Spinal Surgery Department
Chief physician, doctoral tutor and president of Beijing Jishuitan Hospital; chairman of Chinese Orthopaedic Association of Chinese Medical Association; Beijing health system 215 talents project - leader in orthopaedics; outstanding contribution expert in Beijing; receiving special government allowances of the state council; national health system advanced individual in the fight against SARS; the model worker of Beijing; second term of ‘10 health guardians’ in Beijing; the national excellent president in 2014.
Professor Tian Wei has engaged in clinical and research work for 30 years. Under the leadership of him, Beijing Jishuitan Hospital founded the Spinal Surgery Department in 1997. He had undertaken 18 national and provincial research projects, such as the National Natural Science Foundation of China, National Key Technologies R & D Program of China and National High Technology Research and Development Program of China (863 program). He had won Key Projects in the National Science & Technology Pillar Program during the Twelfth Five-year Plan Period by the study on prevention and control of orthopaedic degenerative diseases. And he won the State Key Program of National Natural Science Foundation of China by the basic research on the regulation mechanism of HIF-2A in orthopaedic degenerative disease. He was awarded the first prize of Beijing Science and Technology Award twice for the projects of ‘Ultrasonic Osteotome with Composite Vibration’ and ‘research and clinical application of intelligent orthopaedic surgery system incorporating image-guided navigation and robotics’. Furthermore, he awarded the third prize of Beijing Science and Technology Award because of ‘the basic and clinical research about the application of coralline hydroxyapatite to cervical spine surgery’ and the second prize of Chinese Medical Science Prize because of ‘Study on the Application of Computer-Assisted Navigation System in Spinal Surgery’.
Prof. Tian Wei presided over the making of the national standard for ‘cervical artificial disc replacement’ and ‘navigation technology in spinal surgery’. He was the chief editor of professional books as ‘Computer Assisted Orthopaedic Surgery’, ‘Fractures’, and the first and second edition of ‘Orthopaedics’. He had published 138 papers including 30 SCI papers and obtained 13 invention patents. 92 medical students were trained for medical doctor and master degrees under the leadership of him.
Professor Tian Wei was Chief Editor of Chinese Journal of Orthopaedics; deputy chief editor of Chinese Medical Journal; deputy chief editor of Chinese Journal of Clinical and Basic Orthopaedic; member of the editorial board of more than 10 core journals. He was the eighth chairman of CAOS-Asia; chairman of the Third CSRS-Asia; member of the Standing Committee of ISASS and chairman of China Branch of ISASS; visiting professor of the Department of Orthopaedics & Traumatology Symposium of The Chinese University of Hong Kong; honorary academician of the Hong Kong College of Orthopaedic Surgeons; National excellent science and technology workers in 2014.
Establishing intelligent orthopaedic surgery system and improving the treatment of orthopaedics.
Intelligent and minimally invasive surgery would be the future of orthpaedics. The limitation of traditional orthopaedic surgery includes massive tissue injury, more complications and depending on the experiences of surgeons. According to this, professor Tian Wei carried out the researches about intelligent surgery system firstly in China. For twelve years, the new system has been established based on new clinical techniques, new equipment and new strategies.
1. Our team established the first intelligent orthopaedic database and created new surgery planning models in China under the leadership of Prof. Tian Wei. Firstly, we collected parameters about physique, anatomic, radiology and biomechanics based on 118 thousands study objects. Secondly, we created new quantitative and visualized surgical planning models based on 3D images using data mining techniques. Then we determined the parameters of intelligent orthopaedic surgery and developed automatic programming software for internal fixation. We had completed 193 upper cervical surgeries of internal fixation with navigation, which was the largest single-center study in the world. Because of navigation, the accuracy of implants was improved from 79% to 93%, and without any complications in our study.
