Hospital Ruber Internacional — це приватна лікарня в Мадриді, Іспанія, акредитована JCI. Входить до топ-6 лікарень Іспанії за версією Forbes. Спеціалізується на нейрохірургії, ортопедії та кардіології.
Hospital Ruber Internacional — це приватна лікарня в Мадриді, Іспанія, акредитована JCI. Входить до топ-6 лікарень Іспанії за версією Forbes. Спеціалізується на нейрохірургії, ортопедії та кардіології.
Ця процедура знімає тиск у хребті, передбачає видалення частини хребця, полегшує біль і покращує рухливість.
"},"1617":{"operation":{"name":"Поперекова ламінектомія з однорівневою стабілізацією","alias":"lumbar-laminectomy-and-stabilization-surgery-single-level","use_for_listing":true},"country_price":{"UA":{"amount":3200,"max_amount":5500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"US":{"amount":38000,"max_amount":65000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":4800,"max_amount":10900,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":9500,"max_amount":16500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":31400,"max_amount":41400,"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":true,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false}}}},"operationIndicators":{"details":{"days_in_clinic":0,"days_in_country":0,"rehabilitation_days":0,"satisfied_percent":78,"treatment_duration_hours":0},"illness_kind_details":{"requests_processed":21657}},"responsibleDoctor":{"id":645,"alias":"ali-zirh","name":"Ali Zirh","photo":"doctor/6a5e1b08044b5","advisory_text":"Більше ніж 1500 успішних операцій на лікування хвороби Паркінсона та інших розладів руху; понад 1000 процедур глибокої стимуляції мозку (DBS).","linkedin":"","specialities":[{"id":"nrs.001","name":"Нейрохірург","illness_kind_id":2},{"id":"nrs.005","name":"Фахівець зі стереотаксичної та функціональної нейрохірургії","illness_kind_id":2}]},"direction":{"id":2,"name":"Нейрохірургія","alias":"neurosurgery"},"illness_kind":{"id":2,"name":{"en":"Neurosurgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":42,"max":90,"unit":"days","qualifier":"Desk work earlier (about 6 weeks); physically demanding work often 3 months or more, depending on surgeon clearance."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any perioperative complication within 90 days, including minor ones; serious complications about 3-7%."},"contraindications":["Active spinal or 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in-flight movement breaks needed, with thrombosis precautions."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":7,"max":14,"unit":"days","qualifier":"Before departure or with local doctor."},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":10,"max":14,"unit":"days","qualifier":"Can be done locally if sutures not absorbable."},"requirement":"routine"},{"purpose":"assessment","after":{"min":42,"max":90,"unit":"days","qualifier":"Clinical review with X-ray; can be remote or local."},"requirement":"routine"},{"purpose":"result_review","after":{"min":180,"max":365,"unit":"days","qualifier":"X-ray or CT to confirm fusion."},"requirement":"routine"}],"indications":["Lumbar spinal stenosis with neurogenic claudication unresponsive to conservative care","Degenerative spondylolisthesis with stenosis","Segmental instability at one level","Radiculopathy from stenosis with instability","Recurrent disc herniation with instability"],"main_risks":["Surgical site infection","Dural tear with cerebrospinal fluid leak","Nerve root injury or persistent numbness or weakness","Bleeding or epidural hematoma","Blood clots (DVT/PE)","Screw malposition or hardware loosening","Non-union (pseudarthrosis)","Adjacent segment degeneration"],"pain":"Moderate to severe for the first 3-5 days, controlled with oral and short-term stronger analgesics; leg pain often eases quickly, back soreness fades over 6-12 weeks.","preparation":["Lumbar MRI and/or CT and standing X-rays reviewed","Pre-operative blood tests, ECG and anesthesia assessment","Stop smoking and nicotine well before surgery","Surgeon-directed pause of blood thinners and anti-inflammatories","Fasting before anesthesia","Optimize diabetes and blood pressure"],"recovery_timeline":[{"phase":"Hospital stay (days 0-4)","description":"Mobilization with physiotherapist on day one, drain removal, pain control.","restrictions":["No bending, lifting or twisting","Walk with assistance"]},{"phase":"Early recovery (weeks 1-6)","description":"Daily walking, wound healing, gradual reduction of pain medication; brace if prescribed.","restrictions":["No lifting over 3-5 kg","No prolonged sitting","No driving while on opioids"]},{"phase":"Rehabilitation (weeks 6-12)","description":"Return to desk work and guided core and mobility physiotherapy.","restrictions":["No heavy lifting","No impact sports"]},{"phase":"Fusion maturation (3-12 months)","description":"Gradual return to full activity as fusion consolidates on imaging.","restrictions":["Avoid heavy loading until surgeon approval"]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Supervised physiotherapy and walking program until independent daily function returns."},"result_longevity":"Decompression and fusion are generally long-lasting once bone fuses, but adjacent levels may degenerate over years and further surgery is sometimes needed.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat spinal surgery within about 5 years, including adjacent segment disease, non-union or hardware problems."},"scars":"One midline lower-back scar, typically 5-10 cm, fading to a thin line over 6-12 months; smaller if minimally invasive.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"decompression_fusion","label":"Laminectomy with pedicle screw stabilization and fusion at one level","after":{"min":0,"max":0,"unit":"days","qualifier":"Same operation."}}],"qualifier":"Decompression and stabilization done in one surgery."},"success":{"metric":"Patients with meaningful leg pain and function improvement","value":75,"unit":"percent","horizon":"2 years","population":"Adults with single-level stenosis with instability or spondylolisthesis, failed conservative care","evidence_status":"limited"},"techniques":[{"name":"Open laminectomy with pedicle screws and posterolateral fusion","suits_whom":"Stenosis with instability or spondylolisthesis at one level.","recovery":"Stay 3-4 nights; return to desk work in about 6-12 weeks."},{"name":"Laminectomy with pedicle screws and TLIF/PLIF cage","suits_whom":"Instability with disc collapse or foraminal stenosis needing restored disc height.","recovery":"Stay 3-4 nights; fusion matures over 6-12 months."},{"name":"Minimally invasive decompression with percutaneous screws","suits_whom":"Selected patients with a single level and suitable anatomy.","recovery":"Stay 2-3 nights; often less muscle pain early on."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2.5,"max":4.5,"unit":"hours","qualifier":"Operating time for one-level decompression with instrumented fusion."},"initial_assessment_documents":["Lumbar spine MRI report and images","Standing lumbar X-rays","Lumbar CT scan (if available)","Neurological examination or clinic notes","Medication list including blood thinners","Previous spine surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days including hospital stay and wound check before flying home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","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":"C2","text":"Ask for certification information and the name of the body that certified the surgical 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reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise 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is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Foul odor near the incision site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/10895-laminectomy","host":"my.clevelandclinic.org","quote":"Skin discoloration, swelling or a foul odor near the incision site.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Persistent drainage from the surgical 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