{"meta":{"humanUrl":"https://ru.bookimed.com/clinics/country=italiya/city=milan/procedure=operacia-pri-spina-bifida/","canonicalUrl":"https://ru.bookimed.com/clinics/country=italiya/city=milan/procedure=operacia-pri-spina-bifida/","jsonUrl":"https://ru.bookimed.com/clinics/country=italiya/city=milan/procedure=operacia-pri-spina-bifida/data.json","title":"Операция при спина бифида в Милане 2026: цены, клиники и отзывы","description":"Операция при спина бифида в Милане стоит от $15,000. Сравните 1 клинику: цены, врачи и отзывы пациентов. Бесплатно подберём клинику под ваш случай.","heading":"Операция при спина бифида в Милане: цены и клиники","locale":"ru","schemaVersion":"ClinicListingPageDataV1","snapshotId":"bc854cc1-965ae5ba","contentVersion":"bc854cc1","generatedAt":"2026-11-13T09:55:12.212Z"},"filters":{"country":"italiya","city":"milan","procedure":"operacia-pri-spina-bifida","page":1},"pagination":{"page":1,"totalCount":1,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"Италия","url":"/clinics/country=italiya/"},{"name":"Милан","url":"/clinics/country=italiya/city=milan/"},{"name":"Операция при спина бифида","url":"/clinics/country=italiya/procedure=operacia-pri-spina-bifida/"}],"entities":[{"name":"Италия","alias":"italiya","type":"country","id":127},{"name":"Милан","alias":"milan","type":"city","id":353},{"name":"Операция при спина бифида","alias":"operacia-pri-spina-bifida","type":"procedure","id":845}],"clinics":{"clinics":[{"text":"

Доктор Пьетро Мортини, руководитель отделения нейрохирургии в этом ведущем европейском исследовательском госпитале, в 2018 году провел первую в мире внутриутробную операцию по поводу расщепления позвоночника (spina bifida). Клиника, сертифицированная по стандартам ISO, ежегодно выполняет более 52 000 операций. Онлайн-консультации для получения «второго мнения» стоят около 352 EUR – они требуют предварительной оплаты и предоставления полной медицинской документации.

","text_type":"mt_wow_description","best_texts":{"techniques":"Внутриутробная хирургия плода","why_its_ranked":"Здесь была проведена первая в мире внутриутробная операция по поводу spina bifida (расщепления позвоночника) у плода. Специализированная программа по лечению врожденных пороков развития. Руководители отделений нейрохирургии и акушерства и гинекологии работают совместно; также доступны дистанционные консультации для получения второго мнения."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":15000,"price_to":35000,"currency":"USD","id":16269},"operation":{"id":845,"name":"Операция при спина бифида","alias":"operacia-pri-spina-bifida"}}],"reviews":[],"clinic":{"id":303,"alias":"klinika-san-raffael","name":"Сан-Рафаэль","short_description":"

Клиника Сан-Рафаэль (Ospedale San Raffaele) в Милане — один из лучших научно-исследовательских медицинских центров Европы, лидер по лечению редких иммунных и генетических заболеваний.

\n\n

По данным клиники, здесь разработана первая в мире генная терапия стволовыми клетками для пациентов с тяжелым комбинированным иммунодефицитом (ADA-SCID).

\n\n

Сан-Рафаэль специализируется на онкологии, онкогематологии, нейрохирургии, кардиохирургии, гинекологии.

\n\n

Ежегодно врачи медицинского центра проводят более 50 000 операций.

\n","images":[{"base_url":"clinic/656dd8c9f33b6","title":"Современный фасад клиники San Raffaele с стеклянным куполом в Милане, Италия"},{"base_url":"clinic/656dd90cb7c2d","title":"Экстерьер госпиталя Сан-Раффаэле с современными зданиями и фонтаном в Милане, Италия"},{"base_url":"clinic/656dd922de3c2","title":"Экстерьер больницы Сан-Раффаэле с современными медицинскими зданиями в Милане, Италия"},{"base_url":"clinic/656dd97bd7773","title":"Зона ожидания в клинике Сан-Раффаэле Милан с современными креслами и естественным светом"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Италия","id":127,"alias":"italiya","iso_code":"IT"},"city":{"name":"Милан","id":353,"alias":"milan"},"address":"Piazza Edmondo Malan, 2, 20097 San Donato Milanese MI, Italy"},"rating":{"rating":4.6,"google":3.2,"percent_of_satisfied_clients":85},"statistics":{"number_of_reviews":71,"doctors_number":350,"year_foundation":1969},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb7263b067a.jpeg","name":"Аккредитация IRCCS за ведение исследований","country_code":"IT"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Лучшие клиники мира 2021 по версии журнала Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":62},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"guide_mc":{"text":"

День 1 - Прибытие

День 2 - Предоперационный

День 3 - Хирургия Spina Bifida

С 4 по 10 день - После операции

Неделя со 2 по 4 Неделя - Реабилитация

с 5 по 8 неделю

9 неделя и далее

Обратите внимание, что сроки восстановления каждого пациента могут варьироваться в зависимости от индивидуального состояния здоровья и сложности операции.

