Dr. Hsiang specializes in the surgical treatment of complex spinal disorders with an interest in minimally invasive spine surgery, including spine endoscopy. Dr. Hsiang sees patients experiencing pain caused by spinal degeneration and his focus is on nonsurgical treatment options first, believing surgery should be considered as a last resort. With a team approach to care, Dr. Hsiang works to relieve the symptoms and improve the quality of life for his patients. In practicing medicine, Dr. Hsiang submits himself to this guideline for patient care: “If this was my loved one, what would I do.”
University of Chicago - Pritzker School of Medicine, 1982-1988
University of California San Diego Medical Center, 1988-1994
American Board of Neurological Surgery and American Board of Spine Surgery
English, Mandarin, Cantonese
Visit our Health Library and discover a variety of fun and easy to use interactive tools to help you learn more about your spine condition. For more information, visit www.swedish.org/spineeducation.
Minimally Invasive Spine Surgery at Swedish Neuroscience Institute
Join Dr. John K. Hsiang as he discusses minimally invasive spine surgery at the Swedish Neuroscience Institute.
What are the advantages of minimally invasive spine surgery?
Join Dr. John K. Hsiang as he shares the advantages of minimally invasive spine surgery.
Honorary Societies, Position Held and Awards
President, Washington State Association of Neurological Surgeons, 2011-Present
Vice –President, Washington State Association of Neurological Surgeons, 2008-2011
Council Member, International Chinese Spine Society (ICSS)
Board Member, Credentials Committee, American Board of Spine Surgery (ABSS)
Examiner, Written and Oral examinations, American Board of Spine Surgery
Board Member, Surgery Value Analysis Team of the Swedish Medical Center
Delegate, Washington State Medical Association, 2004-Present
Guest Professor, Department of Orthopedic Surgery, General Hospital of Air Force, P.R. China, Since 2010
Guest Professor, Executive Education and International Initiatives, Foster School of Business, University of Washington
Chairman Prize, Best Chief Resident in Surgery of the year, 1993-1994
Membership in Professional Organizations and Societies
American Association of Neurological Surgeons (AANS)
North American Spine Society (NASS)
American College of Spine Surgeons (ACSS)
Washington State Association of Neurological Surgeons (WSANS)
Hsiang J, Wainer BH, Heller A, et al. "The influence of target and nontarget cells on the development of septal cholinergic neurons." Soc. for Neurosci. Abst. 11: 1147, 1985.
Wainer BH, Hsiang J, Price SD, et al. "Ultrastructural evidence for target cell-mediated trophic effects on cholinergic neurons in reaggregating cell cultures." Soc. for Neurosci. Abst. 12: 586, 1986.
Wainer BH, Hsiang J, Hoffmann PC, et al. "Nerve growth factor enhances central cholinergic cell survival and fiber proliferation in reaggregate culture." Abstracts of the 10th European Neuroscience Meeting. Neurosci. Letters (suppl) 26: 17, 1986.
Hsiang J, Chesnut RM, Crisp CB, et al. "Paralysis for intracranial pressure control in severe head injury: is it necessary?" Abst. of the 22nd Society of Critical Care Medicine Symposium. Critical Care Medicine (suppl) 21(4): S236, 1993.
Hsiang J, Cheung T, Poon WS. “Epidemiology of head injury in Hong Kong” Abst. of the 3rd. International Neurotrauma Symposium. J of Neurotrauma 12: 407, 1995
Lam J, Hsiang J, Poon WS. “Autoregulation monitoring using laser-doppler flowmetry on patients with head injury” Abst. of the 3rd. International Neurotrauma Symposium. J of Neurotrauma 12: 373, 1995
Hsiang J. “New trend of pathophysiology of head injury.” Presented at the 9th Asian-Australasian Congress of Neurological Surgery. Taipei, Nov. 1995
Choi KY, Poon WS, Hsiang J. “Clinical application of botulinum toxin in the prevention of spastic joint contracture in neurosurgical patients” Abst. presented at the annual congress of Western Pacific Orthopedic Association. Nov. 1995
Hsiang J. “Vagus Nerve Stimulation for Intractable Epilepsy Control.” Presented at the First Asian Epilepsy Symposium. Hong Kong, April 1996.
