Artemis Hospitals is a JCI and NABH accredited hospital with 11 Centers of Excellence. It has over 400 doctors across 40 specialties with over 1,000,000 surgeries since 2007. Best known for transplantology, oncology, and neurosciences.
Artemis Hospitals is a JCI and NABH accredited hospital with 11 Centers of Excellence. It has over 400 doctors across 40 specialties with over 1,000,000 surgeries since 2007. Best known for transplantology, oncology, and neurosciences.
Medanta Hospital provides healthcare services to patients. No additional details are available in the clinic listing.
Medanta Hospital provides healthcare services to patients. No additional details are available in the clinic listing.
Manipal Hospitals, a leading healthcare provider with _doctor_491_years_ of experience, offers specialized care for spinal cord tumor removal. The hospital network serves 2 million patients annually across 15 locations. Prof. Dipchand Bhaskar Bhandare, an expert in spinal surgeries, has performed 2,000+ orthopedic procedures and received multiple awards including the Indian Medical Association Award for exceptional results.
Manipal Hospitals is part of the Manipal Education & Medical Group, the third largest healthcare provider in India. It holds JCI, ISO, and NABH accreditations. The network serves over 2 million patients annually from 30 countries.
Global Hospital Chennai specializes in complex neurosurgical procedures with Dr. Sridhar Krishnamurthy, a neurosurgeon with _doctor_771_years_ of experience and international training in Germany and Switzerland. He serves as Director of the Institute of Neurosciences and Spinal Disorders and has invented specialized spinal retractor systems. The hospital is part of Gleneagles Global Hospitals Medical Group, handling 2 million patients annually.
Global Hospital Chennai is a NABH-accredited hospital with over 1,000 successful liver transplants, the most in the world. It specializes in organ and bone marrow transplant, cardiology, pulmonology, and oncology. Part of Gleneagles Global Hospitals, the group sees 2 million patients annually.
Global Hospital Mumbai specializes in complex neurosurgical procedures, including spinal cord tumor removal. The hospital is part of Gleneagles Global Hospitals Group and has pioneered combined organ transplants with spinal procedures. Dr. Ravi Mohanka, with _doctor_1468_years_ of experience and 1,300+ transplants performed, leads the surgical team. The facility operates advanced robotic surgery systems for precise interventions.
Global Hospital Mumbai is part of the Gleneagles Global Hospitals Group. It performed the world's first combined liver transplant and spinal tuberculosis surgery. The hospital specializes in organ transplants, robotic surgery, and bariatrics.
Manipal Goa Hospital uses IBM Watson for Oncology, with 96% accuracy for lung cancer. It is the largest medical center on India's western coast and holds NABH accreditation. Core specialties include oncology, neurology, neurosurgery, orthopedics, and laparoscopy.
Manipal Goa Hospital uses IBM Watson for Oncology, with 96% accuracy for lung cancer. It is the largest medical center on India's western coast and holds NABH accreditation. Core specialties include oncology, neurology, neurosurgery, orthopedics, and laparoscopy.
HCG Manavata Cancer Centre is NABH-accredited with a 275-bed capacity, treating over 100,000+ cancer patients. Dr. Raj Nagarkar, a leading Surgical Oncologist with _doctor_2241_years_ of experience, has performed 50,000+ cancer surgeries and specializes in complex procedures including spinal cord tumor removal. He trained at Tata Memorial Hospital and holds an MRCS from the Royal College of Surgeons, Edinburgh.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Apollo Hospitals in Chennai was India's first corporate hospital, founded in 1983. It pioneered the private healthcare revolution and is now Asia's foremost integrated healthcare provider. The group operates telemedicine units across 10 countries.
Apollo Hospitals in Chennai was India's first corporate hospital, founded in 1983. It pioneered the private healthcare revolution and is now Asia's foremost integrated healthcare provider. The group operates telemedicine units across 10 countries.
Aakash Hospital is a 230-bed tertiary care facility in Dwarka, Delhi. It has Centers of Excellence in orthopedics, cardiology, and mother & child care. The hospital operates a 24x7 trauma and emergency center.
Aakash Hospital is a 230-bed tertiary care facility in Dwarka, Delhi. It has Centers of Excellence in orthopedics, cardiology, and mother & child care. The hospital operates a 24x7 trauma and emergency center.
Head of Neurosurgery at BLK Hospital – specializes in minimally invasive techniques for spinal tumors. Combines surgical precision with spinal reconstruction expertise.