"}}},"articles":[{"id":"ru:istoriya-lecheniya-pacienta-s-raschepleniyem-pozvonochnika","name":"“Даже у здоровых родителей рождаются дети, которым нужна помощь”. История лечения новорожденного Мансура в Турции","image":{"main":"https://bookimed.s3.eu-central-1.amazonaws.com/articles/5b51_b.jpeg","preview":"https://bookimed.s3.eu-central-1.amazonaws.com/articles/5b51_s.jpeg"},"author":{"first_name":"Vira","last_name":"Stagnik","avatar":"https://bookimed.s3.eu-central-1.amazonaws.com/admin/615db0dd7efb0.jpeg"}},{"id":"ru:istoria-operacii-5-letnego-davida-na-spinnom-mozge","name":"\"Могло быть слишком поздно\": история операции 5-летнего Давида на спинном мозге","image":{"main":"https://bookimed.s3.eu-central-1.amazonaws.com/articles/299d_b.jpeg","preview":"https://bookimed.s3.eu-central-1.amazonaws.com/articles/299d_s.jpeg"},"author":{"first_name":"Юлия","last_name":"Беба","avatar":"https://bookimed.s3.eu-central-1.amazonaws.com/admin/60e44ca057fab.jpeg"}}],"relations":{"countries":[{"name":"Израиль","alias":"israel","iso_code":"IL"},{"name":"Индия","alias":"india","iso_code":"IN"},{"name":"Испания","alias":"spain","iso_code":"ES"},{"name":"Италия","alias":"italiya","iso_code":"IT"},{"name":"Кипр","alias":"cyprus","iso_code":"CY"},{"name":"Колумбия","alias":"kolumbiya","iso_code":"CO"},{"name":"Мексика","alias":"mexico","iso_code":"MX"},{"name":"Польша","alias":"poland","iso_code":"PL"},{"name":"Таиланд","alias":"thailand","iso_code":"TH"},{"name":"Турция","alias":"turkey","iso_code":"TR"},{"name":"Украина","alias":"ukraine","iso_code":"UA"},{"name":"Южная Корея","alias":"republic-of-korea","iso_code":"KR"}],"cities":[{"name":"Милан","alias":"milan"}],"operations":[{"name":"Дискэктомия","alias":"udalenie-diska-poyasnichnogo-otdela-pozvonochnika-diskektomiya"},{"name":"Операция при сколиозе","alias":"operativnoe-lechenie-skolioza"},{"name":"Ламинэктомия","alias":"laminektomiya"},{"name":"Спинальная фузия (Спондилодез)","alias":"maloinvazivnaa-fuzia-pozvonocnika-srasenie-sosednih-pozvonkov"},{"name":"Удаление межпозвоночной грыжи","alias":"udalenie-mezhpozvonochnoj-gruzhi-diskektomiya-s-fiksaciej"},{"name":"Операция при спина бифида","alias":"operacia-pri-spina-bifida"}],"diagnostics":[{"name":"МРТ позвоночника","alias":"mrt-pozvonochnika"},{"name":"МРТ поясничного отдела","alias":"mrt-poyasnichnogo-otdela"},{"name":"Консультация с составлением плана лечения","alias":"konsultacia-s-sostavleniem-plana-lecenia"}],"illnessKinds":[{"name":"Спинальная хирургия","alias":"spinalnaya-hirurgiya"}],"illness_kinds":[{"name":"Спинальная хирургия","alias":"spinalnaya-hirurgiya"}]},"popularSearches":[{"name":"Удаление межпозвоночной грыжи","alias":"udalenie-mezhpozvonochnoj-gruzhi-diskektomiya-s-fiksaciej","type":"operation","id":538},{"name":"Операция при сколиозе","alias":"operativnoe-lechenie-skolioza","type":"operation","id":241},{"name":" Имплантация системы ApiFix","alias":"implantacia-sistemy-apifix","type":"operation","id":746},{"name":"Дискэктомия","alias":"udalenie-diska-poyasnichnogo-otdela-pozvonochnika-diskektomiya","type":"operation","id":74},{"name":"Ламинэктомия","alias":"laminektomiya","type":"operation","id":291},{"name":"Консультация с составлением плана лечения","alias":"konsultacia-s-sostavleniem-plana-lecenia","type":"diagnostic","id":457},{"name":"МРТ позвоночника","alias":"mrt-pozvonochnika","type":"diagnostic","id":240},{"name":"МРТ поясничного отдела","alias":"mrt-poyasnichnogo-otdela","type":"diagnostic","id":311},{"name":"Пересмотр результатов МРТ","alias":"peresmotr-rezultatov-mrt","type":"diagnostic","id":453},{"name":"Рентген позвоночника","alias":"rentgen-pozvonocnika","type":"diagnostic","id":264}],"operationPrices":{"operation_prices":{"834":{"operation":{"name":"Внутриутробная операция при спина бифида","alias":"vnutriutrobnaa-operacia-pri-spina-bifida","use_for_listing":true},"country_price":{"US":{"amount":95000,"max_amount":160000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":198000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"TH":{"amount":18000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"PL":{"amount":14000,"max_amount":23000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"CZ":{"amount":14000,"max_amount":23000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"IT":{"amount":28000,"max_amount":31000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"PL":false,"CZ":false,"IT":true},"description":"

