Dr. Ertuğrul Pınar has performed 900+ neurosurgical procedures over _doctor_9704_years_, specializing in spinal conditions. The JCI-accredited clinic offers Spina Bifida surgery for around $15,760 – typically covering the operation, implants, 4-day hospital stay, and VIP transfers. The procedure includes intraoperative neuromonitoring and uses specialized laminar prostheses. Dr. Pınar trained in neurosurgery and focuses on preventing neurological complications.
Hisar Hospital Intercontinental is a JCI-accredited multi-specialty hospital in Istanbul. It treats 250,000 patients each year. Its core specialties are oncology, hematology, cardiovascular surgery, orthopedics, and bariatric surgery.
Dr. Gokalp Silav has performed 1,000+ neurosurgeries and brings over 25 years of experience. Dr. Silav specializes in congenital spine conditions. The personal program may cost around $15,900 and includes consultation, diagnostics, surgery, and intraoperative neuromonitoring. It also includes five hospital days. Microsurgical repair uses Brainlab neuronavigation, and Memorial Sisli Hospital is JCI-accredited.
Memorial Şişli Hospital in Istanbul is one of Turkey’s leading multidisciplinary medical centers, operating on a 53,000 m² area with 252 beds, 13 operating rooms, and advanced intensive care units. Opened in 2000, it became the first hospital in Turkey and the 21st worldwide to earn Joint Commission International (JCI) accreditation, confirming world-class standards.
\n\nThe hospital is recognized for its expertise in oncology, organ and bone marrow transplantation (90% organ transplant success rate), IVF, neurosurgery, bariatric surgery, robotic surgery, and genetics. Equipped with cutting-edge technology and specialized centers, Memorial Şişli attracts patients from 167 countries each year, combining top-level medical care with Istanbul’s unique cultural and travel opportunities.
\n","images":[{"base_url":"clinic/634ffae9b76cd","title":"Memorial Şişli Hospital modern clinic building in Istanbul, Turkey"},{"base_url":"clinic/5ba3aa9d874b8","title":"Patient room at Memorial Şişli Hospital, Istanbul with modern furnishings and TV"},{"base_url":"clinic/5ba3aa9ebbdf9","title":"Patient room and lounge area at Memorial Şişli Hospital, Istanbul"},{"base_url":"clinic/634ffa7dd8799","title":"Reception desk at Memorial Şişli Hospital with modern decor in Istanbul"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Kaptan Paşa Mah, Halit Ziya Türkkan Sok Famas Plaza No:19 D:C, 34385 Şişli/İstanbul, Turkey"},"rating":{"rating":4.6,"google":4.7,"percent_of_satisfied_clients":87},"statistics":{"number_of_reviews":437,"doctors_number":189,"year_foundation":2000},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Dr. Zafer Orkun Toktas has performed 1,100 neurosurgical procedures with _doctor_6357_years_ of specialized spina bifida repair experience. The complete package may cost around $29,500 – typically covering meningomyelocele microsurgery, VP shunt installation, MRI diagnostics, skin grafts, and pediatric follow-up during hospitalization. Memorial Ataşehir Hospital holds JCI accreditation with 4.6/5 patient ratings and provides airport transfers with interpreter services.
Memorial Ataşehir Hospital is a JCI-accredited transplant center with a 99.5% liver transplant success rate. It specializes in organ transplant, IVF, oncology, and neurosurgery. The hospital is part of the Memorial Healthcare Group, serving patients from 92 countries.
Memorial Bahçelievler Hospital offers combined spina bifida surgery with hydrocephalus shunting in a single session. The procedure may cost around $17,500 USD, typically covering myelomeningocele repair, 4 nights in a private room, meals for patient and companion, and preoperative tests. Professor Onur Yaman, a specialized neurosurgeon, reviews all MRI and CT scans before surgery planning. The hospital is Turkey's first LEED Platinum certified facility with eco-friendly design to enhance recovery. Free Russian-speaking translator services and airport transfers are included.