2. Prof. Tian Wei proposed the Computer Assisted Minimally Invasive Spinal Surgery (CAMISS) concept, which accelerated the development of minimally invasive surgery (MIS). He carried out multiple-center, large-sample clinical trials and proposed CAMISS concept which has been widely recognized by authoritative international orthopaedic academic organizations such as AO, EuroSpine, ISASS, et al. The concept was also added into the official training courses of ISASS. The intelligent orthopaedic minimally invasive surgeries were extensively performed in Beijing JiShuiTan Hospital over the last 10 years with 33.2% compound growth rate. Compared with traditional ones, lumbar surgeries with implants using CAMISS techniques were more satisfactory with hemorrhage decreased by 38.5% and the excellent rate of 93.3%.
3. Prof. Tian Wei had successfully pioneered new orthopaedic operations. He had reported several new spinal operations assisted with 3D navigation firstly in the world, such as atlantoaxial transarticular screw fixation, anterior screw fixation of odontoid and pedicle screw fixation for cervical spine. With the new methods, the accuracy of upper cervical internal fixation was increased from 55-71% to 95% and the indications of intelligent orthopaedic surgeries were widely extended. Our target was to make complicated operations more safety and traditional operations less injury.
4. Our team developed new equipment of intelligent orthopaedic surgeries under the leadership of Prof. Tian Wei. We built the hierarchical safety protection and control strategy for orthopaedic surgical robots. We developed surgical robots of spine based on navigation and haptic feedback system; automatic programming software for implants; new programming models; ‘ultrasonic Osteotome with composite vibration’ suited for navigation and robots.
5. Prof. Tian Wei had set the first industry standard of computer-assisted surgery in China, ‘computer assisted navigation technique of spinal surgery’, which included the clinical indications for different navigation models, Operation specifications and safety strategies. This health industry standard was based on 3056 clinical practices of computer-assisted spinal surgery, and included the basic requirements of spinal navigation surgery and application criteria of equipment.
6. Prof. Tian Wei founded the China Medicinal Biotech Association, Computer Assisted Surgery Branch in 2007 which was China’s first academic society of intelligent technology assisted surgery. And he was the first director of the association. Furthermore, he was elected as the eighth chairman of CAOS-Asia in 2009.
Prof. Tian Wei carried out basic and clinical researches of intervertebral disc degeneration, motion-preserving technique of cervical spine and established the national standard guideline for cervical artificial disc replacement.
1. Prof. Tian Wei established molecular orthopedic laboratory and carried out basic researches of intervertebral disc degeneration: A research group was organized in 2004 by Prof. Tian Wei for the application of basic researches which included pathogenesis of osteoarthritic degenerative changes and repairing biomaterials for the vertebral body. The group had also been dedicating to the basic research areas: the mechanism of osteoarthritis, intervertebral disc degeneration and biological therapy. There were some promising results achieved by the group: the close relationship between levels of IgM, IgG and degree of pain in lumbar disc herniation patients was found out; the significant differences of quantity and variety of protein expression in discs between degenerative patients and control groups was discovered; the role of Fas, FasL and PDCD5 played in celluar apoptosis in intervertebral disc was found; they also established intervertebral disc degeneration models by injection of 30kDa Fibronectin into discs for the first time nationwide, providing models for degeneration researches. 4 nation’s patents for invention were obtained after long duration of hard work.
2. Prof. Tian Wei established the database of cervical artificial disc (CAD) and developed new CAD which was anatomically suitable for Chinese patients: the database of CAD had been established, and anatomical parameters of CAD were obtained. With the corporation of Beijing University of Chemical Technology, the designing methods and platform were established for designing CAD by use of Mimics image processing software, Pro/E modeling and ANSYS finite element analysis. There were breakthroughs in areas of structural designs, materials and performances and the structural and functional bionic CAD was invented.
3. Prof. Tian Wei performed cervical artificial disc replacement (CADR) as pioneers in china, and carried out systemic clinical researches: 629 case of CADR had been performed since 2003; the classification of postoperative heterotopic ossification of CADR based on the CT-scan imaging was created, providing theoretical evidence for indications of CADR. In 2008, the first Cross-Strait CADR operation was performed under video live, raising lots of attentions in Taiwan and Mainland China. In 2011, the first CADR was performed at the fused segment of cervical spine; as a result, the segmental motion was resumed after 9 years fusion. This achievement was awarded as the Best Poster Award in the 11th Conference of International Society for the Advancement of Spine Surgery (ISASS).
