{"meta":{"humanUrl":"https://us-uk.bookimed.com/clinics/country=spain/city=barcelona/procedure=spina-bifid-surgery/best/","canonicalUrl":"https://us-uk.bookimed.com/clinics/country=spain/city=barcelona/procedure=spina-bifid-surgery/best/","jsonUrl":"https://us-uk.bookimed.com/clinics/country=spain/city=barcelona/procedure=spina-bifid-surgery/best/data.json","title":"Best clinics for Spina Bifida surgery in Spain — Ratings & Reviews | Bookimed","description":"2 top-rated clinics for Spina Bifida surgery in Spain. 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Spina bifida surgery at Centro Médico Teknon may cost around $29,400 – typically covering microsurgical operation, hospitalization, medications, and online consultation. The JCI-accredited clinic utilizes robotic surgery systems and intraoperative neurophysiological monitoring. Dr. Oliver directs Teknon Neurosurgery Institute and trained internationally across five countries.</p><doctor id=\"255\"></doctor>","text_type":"mt_wow_description","best_texts":{"techniques":"Microsurgical operations, non-invasive radiosurgery","good_fit_for":"Complex pediatric spinal conditions","why_its_ranked":"JCI-accredited clinic with 4.7 patient rating. Doctors perform microsurgical operations and utilize non-invasive radiosurgery. 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disorder or unmanaged anticoagulation","Severe irreversible deficit where surgery offers no expected benefit"],"days_in_clinic":{"min":2,"max":4,"unit":"nights","qualifier":"Uncomplicated adult untethering; longer if CSF leak or wound problems occur."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Gradual return; avoid heavy lifting and high-impact activity until surgeon clears."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Neurological, bladder and pain improvement may continue over this period."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After wound check at about 10–14 days; no CSF leak."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound review and suture removal at about two weeks."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":120,"unit":"days","qualifier":"Neurological, bladder and bowel review; MRI if symptoms persist or recur."}}],"indications":["Symptomatic tethered spinal cord from occult spinal dysraphism","Progressive back or leg pain attributed to cord tethering","Bladder, bowel or sexual dysfunction linked to tethering","Lipomyelomeningocele or tight filum with neurological symptoms"],"main_risks":["Cerebrospinal fluid leak or pseudomeningocele","Wound infection or meningitis","New or worsening leg weakness, numbness or pain","Worsening bladder, bowel or sexual dysfunction","Retethering requiring reoperation","Anesthetic risks"],"pain":"Moderate incisional pain, controlled with oral analgesics; usually eases within 1–2 weeks.","preparation":["Spine MRI review and neurological examination","Urodynamic testing if bladder symptoms are present","Stop blood thinners and aspirin as instructed","Fasting per anesthesia protocol","Smoking cessation advised before surgery"],"recovery_timeline":[{"phase":"Hospital stay (about 2–4 days)","description":"Pain control, early walking and monitoring of wound, bladder and leg function.","restrictions":["No heavy lifting","Avoid bending and twisting","Follow surgeon's activity instructions"]},{"phase":"Early recovery (weeks 1–6)","description":"Wound healing; desk work may resume; gradual increase in walking.","restrictions":["No driving until cleared","No heavy lifting or strenuous exercise","No swimming until wound is healed"]},{"phase":"Late recovery (months 2–6)","description":"Gradual return to exercise and physical work; neurological recovery continues.","restrictions":["Avoid high-impact activity until cleared"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Outpatient physiotherapy usually 2–6 weeks; longer with significant deficits."},"result_longevity":"Release is usually durable, but retethering can occur years later; existing deficits may persist.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Repeat untethering or leak repair; retethering risk can increase over years."},"scars":"A midline back scar over the lesion site is expected.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation; further surgery only for retethering or complications."},"stages":[{"code":"cord_untethering","label":"Microsurgical release of the tethered spinal cord","after":{"min":0,"max":0,"unit":"days","qualifier":"Single operation; no preceding stage required."}}],"qualifier":"Single-stage procedure."},"success":{"metric":"Symptom stabilization or improvement","value":70,"unit":"percent of patients","horizon":"2 years after surgery","population":"Adults with symptomatic tethered cord undergoing untethering","evidence_status":"limited"},"techniques":[{"name":"Microsurgical cord untethering with filum sectioning","suits_whom":"Adults with tight filum terminale and tethered cord symptoms","recovery":"Hospital stay about 2–4 days; walking usually started early."},{"name":"Lipoma-associated untethering with partial fat debulking","suits_whom":"Adults with lipomyelomeningocele and tethered cord","recovery":"Similar hospital stay; longer recovery after extensive fat dissection."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Typical microsurgical untethering; longer with lipoma resection or extensive dissection."},"initial_assessment_documents":["Spine MRI report and images","Urodynamic study report, if performed","Neurological examination and bladder function notes","Prior spine surgery records, if any","Photos of lower back skin marks, if present"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; second trip only for complications or review."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the facility’s accreditation and patient-safety record","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/travelers-with-additional-considerations/travelers-with-chronic-illnesses.html","host":"cdc.gov","quote":"Counsel travelers, if necessary, to investigate international healthcare accreditation agencies to identify healthcare facilities at the travel destination that have received recognition or accreditation for high care standards and good patient safety records.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C2","text":"Check how complications will be addressed with the operating healthcare professional","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should discuss the plan for addressing complications related to the treatment or procedure with both their U.S. healthcare professional and the healthcare professional performing the treatment or procedure outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C3","text":"Confirm a specialist team will explain treatment options and risks before surgery","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/spina-bifida/","host":"nhs.uk","quote":"A specialist team will talk to you about the treatment options for your baby, including any risks.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","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}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","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 clinic cannot explain how treatment complications will be addressed","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should discuss the plan for addressing complications related to the treatment or procedure with both their U.S. healthcare professional and the healthcare professional performing the treatment or procedure outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"F2","text":"The offer does not identify a quality healthcare professional or facility before treatment","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Identify quality healthcare professionals and facilities at destination, prior to traveling.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"F3","text":"No specialist team explains treatment options and risks before surgery","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/spina-bifida/","host":"nhs.uk","quote":"A specialist team will talk to you about the treatment options for your baby, including any risks.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"The home doctor needs details of all care received abroad for subsequent care","document":"medical-care documentation","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Request documentation of any medical care received abroad, including medications, and share with healthcare professionals delivering subsequent care while traveling and at home.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure 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leave.","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":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"technique_details":{"status":"ok","items":[{"id":"microsurgical-cord","name":"Microsurgical cord untethering with filum sectioning","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"lipoma-associated","name":"Lipoma-associated untethering with partial fat 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