","text_type":"mt_wow_description","best_texts":{"techniques":"Fetal surgery for spina bifida","good_fit_for":"Combined spina bifida and hydrocephalus cases","why_its_ranked":"Offers combined hydrocephalus shunting and myelomeningocele surgery in a single session. Part of Memorial Healthcare Group with a 91% patient recommendation rate. Provides a Russian-speaking translator for international patients."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":250,"price_to":260,"currency":"USD","id":46649},"diagnostic":{"id":457,"name":"Consultation with creation of treatment plan ","alias":"consultation-with-creation-of-treatment-plan"}}],"reviews":[],"clinic":{"id":410,"alias":"memorial-bahcelievler-hospital","name":"Memorial Bahçelievler Hospital","short_description":"Memorial Bahçelievler Hospital is Turkey’s first LEED Platinum-certified hospital. It is part of the country’s largest healthcare network, Memorial Healthcare Group. Its core specialties include oncology, cardiovascular surgery, orthopedics, and robotic surgery.
Dr. Doğan Güçlühan Güçlü brings 22 years of neurosurgery expertise, focusing on complex spine conditions. The JCI-certified hospital offers a spina bifida surgery package around $16,000 USD – typically covering the procedure, pre-op tests, MRI scan, 4-5 day hospital stay, and medications. The facility features 13 operating theaters and provides airport transfers for international patients.
","text_type":"mt_wow_description","best_texts":{"techniques":"Spina bifida surgery","good_fit_for":"Neurosurgery for congenital malformations","why_its_ranked":"JCI-certified hospital with specialized neurosurgery team. Package includes MRI, surgery, and 4–5 days hospitalization. Provides comprehensive care for spina bifida corrections."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":5613,"alias":"vm-medical-park-florya-hospital","name":"VM Medical Park Florya Hospital","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/5613-6ac3a2de1ea3d.png","short_description":"VM Medical Park Florya Hospital is a JCI-accredited university hospital affiliated with Istanbul Aydın University. It excels in neurosurgery, plastic surgery, bariatric surgery, and oncology. The hospital also holds ISO certification and Center of Excellence designations in robotic, colorectal, and bariatric surgery.
Lokman Hekim Istanbul Hospital is a JCI-accredited private medical center in Istanbul. It treats 10,000+ patients each year. Core specialties are neurosurgery, orthopedics, spinal surgery, and weight loss surgery.
Lokman Hekim Istanbul Hospital is a JCI-accredited private medical center in Istanbul. It treats 10,000+ patients each year. Core specialties are neurosurgery, orthopedics, spinal surgery, and weight loss surgery.
Istanbul Florence Nightingale Hospital is Turkey's first Smart-and-Green hospital, certified by TÜV Hessen. It holds JCI and ISO accreditation and treats over 300,000 patients each year. Its strongest specialty is orthopedics, with the first EOS device in Turkey for low-dose imaging.
Istanbul Florence Nightingale Hospital is Turkey's first Smart-and-Green hospital, certified by TÜV Hessen. It holds JCI and ISO accreditation and treats over 300,000 patients each year. Its strongest specialty is orthopedics, with the first EOS device in Turkey for low-dose imaging.
Valued Med Hub Hospitals is a private multi-specialty center in Istanbul. It has 100 doctors across 20 departments. The clinic treats adults and children in neurosurgery, oncology, ophthalmology, and transplantology and holds an International Health Tourism Authorization Certificate from the Turkish government.
Valued Med Hub Hospitals is a private multi-specialty center in Istanbul. It has 100 doctors across 20 departments. The clinic treats adults and children in neurosurgery, oncology, ophthalmology, and transplantology and holds an International Health Tourism Authorization Certificate from the Turkish government.
Medipol Mega University Hospital holds Joint Commission International Academic accreditation – Turkey's first private hospital with this standard. The neurosurgery team includes Prof. Dr. Bekir Yavuz UÇAR, an orthopedics and neurosurgery professor. Spinal meningomyelocele excision may cost around $11,500, covering the surgical procedure. The hospital operates advanced equipment like Da Vinci Surgical System and intraoperative MRI. Annual follow-ups are recommended for observation cases.