Dr. Vikas Gupta is the Head of Neurosurgery and Interventional Neuroradiology at BLK Super Speciality Hospital. He focuses on endovascular neurosurgery and complex cerebral vascular procedures. Dr. Gupta holds a Senior Master of Neurosurgery degree. He works at a JCI-accredited facility ranked among the top 10 multi-specialty hospitals in Delhi.
BLK Super Speciality Hospital is a JCI-accredited multi-specialty center and one of India's largest hospitals. It has Asia's largest bone marrow transplant unit and a top-ranked cancer center. Core specialties include bone marrow transplant, cancer care, bariatric surgery, and cardiology.
Neurosurgeon, specialist in stereotactic neurosurgery
15 years
Global Hospital Chennai is a NABH-accredited hospital with over 1,000 successful liver transplants, the most in the world. It specializes in organ and bone marrow transplant, cardiology, pulmonology, and oncology. Part of Gleneagles Global Hospitals, the group sees 2 million patients annually.
Dr. Sudheer Kumar Tyagi is a neurosurgeon at Apollo Hospital Indraprastha in Delhi. He performs stereotactic neurosurgery and deep brain stimulation (DBS). Dr. Tyagi treats brain and spinal cord tumors. He works at a JCI-accredited facility ranked among the World's Best Hospitals by Newsweek.
Apollo Hospital Indraprastha is part of the largest medical network in South Asia, with 64 hospitals in 9 countries. It is JCI-accredited and won the Newsweek World's Best Hospitals award. Core specialties are organ transplantation, cardiology, oncology, neurosciences, and gastroenterology.
Dr. Shruti Kate is a medical oncologist with specialized training from Tata Memorial Hospital – one of India's top cancer centers. She treats spinal cord tumors with precision.
Dr. Shruti Kate is a medical oncologist at HCG Manavata Cancer Centre in Nashik. She previously worked as a consultant at the Tata Memorial Hospital in Mumbai. Dr. Kate focuses on immunotherapy and metronomic therapy for treating solid and pediatric tumors. She was the sole recipient from India of the 2018 World Conference on Lung Cancer award.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Raj Nagarkar has performed over 50,000+ cancer surgeries, with a special focus on Breast and Thoracic Surgical Oncology.
Dr. Raj Nagarkar has performed over 50,000 cancer surgeries at HCG Manavata Cancer Centre. He specializes in breast and thoracic surgical oncology. Dr. Nagarkar trained at the prestigious Tata Memorial Hospital in Mumbai. He is a Member of the Royal College of Surgeons in Edinburgh.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Shaunak presented research on cancer at the elite Gastrointestinal Cancer Symposium by the American Society of Clinical Oncology.
Dr. Shaunak Valame is a medical oncologist at HCG Manavata Cancer Centre in Nashik. He specializes in the molecular basis of cancer and targeted therapies. Dr. Valame completed his DNB training in medical oncology at Indraprastha Apollo Hospital. He previously served as a registrar at Jawaharlal Nehru Cancer Hospital.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Handled more than 30,000 PET scans and 1,000 thyroid cancer patients – Dr. Borde brings extensive nuclear medicine expertise to spinal cord tumor cases.
The doctor is an experienced nuclear medicine specialist at HCG Manavata Cancer Centre with 12 years in the field. The doctor specializes in various nuclear scans, PET-CT scans, and nuclear cardiology services, demonstrating proficiency in radioiodine and Lu-177 RN therapies. Over the course of their career, the doctor has managed more than 30,000 PET scans and treated over 1,000 thyroid cancer patients. Additionally, the doctor has contributed to the field through published papers in various medical journals.
","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10},{"id":"onc.005","name":"Radiation oncologist","illness_kind_id":10}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":1249,"alias":"hcg-manavata-cancer-centre","name":"HCG Manavata Cancer Centre","short_description":"HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Lalit has performed 10,000+ major surgeries, specializing in minimally invasive cancer procedures with excellent outcomes at HCG Manavata Cancer Centre.
Dr. Lalit Banswal is a surgical oncologist at HCG Manavata Cancer Centre in Nashik. He has successfully performed more than 10,000 major surgeries. Dr. Banswal focuses on gastrointestinal cancer and robotic surgical techniques. He completed a two-year fellowship at the Tata Medical Centre, Kolkata.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Specializing in spinal cord tumor removal, Dr. Sridhar P.S. brings both medical and radiotherapy expertise to his practice at HCG Manavata Cancer Centre.
