon-Albright LA. Evidence for an inherited predisposition to lumbar disc disease. J Bone Joint Surg Am. 93:225–229. 2011.

16). Schwender JD., Holly LT., Rouben DP., Foley KT. Minimally invasive transforaminal lumbar interbody fusion (TLIF): technical feasibility and initial results. J Spinal Disord Tech 18 Suppl: S1-S6. 2005.

17). Shim DM., Kim SS., Lee BC., Choi ES. Clinical analysis and comparative study of standard and microsurgical lumbar discectomy. J Korean Soc Spine Surg. 1:87–92. 1994.

18). Valat JP., Genevay S., Marty M., Rozenberg S., Koes B. Sciatica. Best Pract Res Clin Rheumatol. 24:241–252. 2010.

19). van den Hout WB., Peul WC., Koes BW., Brand R., Kievit J., Thome-er RT. Leiden-The Hague Spine Intervention Prognostic Study Group. Prolonged conservative care versus early surgery in patients with sciatica from lumbar disc herniation: cost utility analysis alongside a randomised controlled trial. BMJ. 336:1351–1354. 2008.

20). Videman T., Battié MC., Ripatti S., Gill K., Manninen H., Kaprio J. Determinants of the progression in lumbar degeneration: a 5-year follow-up study of adult male monozygotic twins. Spine (Phila Pa 1976). 31:671–678. 2006.

21). Wu X., Zhuang S., Mao Z., Chen H. Microendoscopic discectomy for lumbar disc herniation: surgical technique and outcome in 873 consecutive cases. Spine (Phila Pa 1976). 31:2689–2694. 2006.

22). Yoon JD., Lee HJ. Present and future direction in determining the occupational disease. Proceedings of Congress Korean Association of Social Policy. 2011 May, Seoul: Korean Association of Social Policy, pp565-584. 2011.