Эта операция включает в себя фиксацию позвоночника ребенка в утробе матери, чтобы уменьшить инвалидность до рождения и улучшить подвижность.

"},"845":{"operation":{"name":"Операция при спина бифида","alias":"operacia-pri-spina-bifida","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"},"PL":{"amount":5500,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"CZ":{"amount":15000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"IT":{"amount":15000,"max_amount":23000,"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":"

Операция корректирует дефекты позвоночника при рождении, защищает нервы во время деликатного процесса, тем самым улучшая качество жизни.

"}}},"cityPrices":{"operation_prices":{"834":{"operation":{"id":834,"name":"Внутриутробная операция при спина бифида","alias":"vnutriutrobnaa-operacia-pri-spina-bifida"},"city_price":[{"amount":28000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"city","city":{"id":353,"name":"Милан","alias":"milan","profile":{"city_id":353,"city_type":"Capital and largest city of Lombardy","access":["Malpensa Airport (MXP), 49 km from Milan","Linate Airport (LIN), 7 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Milan","https://en.wikipedia.org/wiki/Milan_Malpensa_Airport","https://en.wikipedia.org/wiki/Linate_Airport"],"status":"ok","checked_at":"2026-11-03"}}}]},"845":{"operation":{"id":845,"name":"Операция при спина бифида","alias":"operacia-pri-spina-bifida"},"city_price":[{"amount":15000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"city","city":{"id":353,"name":"Милан","alias":"milan","profile":{"city_id":353,"city_type":"Capital and largest city of Lombardy","access":["Malpensa Airport (MXP), 49 km from Milan","Linate Airport (LIN), 7 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Milan","https://en.wikipedia.org/wiki/Milan_Malpensa_Airport","https://en.wikipedia.org/wiki/Linate_Airport"],"status":"ok","checked_at":"2026-11-03"}}}]}}},"videoReviews":[{"id":"20ce7228-9507-474a-920a-52c420145925","link":"https://player.vimeo.com/video/1031183933?badge=0&autopause=0&player_id=0&app_id=58479","description":"Я совместила отпуск в Анталии с медицинским обследованием.","userName":"Dayana","user_name":"Dayana","preview":"https://i.vimeocdn.com/video/1951869155-cc5953653c6f3fdc1a482e7ff45640465899941031f7f430f49f353b618a4ace-d?mw=1000&mh=1778&q=70","updated_at":"2025-03-07T07:58:27.635+00:00","clinicName":"Клиника Мемориал Анталия","clinic":{"name":"Клиника Мемориал Анталия","alias":"klinika-memorial-antalia"},"clinicUrl":"/clinic/klinika-memorial-antalia/","relations":{"diagnostics":[{"name":"Check-up для женщин","alias":"check-up-obsledovanie-dlya-zhenschin"},{"name":"Обследование слуха","alias":"obsledovanie-sluha"}]}},{"id":"0d843a77-508d-4506-9950-8353b50e4086","link":"https://player.vimeo.com/video/1004433703?badge=0&autopause=0&player_id=0&app_id=58479","description":"Было супер! Трансферы, проживание, лечение — всё включено.","userName":"Igor","user_name":"Igor","preview":"https://i.vimeocdn.com/video/1920970384-d98a1858eee0afdea9fb4b88e2c27c1bf2fd75f293cc35249343d2d371e4bb52-d?mw=800&mh=1418&q=70","updated_at":"2025-03-07T08:20:09.093+00:00","clinicName":"Стоматологическая клиника WestDent","clinic":{"name":"Стоматологическая клиника WestDent","alias":"westdent-clinic"},"clinicUrl":"/clinic/westdent-clinic/","relations":{"operations":[{"name":"Имплантация зубов","alias":"implantacia-zuba"},{"name":"Установка импланта с коронкой ","alias":"ustanovka-implanta-s-koronkoj"}]}},{"id":"267c5e6d-746b-494d-9dad-0b0bacc7e0c4","link":"https://player.vimeo.com/video/1003598025","description":"Bookimed всё сделал за меня. Мне не пришлось ни о чём