Hsiang J. “The Time Course and Regional Variations of Lipid Peroxidation after Diffuse Brain Injury in Rats.” Abst. presented at the ICRAN’96. Italy, Sept. 1996.
Hsiang J. “CerviCore-Cervical Artificial Disc: Preliminary results of a prospective, randomized study of ACDF versus CerviCore with regards to clinical improvement” CNS, San Diego, September 2007
Floman JE, Gratch MJ, Maroon JC, Hsiang J. “CerviCore Disc Replacement vs. Fusion: Correlation of Patient Employment Status with Clinical Outcomes.” XIV World Congress of Neurological Surgery, Boston, 2008
Floman JE, Baldwin NG, Hsiang J, Webb S, Youssef JA, Rughani A. “Two-year clinical and radiographic follow-up after cervical intervertebral Arthroplasty: Preliminary Data” CNS Annual Meeting, San Francisco, 2010
Hsiang J. “Preservation of the midline structures in one-level lumbar decompression and fusion surgery. Description of a new technique and assessment of efficacy and complication in 40 patients.” oral presentation, American College of Spine Surgery Annual Conference. Las Vegas, 2011
Dawson JM, Konz GJ, Thomson TO, Hsiang JK. “Wound Management by local hypothermia during lumbar spine surgery.” ORS Annual Meeting, San Francisco, 2012
Hsiang J, Wainer BH, Shalaby IA, et al. "Neurotrophic effects of hippocampal target cells on developing septal cholinergic neurons in culture. Neuroscience 21(2): 333-43, 1987.
Hsiang J, Price SD, Heller A, et al. "Ultrastructural evidence for hippocampal target cell-mediated trophic effects on septal cholinergic neurons in reaggregating cell cultures." Neuroscience 26(2): 417-31, 1988.
Hsiang J, Hoffmann PC, Heller A, et al. "The effects of nerve growth factor on the development of septal cholinergic neurons in reaggregate cell cultures." Neuroscience 29(1): 209-23, 1989.
Hsiang J, Chesnut RM, Crisp CB, et al. "Early, routine paralysis for intracranial pressure control in severe head injury: Is it necessary?" Critical Care Medicine 22: 1471-1476, 1994.
Hsiang J, Moorhouse D, and Barba D. "Multiple plasma cell granulomas of the central nervous system. Report of a case." Neurosurgery 35: 744-747, 1994.
Hsiang J, Lam KK, and Poon W. “Patients with chronic intractable pain: Who can benefit from surgical procedures?” Hong Kong Practitioner 17 (6): 1-4, 1995.
Beutler AS, Hsiang J, Moorhouse D, et al. "Pilocytic astrocytoma presenting as an extraaxial tumor in the cerebellopontine angle" Neurosurgery 37: 125-128, 1995.
Lam MK, and Hsiang J. “Minimally invasive neurosurgery: Neuroendoscopy” ELSA 1: 33-34, 1995.
Liang EY, Chan M, Hsiang JHK, et al. “Detection and assessment of intracranial aneurysms: value of CT angiography with shaded-surface display” Am J Radiology 165: 1497-1502, 1995.
Hsiang J, Liang E, Zhu XL et al.: “The role of computed tomographic angiography in the diagnosis of intracranial aneurysms and emergent aneurysm clipping” Neurosurgery 38: 481-487, 1996.
Hsiang J, Cheung T, Goh K et al.: “Features of head injury in Hong Kong (1989-1993)” HKMJ, 2: 141-145, 1996.
Hsiang J, Ng HK, and Poon WS: “Atypical monoclonal plasma cell hyperplasia: its identity and treatment” J of Neurosurgery 85: 697-700, 1996.
Hsiang J, Zhu XL, Wong L et al.: “Putaminal and thalamic hemorrhage in ethnic Chinese living in Hong Kong” Surgical Neurology 46: 441-445, 1996.
Hsiang J. et al.: “Features of pediatric head injury in Hong Kong.” Child Nervous System, 12: 611-614, 1996.
Hsiang J, Ng HK, Tsang KY et al. “Dural Cavernous angiomas can also occur in children.” Pediatric Neurosurgery, 25: 105-108, 1996
Hsiang J, Poon WS “Preventable cause of spontaneous intracranial hemorrhage in Hong Kong Chinese.” HKMJ, 2: 373-376, 1996.