The doctor graduated with a Bachelor of Medicine from Mysore University in 1996, followed by a Doctor of Medicine in radiotherapy from Banaras Hindu University in 2002. Further enhancing expertise, the doctor earned a Diplomate of National Board in radiotherapy in 2004.
The doctor is a member of several prestigious organizations, including the Association of Radiation Oncology of India, the Society for Neuro-Oncology, the Bangalore Oncology Group, and the Indian Association of Hyperthermia Oncology, reflecting a strong commitment to advancing the field of oncology.
","specialities":[{"id":"onc.005","name":"Radiation oncologist","illness_kind_id":10}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":1249,"alias":"hcg-manavata-cancer-centre","name":"HCG Manavata Cancer Centre","short_description":"HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Ahmer Arif Shaikh specializes in surgical oncology with a focus on oral cancer and functional rehabilitation at HCG Manavata Cancer Centre.
Dr. Ahmer Arif Shaikh is a surgical oncologist at HCG Manavata Cancer Centre. He specializes in oral cancer treatment with a focus on organ preservation. Dr. Shaikh completed fellowship training in head and neck surgical oncology at the same center. He is proficient in performing major maxillofacial and head and neck surgeries.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Sridhar Krishnamurthy is the Director of the Institute of Neurosciences and Spinal Disorders in Chennai. He is an inventor of specialized surgical tools like the Sridhar Spinal Retractor System. Dr. Krishnamurthy trained at top institutions in Germany and Switzerland. He currently treats complex cases at Global Hospital Chennai.
Global Hospital Chennai is a NABH-accredited hospital with over 1,000 successful liver transplants, the most in the world. It specializes in organ and bone marrow transplant, cardiology, pulmonology, and oncology. Part of Gleneagles Global Hospitals, the group sees 2 million patients annually.
Dr. Dipchand Bhaskar Bhandare has performed over 2,000 orthopedic surgeries in India. He is a professor and surgeon at Manipal Hospital in Bengaluru. Dr. Bhandare specializes in spinal surgery and joint replacements. He corrects complex deformities caused by cerebral palsy and poliomyelitis.
Manipal Hospitals is part of the Manipal Education & Medical Group, the third largest healthcare provider in India. It holds JCI, ISO, and NABH accreditations. The network serves over 2 million patients annually from 30 countries.
Dr. Ravi Mohanka has performed over 1,300 transplants with an 88% patient survival rate. He is the Head of Liver Transplant and Hepato-Biliary Surgery at Global Hospital Mumbai. Dr. Mohanka specializes in liver, pancreas, and intestinal transplants for adults and children. He fits complex cases using laparoscopic and robotic surgical techniques.
Global Hospital Mumbai is part of the Gleneagles Global Hospitals Group. It performed the world's first combined liver transplant and spinal tuberculosis surgery. The hospital specializes in organ transplants, robotic surgery, and bariatrics.
Removal of spinal cord tumor in India costs _op_119_price_from_ to _op_119_price_to_, compared with about _price_compare_US_average_ in the US (Bookimed data, _date_). It is offered by Artemis Hospitals, a JCI-accredited and NABH-accredited clinic in Gurgaon. The clinic is rated 4.4/5 in 17 verified patient reviews on Bookimed.
"},"txt_price":{"text":"Removal of spinal cord tumor in India typically costs from _op_119_price_from_ to _op_119_price_to_. The final price depends on tumor location, surgical technique, and the choice of medical hub such as Delhi, Mumbai, or Chennai. In the US, this procedure costs _price_compare_US_average_ on average. Standard Indian hospital quotes usually cover the surgical procedure, anesthesia, and a set period of inpatient recovery.
\n\nBookimed Expert Insight. India offers advanced neuro-oncology care at significant savings compared to the West. Artemis Hospitals in Gurgaon provides image-guided radiation therapy for complex cases. Specialist surgeons like Dr. Nigel Symss in Chennai have performed over 2,500 procedures. Patients can find JCI-accredited care in major hubs for approximately $6,000 to $13,000. These facilities often provide dedicated international departments to assist with visas and language support.