беспокоиться.","userName":"Marina","user_name":"Marina","preview":"https://i.vimeocdn.com/video/1920033876-ade65ad191fc8cdbaffa3a5f5e7f52101a1d20c803cdd8fa7dedf1e5d8ecbb78-d?mw=800&mh=1418&q=70","updated_at":"2025-03-07T08:03:16.951+00:00","clinicName":"Клиника Северанс","clinic":{"name":"Клиника Северанс","alias":"klinika-severans"},"clinicUrl":"/clinic/klinika-severans/","relations":{"diagnostics":[{"name":"Check-up для женщин","alias":"check-up-obsledovanie-dlya-zhenschin"},{"name":"Чек ап для женщин старше 40","alias":"chek-ap-dlya-zhenshchin-starshe-40"}]}},{"id":"ac41621c-4ed9-4dac-b13b-c2887c544996","link":"https://player.vimeo.com/video/1004504880?badge=0&autopause=0&player_id=0&app_id=58479","description":"Моя мечта сбылась. Наконец-то я больше не буду плакать из-за своих волос.","userName":"Oksana","user_name":"Oksana","preview":"https://i.vimeocdn.com/video/1921052463-9441b899d97f025bdf15ea4444c6bad76896438435507f931f9dbade65aa9fd2-d?mw=800&mh=1418&q=70","updated_at":"2025-03-07T08:05:42.652+00:00","clinicName":"Клиника Dr. MED ","clinic":{"name":"Клиника Dr. MED ","alias":"doctor-med"},"clinicUrl":"/clinic/doctor-med/","relations":{"operations":[{"name":"Пересадка волос","alias":"peresadka-volos"},{"name":"Бесшовная пересадка волос методом FUE","alias":"besshovnaya-peresadka-volos-metod-fue"}]}},{"id":"8ef8b334-e1a3-4147-974d-fd5996d54d0b","link":"https://player.vimeo.com/video/1006239156?badge=0&autopause=0&player_id=0&app_id=58479","description":"Всего 4 дня в Турции, и я уже дома с новыми волосами.","userName":"Roman","user_name":"Roman","preview":"https://i.vimeocdn.com/video/1946681900-5faead53777958026fa135874e48fd674bf30c103469d0c4a733df42989f1b73-d?mw=500&mh=886&q=70","updated_at":"2025-03-07T08:07:34.434+00:00","clinicName":"Клиника Hair","clinic":{"name":"Клиника Hair","alias":"klinika-hair"},"clinicUrl":"/clinic/klinika-hair/","relations":{"operations":[{"name":"Пересадка волос","alias":"peresadka-volos"},{"name":"Органическая пересадка волос","alias":"organiceskaa-peresadka-volos"}]}},{"id":"53074d0e-9c37-4b1f-86a1-a168d8a910a7","link":"https://player.vimeo.com/video/1004438748?badge=0&autopause=0&player_id=0&app_id=58479","description":"С Bookimed эта медицинская поездка прошла легко и просто.","userName":"Jamie","user_name":"Jamie","preview":"https://i.vimeocdn.com/video/1920976253-73e5c27c2f0cb21175de7829a9ba81f50e09c7dac0961f61876317387430849f-d?mw=500&mh=886&q=70","updated_at":"2025-03-07T08:08:20.298+00:00","clinicName":"Клиника Bangkok Plastic Surgery","clinic":{"name":"Клиника Bangkok Plastic Surgery","alias":"bangkok-plastic-surgery"},"clinicUrl":"/clinic/bangkok-plastic-surgery/","relations":{"operations":[{"name":"Операция по смене пола","alias":"operacia-po-smene-pola"},{"name":"Смена пола с мужского на женский","alias":"smena-pola-s-muzhskogo-na-zhenskiy"}]}},{"id":"c7d1c1b8-6341-4f6e-ba0a-cb27f3eee995","link":"https://player.vimeo.com/video/1004481280?badge=0&autopause=0&player_id=0&app_id=58479","description":"Кто бы мог подумать, что лечение зубов может быть как мини-отпуск?","userName":"David","user_name":"David","preview":"https://i.vimeocdn.com/video/1923189492-b7baecdf68e7f0e3c6e354b53b54e23f3f4886e5644ca3aa7b862c88a4cf9d14-d?mw=500&mh=886&q=70","updated_at":"2025-03-07T08:08:58.351+00:00","clinicName":"Стоматологическая клиника Evergreen Dental","clinic":{"name":"Стоматологическая клиника Evergreen Dental","alias":"stomatologiceskaa-klinika-evergreen-dental-evergrin-dental"},"clinicUrl":"/clinic/stomatologiceskaa-klinika-evergreen-dental-evergrin-dental/","relations":{"operations":[{"name":"Установка импланта с коронкой ","alias":"ustanovka-implanta-s-koronkoj"},{"name":"Имплантация