Lam MK, Hsiang J, Poon W: “Monitoring of autoregulation using laser Doppler flowmetry in patients with head injury.” J Neurosurg, 86: 438-445, 1997.
Hsiang J, Yeung T, Yu LM et al. “High-risk mild head Injury” J Neurosurgery, 87: 234-238, 1997.
Hsiang J. et al. “The time course and regional variations of lipid peroxidation after diffuse brain injury in rats.” Acta Neurochirurgica, 139: 464-468, 1997.
Hsiang J, Wong KS, Kay R. et al. “ Vagus nerve stimulation for seizure control: local experience.” J Clinical Neurosci, 5: 294-297, 1998.
Hsiang J, and Poon WS: “Post-concussion syndrome after mild head injury, how significant is that?” J Clinical Neurosci, 5: 399-401, 1998.
Goh KYC, Hsiang JNK, Zhu XL et al. “Intraventricular recombinant tissue plasminogen activator for treatment of spontaneous intraventricular hemorrhage in pregnancy: case report” J of Clin Neurosci, 6: 158-159, 1999.
Ke C, Poon WS, Hsiang JNK et al. “The impact of acute hyponatraemia on severe traumatic brain injury in rats.” Acta Neurochir, 76:405-408, 2000 [suppl].
Kopacz DJ, Helman JD, Nussbaum CE, Hsiang JNK et al. “A comparison of epidural levobupivacaine 0.5% with or without epinephrine for lumbar spine surgery.” Anesth Analg, 93:755-760, 2001.
Hsiang J. “Unconventional indications for using open kyphoplasty.” The Spine Journal, 3:520-523, 2003.
Teng H, Hsiang J et al. “Surgery in the cervicothoracic junction with an anterior low suprasternal approach alone or combined with manubriotomy, sternotomy, and thoracotomy: an approach selection method based on the cervicothoracic angle” Journal of Neurosurgery Spine, 10:531-542, 2009.
Hsiang J. “Five consecutive levels treated with Cortoss bone augmentation material.” Orthovita. White paper. 2010
Hsiang J, “Wrong-level surgery: A unique problem in spine surgery.” Surgical Neurology International, 2:47, 2011
Hsiang J, “Minimally invasive one-level lumbar decompression and fusion surgery with posterior instrumentation using a combination of pedicle screw fixation and transpedicular facet screw construct.” The Spine Journal, submitted.
LECTURES, PRESENTATIONS AND PROFESSIONAL ACTIVITIES
Lecture: "Management of Neurosurgical Patients." Nurse Review Course, San Diego VA Hospital. January 19, 1993.
Honorary Clinical Lecturer in Neurosurgery: Prince of Wales Hospital/The Chinese University of Hong Kong: Hong Kong. February, 1993.
Paper Oral Presentation: "Early, Routine Paralysis for ICP Control in Severe Head Injury: Is It Necessary?" 2nd International Neurotrauma Symposium. Glasgow, Scotland. July 4-9, 1993.
Lecture: "ICP Management in Severe Head Injury Patients." Surgical ICU nurses, UC San Diego Medical Center. September 23, 1993.
Lecture: "Management of Spinal Cord Injury." Surgical ICU, UC San Diego Medical Center. October 21, 1993.
Lecture: "Barbiturate Coma for ICP control." Surgical ICU, UC San Diego Medical Center. November 18, 1993.
Speaker: "Free Radicals and CNS Injury." Cheju Neurosurgery Friendship Conference. Cheju, Korea. December 2-6, 1993.
Lecture: "New treatments in Head Injury." General Surgical residents, UC San Diego Medical Center. January 13, 1994.
Lecture: “Epilepsy Surgery” Surgical Grand Round, Prince of Wales Hospital. November, 1994.
Discussant: “New trend of pathophysiology of head injury” Head injury Round Table Discussion at the 9th Asian-Australasian Congress of Neurological Surgery. November, 1995.
Speaker: “Vagus Nerve Stimulation for Intractable Epilepsy Control” Plenary session at the First Asian Epilepsy Symposium. April, 1996.
Speaker: “New Trend in Severe Head Injury Management” at Hunan Medical University, April, 1996
Speaker: “What’s New about Neurosurgery Nowadays” at Hunan Medical University, April, 1996.