"}},"texts":{"guide_mc":{"text":"Day 1 - Arrival
\nDay 2 - Pre-operation
\nDay 3 - Operation
\nDay 4 - Post-operation
\nDay 5 to Day 7 - Recovery
\nWeek 2 to Week 6 - Rehabilitation
\nWeek 7 onwards
\nPlease note that each recovery process varies individually, depending on several factors such as the patient\"s overall health status, the size and location of the tumor, and the patient\"s response to the surgery and rehabilitation program.
"}}},"faq":[{"id":"5ed9eccc66da8d06594e15b4","question":"What documents are required to apply for a visa to India for treatment?","answer":"Visa for travel to India requires a number of documents. The necessary list of documents includes:
In India, hotels of different price ranges and service levels are presented. Most tourists choose 4 and 5-star hotels. Such hotels have everything for a comfortable stay: varied European and Asian food, a vast, well-groomed territory, animation for children and adults. Some hotels have a water park available to guests. Budget travelers can afford to book an economical 3-star hotel with half board or no meals at all.
","is_active":true,"category":{"id":"5e3aa27eb517bb3ffb486c42","name":"texts","title":"texts"}},{"id":"5ed9ec97e032ca0840169509","question":"Do I need a visa?","answer":"International patients are required to receive an electronic visa (e-Visa). The maximum period of stay in the country with this visa type is 6 months. Read more about the visa terms for treatment in India here.
","is_active":true,"category":{"id":"5e3aa27eb517bb3ffb486c42","name":"texts","title":"texts"}},{"id":"5ed9eb7b66da8d06594e15b2","question":"What is the level of medicine in India?","answer":"Healthcare in India is based on cost-effective models. Most of the hospitals are private — 65% of annual GDP is out-of-pocket medical payments.
1.4 mln doctors provide excellent treatments in the country. 74% of the Indian medical care is private. The local healthcare centers have international and national certificates that confirm the high quality of services and patients' safety:
India has 39 JCI-accredited medical centers in contrast with 20 JCI-certified facilities in Germany and 10 hospitals in Israel.
","is_active":true,"category":{"id":"5e3aa27eb517bb3ffb486c42","name":"texts","title":"texts"}},{"id":"5ed9eb5431e02c46c85d468c","question":"What should you know about India before the trip?","answer":"Currency | Indian Rupee (you also can pay for services in USD) |
Best period for the trip | October-March |
Language | Hindi (most of medical staff speaks English fluently) |
Visa | is required |
Time difference with Europe | 5 hours |
Time difference with the USA | 10 hours |
Capital | New Delhi |
Medical tourism center | Mumbai, New Delhi |
Popular resorts | Goa, Jaipur, Mumbai |
The procedure aims to safely eliminate growths from the spine, helping to alleviate related pain and discomfort.
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managed with multimodal analgesia; neuropathic pain may occur.","preparation":["Contrast MRI of relevant spinal segment; other imaging if needed","Baseline neurological examination and preoperative anesthesia assessment","Blood tests and medication review with surgical team","Fasting before general anesthesia per hospital instructions","Discussion of goals, risks and possible intraoperative neuromonitoring"],"recovery_timeline":[{"phase":"Hospital stay (days 0-7)","description":"Neurological monitoring, pain control, early mobilization with physiotherapy and wound care.","restrictions":["Limited spinal flexion and rotation in the first postoperative days","Avoid bending, lifting and twisting"]},{"phase":"Early recovery (weeks 1-6)","description":"Home recovery with progressive walking, wound healing and outpatient rehabilitation if needed.","restrictions":["No heavy lifting","No driving until cleared"]},{"phase":"Later recovery (weeks 6-16)","description":"Gradual return to work and 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Recurrence risk varies with tumor type and extent of resection, so surveillance MRI is needed.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Reoperation for CSF leak, hematoma, wound problems or instability within first year; excludes tumor recurrence surgery."},"scars":"Midline linear posterior incision over the affected spinal levels, length depending on number of levels; usually heals as a fine line scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation in the usual uncomplicated case."},"stages":[{"code":"resection","label":"Laminectomy/laminoplasty with microsurgical tumor resection","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in one operative session."}}],"qualifier":"Staged surgery or adjuvant radiotherapy are case-specific and not part of the typical standalone protocol."},"success":{"metric":"Gross total resection of intradural spinal tumor","value":85,"unit":"percent of patients","horizon":"Postoperative MRI, 3 months","population":"Adults with resectable intradural spinal cord tumors, mainly schwannoma, meningioma, ependymoma","evidence_status":"limited"},"techniques":[{"name":"Posterior laminectomy or laminoplasty with microsurgical resection and intraoperative neuromonitoring","suits_whom":"Most intradural extramedullary and intramedullary tumors accessible from the back.","recovery":"Inpatient stay of several days followed by weeks of gradual recovery."},{"name":"Minimally invasive (tubular) approach","suits_whom":"Selected small extramedullary tumors at limited levels.","recovery":"May allow less muscle trauma and somewhat shorter stay in selected cases."