зубов","alias":"implantacia-zuba"}]}},{"id":"0c8fcbc4-4296-4057-aa8f-74e222cdb7c5","link":"https://player.vimeo.com/video/1026539266?badge=0&autopause=0&player_id=0&app_id=58479","description":"Bookimed нашёл мне отличную клинику. Я сэкономил кучу денег.","userName":"Dmitrii","user_name":"Dmitrii","preview":"https://i.vimeocdn.com/video/1946681311-7931e204080192bf6f0e15c5880d649b39f108250f0e2a3c68b75e38b391dabc-d?mw=500&mh=886&q=70","updated_at":"2025-03-07T08:09:41.145+00:00","clinicName":"Клиника Адам и Ева","clinic":{"name":"Клиника Адам и Ева","alias":"klinika-esteticeskoj-mediciny-adam-i-eva"},"clinicUrl":"/clinic/klinika-esteticeskoj-mediciny-adam-i-eva/","relations":{"operations":[{"name":"Пересадка бороды","alias":"peresadka-borody"},{"name":"Пересадка усов","alias":"peresadka-usov"}]}},{"id":"cbbb42a3-8ef0-4a4f-a405-1968169d4e95","link":"https://player.vimeo.com/video/1026546360?badge=0&autopause=0&player_id=0&app_id=58479","description":"Премиум-клиника, первоклассный трансфер, отличный отель. И я сэкономил 24 тысячи!","userName":"Skye","user_name":"Skye","preview":"https://i.vimeocdn.com/video/1946680814-5c9b338ab87f9d49038398fab9516911ac6f420e5a0e789a3c5812611492ca2f-d?mw=500&mh=886&q=70","updated_at":"2025-03-07T08:11:07.933+00:00","clinicName":"Медицинский центр B.Care ","clinic":{"name":"Медицинский центр B.Care ","alias":"medicinskij-centr-bcare"},"clinicUrl":"/clinic/medicinskij-centr-bcare/","relations":{"operations":[{"name":"Липосакция","alias":"liposakciya"},{"name":"Вазер (Vaser) липосакция","alias":"vaser-liposakcia"}]}},{"id":"66db369b-898d-4857-8a31-2d7238123818","link":"https://player.vimeo.com/video/1026547435?badge=0&autopause=0&player_id=0&app_id=58479","description":"Благодаря Bookimed я чувствую себя самым счастливым человеком в мире.","userName":"Anne","user_name":"Anne","preview":"https://i.vimeocdn.com/video/1946352301-12527dd71ce1cc426d2fd3b3915e67c33264dc31bd32876840c1d2bc23ed353e-d?mw=500&mh=886&q=70","updated_at":"2025-06-03T11:31:37.201+00:00","clinicUrl":"/clinic/aktif-international-hospitals/","relations":{"operations":[{"name":"Подтяжка лица (фейслифт)","alias":"podtazka-kozi-lica-fejslift"},{"name":"Мини-фейслифтинг","alias":"mini-fejslifting"}]}}],"hasVideoReviewsByContext":false,"updatedAt":"2026-11-10T07:05:51.000Z","activeCountries":["IT","TR","CZ","PL","TH"],"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":"Спинальная хирургия","alias":"spinalnaya-hirurgiya","name_forms":{"base_form":"Спинальная хирургия","form_1":"спинальной хирургии","form_2":"спинальной хирургии","form_3":"ортопедические","form_4":"спинальный хирург","form_5":"спинального хирурга","form_6":"спинальные хирурги","form_7":"ортопедическую","form_11":"спинальные хирурги","form_12":"спинальных хирургов"}},"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 surgeon’s training and qualifications","scope":"treatment_abroad","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":"2026-11-12","http_status":200}},{"id":"C2","text":"Check how many similar procedures the surgeon has performed","scope":"treatment_abroad","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":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that the surgeon provides consultations before surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/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":"2026-11-12","http_status":200}},{"id":"C4","text":"Check how aftercare will be provided after returning home","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/going-abroad-for-medical-treatment/","host":"nhs.uk","quote":"... communication between medical staff abroad and in the UK, such as exchanging medical records and