Speaker: Grand Round, “ Kyphoplasty, new treatment of osteoporotic vertebral compression fracture” Virginia Mason Medical Center, February, 2002.
Honorary Visiting Scholar in Neurosurgery: Sir Run Sun Shaw Hospital (associated with Loma Linda Hospital), Hangzhou, China. June 2002.
Speaker: Low Back Pain Care for the Primary Care Provider. Virginia Mason Medical Center, April, 2003.
Instructor: Spine Operating Room Personnel Course, by AO North America. Seattle, July 2003
Speaker: Normal Pressure Hydrocephalus. In The 1st Academic Conference of International Chinese Neurosurgical Sciences. Boao Hainan, China, March 2004.
Podium Presentation: Cervicore Disc Replacement vs. Fusion for Cervical Radiculopathy: One-Year Outcomes from Four Sites in a Prospective Randomized Controlled Trial. The 15th International Meeting on Advanced Spine Techniques. Hong Kong . July 9th 2008
Faculty: Cervical Spine Surgery Course, The Chinese University of Hong Kong. April 2004
Faculty: The Future of Spine Surgery. In Pain Symposium, Swedish Medical Center. September 30, 2005
Consultant: Retractor for Minimally Invasive Spine Surgery, Zimmer Spine
Speaker: Innovation is Spine Surgery. Washington State Nursing Symposium. February 27, 2009
Co-Chairman: A New Paradigm in Treating and Preventing Disability in Low Back Pain Patients. Swedish Neuroscience Institute Symposium. April 3, 2009
Speaker: “The Differences in Spine Surgery Between China and the US” General Hospital of Air Force, Beijing, China. January 26, 2010
Guest Professor: The Department of Orthopedic Surgery, General Hospital of Air Force, China
Speaker: “Preservation of the Midline Structures During Multilevel Lumbar Decompression and Fusion – Revisit of the Wiltse Approach” Zhongshan Hospital, Shanghai, China. January 28, 2010
Faculty: “Advances in Total Spondylectomy and New Technology in Spine Surgery” Zhongshan Hospital, Shanghai, China. May 7-9th, 2010
Speaker: “Wrong Level Surgery: A Unique Problem in Spine Surgery” Washington State Association of Neurological Surgeons Annual Meeting. May 22nd, 2010
Faculty: “Management of Hospitalized Neurological and Neurosurgical Patients.” Swedish Medical Center. June 11, 2010
Co-Chairman: “How Comfortable Are You Treating Spine Patients?” Swedish Medical Center Symposium. June 25, 2010
Faculty: “Spine Emergency and Management of Patients with Spine Surgery” American Society of Perianesthesia Nurse 30th National Conference. April 5, 2011
Faculty: “Strategic Management of Healthcare Organization” for hospital management courses provided by Executive Education and International Initiatives, Foster School of Business, University of Washington, 2012
Speaker: “Minimally invasive one-level lumbar decompression and fusion surgery with posterior instrumentation using a combination of pedicle screw fixation and transpedicular facet screw construct.” Sichuan-Chongqing Orthopedic Conference, July 27, 2012
Neck pain and low back pain are common health problems in the US. They are among the top reasons for doctor visits. They are also the number one cause of disability for people under 45 years of age in the US. The Comprehensive Spine Center at SNI consists of spine surgeons, physiatrists, interventional pain specialists, neuroradiologists, and physical therapists. All these spine specialists can provide the best and most advanced spine care to our patients in the same clinic. We strive to make spine care as convenient as possible to our patients.
The spine center at SNI provides a wide spectrum of surgical procedures to treat spine disorders caused by degeneration, neoplasm, infection, congenital malformation, and trauma. We distinguish ourselves not only by providing superb care to our patients, but also driving new technologies in spine surgery. SNI is the leading center in large clinical trials for cervical artificial disc implants and lumbar artificial facet joint implants. These new spine devices may revolutionize the future of cervical spine and lumbar spine surgeries and further develop motion-preservation technology.
We also provide minimally invasive spine surgery to our patients with appropriate indications. The minimally invasive spine surgery includes lumbar fusion surgery, microdiskectomy and kyphoplasty. With the newly-added state-of-the-art equipment at SNI, we believe the development of the new technology will push minimally invasive spine surgery to a higher level.