","text_type":"mt_wow_description","best_texts":{"techniques":"Fetal surgery for spina bifida, excision of spinal meningomyelocele","good_fit_for":"Complex pediatric neurosurgery cases","why_its_ranked":"Performs fetal surgery for spina bifida with intraoperative MRI and navigation for precision. JCI accredited with a dedicated team including Prof. Dr. UÇAR for spine surgery."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":150,"price_to":400,"currency":"USD","id":16307},"diagnostic":{"id":240,"name":"MRI of the spine cord","alias":"mri-of-the-spine"}},{"prices":{"price_from":150,"price_to":300,"currency":"USD","id":13933},"diagnostic":{"id":453,"name":"Revision of MRI results","alias":"revision-of-mri-results"}}],"reviews":[],"clinic":{"id":85,"alias":"medipol-mega-hastaneler-kompleksi","name":"Medipol Mega University Hospital","short_description":"Medipol Mega University Hospital is a JCI-accredited private hospital complex. It is one of Turkey's largest multi-specialty medical centers. The hospital sees over a million patients annually and specializes in oncology, neurology, cardiovascular care, transplants, and IVF.
Assoc. Prof. Dr. Akin Akakin performs spina bifida surgery with expertise in dermal sinus tract excision and single level laminectomy. The all-inclusive package may cost around $15,400, typically covering surgery, pre-operative tests, 3-4 nights hospitalization, and transfers. The JCI and ISO certified hospital specializes in complex neurological procedures. Dr. Akakin holds an associate professor title in neurosurgery.
NP Istanbul Brain Hospital is the No. 2 Brain Hospital in Europe. It is Turkey’s first private neuropsychiatric hospital, certified by JCI. Core specialties include neurology, neurosurgery, psychiatry, and addiction treatment.
Dr. Gokalp Silav has performed 1,000+ neurosurgeries and brings over 25 years of experience. Dr. Silav specializes in congenital spine conditions. The personal program may cost around $15,900 and includes consultation, diagnostics, surgery, and intraoperative neuromonitoring. It also includes five hospital days. Microsurgical repair uses Brainlab neuronavigation, and Memorial Sisli Hospital is JCI-accredited.
Memorial Şişli Hospital in Istanbul is one of Turkey’s leading multidisciplinary medical centers, operating on a 53,000 m² area with 252 beds, 13 operating rooms, and advanced intensive care units. Opened in 2000, it became the first hospital in Turkey and the 21st worldwide to earn Joint Commission International (JCI) accreditation, confirming world-class standards.
\n\nThe hospital is recognized for its expertise in oncology, organ and bone marrow transplantation (90% organ transplant success rate), IVF, neurosurgery, bariatric surgery, robotic surgery, and genetics. Equipped with cutting-edge technology and specialized centers, Memorial Şişli attracts patients from 167 countries each year, combining top-level medical care with Istanbul’s unique cultural and travel opportunities.
\n","images":[{"base_url":"clinic/634ffae9b76cd","title":"Memorial Şişli Hospital modern clinic building in Istanbul, Turkey"},{"base_url":"clinic/5ba3aa9d874b8","title":"Patient room at Memorial Şişli Hospital, Istanbul with modern furnishings and TV"},{"base_url":"clinic/5ba3aa9ebbdf9","title":"Patient room and lounge area at Memorial Şişli Hospital, Istanbul"},{"base_url":"clinic/634ffa7dd8799","title":"Reception desk at Memorial Şişli Hospital with modern decor in Istanbul"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Kaptan Paşa Mah, Halit Ziya Türkkan Sok Famas Plaza No:19 D:C, 34385 Şişli/İstanbul, Turkey"},"rating":{"rating":4.6,"google":4.7,"percent_of_satisfied_clients":87},"statistics":{"number_of_reviews":437,"doctors_number":189,"year_foundation":2000},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}},{"card":{"text":"Dr. Ertuğrul Pınar has performed 900+ neurosurgical procedures over _doctor_9704_years_, specializing in spinal conditions. The JCI-accredited clinic offers Spina Bifida surgery for around $15,760 – typically covering the operation, implants, 4-day hospital stay, and VIP transfers. The procedure includes intraoperative neuromonitoring and uses specialized laminar prostheses. Dr. Pınar trained in neurosurgery and focuses on preventing neurological complications.