arranging aftercare back home","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that you are satisfied with the clinic or hospital facilities and standards","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An offer does not identify the surgeon’s training or qualifications","scope":"treatment_abroad","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":"2026-11-12","http_status":200}},{"id":"F2","text":"The offer does not explain 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","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"The clinic cannot explain where follow-up appointments will occur","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"- where follow-up appointments will be","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your spina bifida is the closed form, which may not need surgery","name":"Watchful waiting","source":{"url":"https://www.nhs.uk/conditions/spina-bifida/treatment","host":"nhs.uk","quote":"Closed spina bifida does not usually need treatment, although sometimes surgery is needed.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"microsurgical-cord-untethering","name":"Microsurgical cord untethering with filum sectioning","how_it_works":{"text":"Surgery frees the spinal cord from surrounding tissue","source":{"url":"https://health.nih.gov/health-topics-a-z/spina-bifida","host":"health.nih.gov","quote":"Surgery to free the spinal cord from surrounding tissue can help prevent further nerve damage from getting worse and is often successful.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"lipoma-associated-untethering","name":"Lipoma-associated untethering with partial fat debulking","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"en","language":"en","href":"https://us-uk.bookimed.com/clinics/country=italy/city=milan/procedure=spina-bifid-surgery/"},{"rel":"alternate","hreflang":"ar","language":"ar","href":"https://ar.bookimed.com/clinics/country=italy/city=milan/procedure=spina-bifid-surgery/"},{"rel":"alternate","hreflang":"id","language":"id","href":"https://id.bookimed.com/clinics/country=italy/city=milan/procedure=spina-bifid-surgery/"},{"rel":"alternate","hreflang":"uk","language":"ua","href":"https://ua.bookimed.com/clinics/country=italy/city=milan/procedure=spina-bifid-surgery/"},{"rel":"alternate","hreflang":"kk","language":"kz","href":"https://kz.bookimed.com/clinics/country=italy/city=milan/procedure=spina-bifid-surgery/"},{"rel":"alternate","hreflang":"es","language":"es","href":"https://es.bookimed.com/clinics/country=italy/city=milan/procedure=spina-bifid-surgery/"},{"rel":"alternate","hreflang":"pt","language":"pt","href":"https://pt.bookimed.com/clinics/country=italy/city=milan/procedure=spina-bifid-surgery/"},{"rel":"alternate","hreflang":"de","language":"de","href":"https://de.bookimed.com/clinics/country=italy/city=milan/procedure=spina-bifid-surgery/"},{"rel":"alternate","hreflang":"fr","language":"fr","href":"https://fr.bookimed.com/clinics/country=italy/city=milan/procedure=spina-bifid-surgery/"},{"rel":"alternate","hreflang":"pl","language":"pl","href":"https://pl.bookimed.com/clinics/country=italy/city=milan/procedure=spina-bifid-surgery/"},{"rel":"alternate","hreflang":"it","language":"it","href":"https://it.bookimed.com/clinics/country=italy/city=milan/procedure=spina-bifid-surgery/"},{"rel":"alternate","hreflang":"ja","language":"jp","href":"https://jp.bookimed.com/clinics/country=italy/city=milan/procedure=spina-bifid-surgery/"},{"rel":"alternate","hreflang":"en-AU","language":"en","href":"https://au.bookimed.com/clinics/country=italy/city=milan/procedure=spina-bifid-surgery/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}