4. Prof. Tian Wei presided over the making of the national standard for CADR: Based on plenty of clinical practice and evidence-based medicine analysis; in 2011, the national standard guidelines of CADR in China (WS354-2011) was created and launched, providing foundations for the spread and standardization of CADR procedures.
5. In 2005, Prof. Tian Wei was elected as president of Bryan cervical artificial disc research group in China. In 2008, He was elected as chairman of Asia Pacific Cervical Spine Society.
Prof. Tian Wei built a first-class orthopaedic team in China; established a new doctor-training system; made Chinese Orthopaedics world famous.
1. Beijing Jishuitan Hospital has always been the pioneer in the Chinese orthopaedic field for years. Since Prof. Tian Wei in charge of the hospital, the orthopaedic strength of the hospital has become more and more powerful on the basis of hard work of the older generations of professors. So far, there are four national key specialties and one city-level key specialty among the 7 orthopaedic specialties including Spine Surgery, Trauma, Adult Joint Reconstruction, Hand Surgery, Pediatric Orthopaedics, Orthopeadic Oncology, and Sports Medicine. Beijing Jishuitan Hospital has been ranked No.1 among all the orthopaedic specialties in China for consecutive 3 years, according to the data of Hospital Management Institute of Shanghai Fudan University. In 2011, Prof. Tian Wei was named Orthopaedic Pioneer of Beijing health system ‘215 Talents Project’. He attached great importance to the scientific and technological innovation, encouraged scientific research. Under the leadership of him, the orthopaedic team has undertaken 27 state-level scientific research projects in recent five years, and won 8 state-level scientific research award and 34 patents. By far, the orthopaedic team has 50 professor level chief physicians, 76 deputy chief physicians, most of which hold orthopaedic Medical Degree. He sponsored and served as chairman of the “Jishuitan Orthopaedic Forum”, which was focusing on academic exchanges and common progress, and had become a unique national multidisciplinary medical communication platform, receiving high praise from domestic colleagues.
2. Prof. Tian Wei established a new doctor-training system, cultivated international orthopaedic talents. In 2001, the first “Orthopaedic Training Center” in China was established in Beijing Jishuitan Hospital, which was the first internationally certificated orthopaedic specialty training center in Mainland China, and later became the only pilot training hospital for orthopaedic specialist approved by the ministry of health, with its profound exploration of specialist training and access mechanism, and with its fruits of trained 2300 orthopaedic specialists from nearly a hundred hospitals located in more than 30 provinces in China. In September 2008, he established first orthopaedic training center jointly certified by the British Royal College of Surgeons of Edinburgh and Hong Kong Orthopaedic College, structuring the international standardized orthopaedic specialist training system. Until now, he has sent out 56 orthopaedic surgeons to participate in international orthopaedic trainings organized by three parties, and among them, 10 surgeons were later certified as Fellowship of Royal College of Surgeons of Edinburgh. He had been chief editor of the national medical teaching book and later the necessary teaching material Orthopaedics (Edition One & Two) for graduate students. He has been the mentor of 42 medical doctors and graduate students, and jointly trained other 92 medical students.
3. In light of his profound orthopaedic knowledge, deep contribution, and wide-spreading influence, Prof. Tian Wei had been invited to host and give speeches at annual conferences of ISASS (International Society for the Advancement of Spine Surgery) and CAOSA (Computer Assisted Orthopaedic Surgery Asia) several times. Also, he had been invited to conduct a one-hour speech for three consecutive years in the Japanese Orthopaedic Association annual conferences, and been invited to be guest speaker of China representatives at Argentina orthopaedic annual conference. His speeches had made Chinese Orthopaedics more and more attention drawing in international orthopaedic field.