Hisar Hospital Intercontinental is a JCI-accredited multi-specialty hospital in Istanbul. It treats 250,000 patients each year. Its core specialties are oncology, hematology, cardiovascular surgery, orthopedics, and bariatric surgery.
Prof. Dr. Gursel Saka specializes in Spine Surgery, including complex Spina Bifida cases, at Hisar Hospital Intercontinental.
Dr. Gursel Saka is an orthopedic surgeon at Hisar Hospital Intercontinental in Istanbul. He specializes in spine surgery, trauma surgery, and arthroplasty. Dr. Saka was a finalist for the Tubitak XI Technology Awards in 2014. He has performed numerous operations for complex bone and joint conditions.
Hisar Hospital Intercontinental is a JCI-accredited multi-specialty hospital in Istanbul. It treats 250,000 patients each year. Its core specialties are oncology, hematology, cardiovascular surgery, orthopedics, and bariatric surgery.
Dr. Selman Dogan specializes in spinal surgery and sports traumatology, bringing extensive expertise to complex spine conditions like spina bifida at Hisar Hospital.
Dr. Selman Dogan is a highly-rated orthopedic surgeon at Hisar Hospital Intercontinental in Istanbul. He specializes in hip and shoulder replacement and treats international patients. Dr. Dogan also manages complex spine and extremity trauma. He holds a degree from the Cerrahpasa School of Medicine. He completed his residency at Istanbul Umraniye Teaching Hospital.
Hisar Hospital Intercontinental is a JCI-accredited multi-specialty hospital in Istanbul. It treats 250,000 patients each year. Its core specialties are oncology, hematology, cardiovascular surgery, orthopedics, and bariatric surgery.
Dr. Ertugrul Pinar is a neurosurgeon at Hisar Hospital Intercontinental in Istanbul. He treats adult and pediatric patients with complex brain and spine diseases. Dr. Pinar focuses on brain tumors, vascular aneurysms, and skull base pathologies. He works at a JCI-accredited hospital that serves over 500,000 patients annually.
Hisar Hospital Intercontinental is a JCI-accredited multi-specialty hospital in Istanbul. It treats 250,000 patients each year. Its core specialties are oncology, hematology, cardiovascular surgery, orthopedics, and bariatric surgery.
The doctor is an experienced neurosurgeon with over 15 years of clinical practice in Turkey. Throughout a distinguished career, the doctor has served in various high-profile medical institutions, including Memorial Ataşehir Hospital, VM Medical Park Pendik Hospital, and Bahçeşehir University Medical Park Göztepe Hospital.
Specializing in neurosurgical procedures, the doctor has extensive experience in managing complex neurological conditions and providing comprehensive patient care. Having served in both private hospital systems and state-run facilities, the doctor possesses a broad clinical background in surgical interventions and neurological health management.
","specialities":[{"id":"nrs.001","name":"Neurosurgeon","illness_kind_id":2}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":432,"alias":"memorial-atasehir-hospital","name":"Memorial Ataşehir Hospital","short_description":"Memorial Ataşehir Hospital is a JCI-accredited transplant center with a 99.5% liver transplant success rate. It specializes in organ transplant, IVF, oncology, and neurosurgery. The hospital is part of the Memorial Healthcare Group, serving patients from 92 countries.
Founded Turkey's first spine surgery center – Dr. Hamzaoglu leads the Istanbul Scoliosis and Spine Center with innovative techniques.