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":8,"unit":"hours","qualifier":"Operative time for a single uncomplicated tumor resection; varies with tumor type, location and levels."},"initial_assessment_documents":["Spine MRI with contrast","Spine MRI DICOM images on disc or link","Neurological examination report","Biopsy or prior histology report (if available)","Spine CT or X-ray (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"One operation, 7-14 days stay. Follow-up MRI and histology review can be remote; second trip only for adjuvant therapy."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"The surgeon should explain the procedure, its limitations, alternatives, and risks or complications","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"what the procedure involves the limitations of a procedure what alternative procedures there are any risks or complications","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask what happens if complications occur and where follow-up appointments will be","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"what happens if there are complications where follow-up appointments will be what happens if you need more surgery after the original procedure – how easily can you travel back to the destination where you had the surgery? how much it'll cost","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check the surgeon’s training and qualifications","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"- what training and qualifications they have","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ask how many procedures like yours the surgeon has performed","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"- how many procedures like the one you're having they have done","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The provider cannot say what happens if complications occur","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"what happens if there are complications where follow-up appointments will be what happens if you need more surgery after the original procedure – how easily can you travel back to the destination where you had the surgery? how much it'll cost","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The surgeon does not explain the procedure, limitations, alternatives, risks, or complications","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"- what the procedure involves - the limitations of a procedure - what alternative procedures there are - any risks or complications","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"New numbness, weakness, or balance trouble","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/spinal-tumor/symptoms-causes/syc-20591793","host":"mayoclinic.org","quote":"A growing tumor can press on spinal nerves or the spinal cord, causing numbness, weakness, balance trouble or, when severe, paralysis.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W2","text":"New bladder or bowel problems","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/spinal-tumor/symptoms-causes/syc-20591793","host":"mayoclinic.org","quote":"If a tumor compresses certain nerves, it may cause trouble with bladder or bowel function.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W3","text":"Fast changes in symptoms","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/spinal-tumor/symptoms-causes/syc-20591793","host":"mayoclinic.org","quote":"New symptoms or fast changes need urgent evaluation by your care team.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Radiation is appropriate in addition to surgery","name":"Radiation therapy","source":{"url":"https://www.hopkinsmedicine.org/health/conditions-and-diseases/spinal-cord-tumor-overview","host":"hopkinsmedicine.org","quote":"Surgery to remove all or part of the tumor\nRadiation therapy, which is sometimes used in addition to surgery","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403},"operation_id":null},{"id":"A2","text":"Chemotherapy is appropriate for your spinal cord tumor","name":"Chemotherapy","source":{"url":"https://www.hopkinsmedicine.org/health/conditions-and-diseases/spinal-cord-tumor-overview","host":"hopkinsmedicine.org","quote":"Surgery to remove all or part of the tumor\nRadiation therapy, which is sometimes used in addition to surgery\nChemotherapy","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403},"operation_id":37},{"id":"A3","text":"You need medication to lessen swelling","name":"Corticosteroid medications","source":{"url":"https://www.hopkinsmedicine.org/health/conditions-and-diseases/spinal-cord-tumor-overview","host":"hopkinsmedicine.org","quote":"Surgery to remove all or part of the tumor\nRadiation therapy, which is sometimes used in addition to surgery\nChemotherapy\nCorticosteroid medications to lessen swelling","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"posterior-laminectomy-or-laminoplasty","name":"Posterior laminectomy or laminoplasty with microsurgical resection and intraoperative neuromonitoring","how_it_works":null,"recovery_daily":null},{"id":"minimally-invasive-approach","name":"Minimally invasive (tubular) approach","how_it_works":{"text":"Small instruments move healthy tissues aside through a small incision","source":{"url":"https://www.hopkinsmedicine.org/neurology-neurosurgery/specialty-areas/spine/centers/minimally-invasive-spine-surgery","host":"hopkinsmedicine.org","quote":"Surgical tools such as the endoscope and the special retractor tubes allow our surgeons to move healthy tissues aside to access the problem in the spine through a small 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