Dr. Azmi Hamzaoglu is an orthopedic spine surgeon at Istanbul Florence Nightingale Hospital. He established the Istanbul Scoliosis and Spine Center. This was Turkey's first facility dedicated to spine surgery. Dr. Hamzaoglu has performed thousands of complex procedures. He treats conditions like scoliosis, herniated discs, and spinal tumors.
Istanbul Florence Nightingale Hospital is Turkey's first Smart-and-Green hospital, certified by TÜV Hessen. It holds JCI and ISO accreditation and treats over 300,000 patients each year. Its strongest specialty is orthopedics, with the first EOS device in Turkey for low-dose imaging.
Assoc Prof. Dr. Dogan Gucluhan Guclu specializes in spinal surgeries with training at prestigious institutions like The Cleveland Clinic and Saint Louis University.
Dr. Dogan Gucluhan Guclu is a neurosurgeon at Valued Med Hub Hospitals in Istanbul. He specializes in brain tumors, spinal surgery, and pediatric neurosurgery. Dr. Guclu serves as a member of the European Association of Neurosurgical Societies.
Valued Med Hub Hospitals is a private multi-specialty center in Istanbul. It has 100 doctors across 20 departments. The clinic treats adults and children in neurosurgery, oncology, ophthalmology, and transplantology and holds an International Health Tourism Authorization Certificate from the Turkish government.
Dr. Akin Akakin is a neurosurgeon at NP Istanbul Brain Hospital. He specializes in lateral microsurgical approaches for lumbar disc surgery. He holds a Doctorate in Brain and Nerve Surgery Neuroanatomy from Florida University. Dr. Akakin also completed a fellowship at the same institution.
NP Istanbul Brain Hospital is the No. 2 Brain Hospital in Europe. It is Turkey’s first private neuropsychiatric hospital, certified by JCI. Core specialties include neurology, neurosurgery, psychiatry, and addiction treatment.
Dr. Ertuğrul Pınar has performed 900+ neurosurgical procedures over _doctor_9704_years_, specializing in spinal conditions. The JCI-accredited clinic offers Spina Bifida surgery for around $15,760 – typically covering the operation, implants, 4-day hospital stay, and VIP transfers. The procedure includes intraoperative neuromonitoring and uses specialized laminar prostheses. Dr. Pınar trained in neurosurgery and focuses on preventing neurological complications.
Dr. Ertugrul Pinar is a neurosurgeon at Hisar Hospital Intercontinental in Istanbul. He treats adult and pediatric patients with complex brain and spine diseases. Dr. Pinar focuses on brain tumors, vascular aneurysms, and skull base pathologies. He works at a JCI-accredited hospital that serves over 500,000 patients annually.
Hisar Hospital Intercontinental is a JCI-accredited multi-specialty hospital in Istanbul. It treats 250,000 patients each year. Its core specialties are oncology, hematology, cardiovascular surgery, orthopedics, and bariatric surgery.
This surgery involves fixing a baby\"s spine in the womb to lessen disability before birth and improve mobility.
"},"845":{"operation":{"name":"Spina Bifida surgery","alias":"spina-bifid-surgery","use_for_listing":true},"country_price":{"US":{"amount":45000,"max_amount":85000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":8900,"max_amount":11000,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":9500,"max_amount":18500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":14500,"max_amount":24500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":36100,"max_amount":38700,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":false,"DE":false,"CA":false,"AE":false,"TH":false,"PL":false,"KR":false,"CZ":false,"AT":false,"ES":true,"IT":true,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false},"description":"The operation corrects spinal defects at birth, protecting nerves during a delicate process, thus improving quality of life.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":272}},"direction":{"id":55,"name":"Spinal Surgery","alias":"spinal-surgery"},"illness_kind":{"id":55,"name":{"en":"Spinal Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":84,"unit":"days","qualifier":"Desk work often within 2–4 weeks; physically demanding jobs usually need 6–12 weeks."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"CSF leak, wound infection or transient neurological worsening."},"contraindications":["Medical instability precluding general anesthesia","Active infection at the surgical site or meningitis","Uncorrected bleeding 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 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