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Vertebral Column Resection

TREATMENT PROCESS

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VIP Stay at Mandarin Grove Health and Wellness Retreat

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7 Nights

AFTERCARE

24/7 aftercare service including a bilingual chaperone to accompany you during your hospital stay.

HOSPITAL

Fully Registered Private Hospital

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      Vertebral Column Resection

      The vertebrae are the individual bones that make up the spine, and they are stacked in an upright arrangement known as the vertebral column. Vertebral column resection (VCR) involves the surgical removal of one or more vertebrae from the spine. This technique is commonly used to treat spinal deformities in children, helping to restore proper alignment and function.

      A vertebral column resection (VCR) is often necessary for correcting severe, rigid spinal deformities, which do not change shape or size with movement, unlike flexible deformities. It is commonly used to treat conditions like hyperkyphosis (an abnormal forward curve of the spine) and scoliosis (an abnormal side-to-side curvature). Additionally, VCR may be required to remove a bone tumor. The VCR is one of the most aggressive surgeries for spinal deformity correction, removing a significant amount of bone and allowing for a substantial amount of realignment, correcting curves by 80 degrees or more. In cases of sharp spinal curves, removing a single vertebra may be sufficient, but for more extensive curves, multiple vertebrae may need to be removed to achieve proper correction. This technique is typically reserved for the most severe cases, where other methods would be ineffective.

      Who are the eligible candidates for Vertebral Column Resection Treatment?

      Eligible candidates for vertebral column resection are typically individuals with severe, rigid spinal deformities, such as hyperkyphosis (excessive forward curvature of the spine) or scoliosis (side-to-side curvature). It can also be used for patients with vertebral bone tumors that need to be removed. The procedure is reserved for cases that do not respond to conservative treatments and require significant correction.

      How is Vertebral Column Resection Treatment performed?

      During a vertebral column resection, spinal cord monitoring techniques like somatosensory evoked potentials (SSEPs) and motor evoked potentials (MEPs) are used to ensure the safety of the spinal cord. The surgery may be performed through a posterior approach (from the back) alone or combined with an anterior approach (from the front), depending on the case.

      A vertebral column resection is performed under general anesthesia and takes about 4 to hours. The exact duration can vary depending on the complexity of the surgery, the number of vertebrae being removed, and the patient’s specific condition.

      Preparation for the Surgery

      Before traveling to Turkey for surgery, patients are kindly asked to provide their medical records, any required screenings, and details of any ongoing treatment plans. The first stage of the treatment process begins with pre-operative tests, which are essential to assess the patient’s overall health and ensure they are prepared for surgery. These tests may include blood work, imaging studies such x-rays, MRI or CT scans, and other diagnostic evaluations to confirm the suitability of the surgery and identify any potential risks. Ensuring all necessary documentation and health information is sent in advance helps streamline the preparation process and allows the medical team to tailor the treatment to the patient's specific needs.

      Types of Anaesthesia

      The posterior approach for vertebral column resection (VCR) surgery typically requires general anesthesia, which ensures that the patient is fully unconscious and free of pain throughout the procedure. In some cases, regional anesthesia or spinal anesthesia may also be used in combination to provide additional pain control during and after surgery.

      Techniques for the Operation

      The posterior approach for VCR surgery begins with the patient being placed face-down on the operating table. The surgeon makes an incision to expose the vertebrae in the affected area. Pedicle screws are inserted into the strong, solid parts of the vertebrae located above and below the vertebra that is to be removed. These screws serve as anchors for stabilizing the spine. Once placed, the screws will be connected with rods, which help maintain the alignment and stability of the spine during the healing process. This initial step ensures that the spine remains properly supported while the surgeon works on correcting the deformity.
      The surgeon proceeds to remove the vertebra, beginning with the bony outcroppings (processes) at the back, followed by the laminae that cover the spinal canal. Next, the facet joints and pedicles are removed. With these structures cleared, the vertebra’s rear and side portions are now removed, exposing the vertebral body at the front of the spinal cord.
      After removing one side of the vertebral body, the surgeon inserts temporary rods into the pedicle screws placed earlier to maintain the stability of the spine. These rods hold the spine in place while the surgeon moves to the other side to carefully remove the second half of the vertebral body. Once the vertebra is completely removed, the surgeon repeats the procedure if other vertebrae need to be removed. Following this, the crucial task of realigning the spine begins. The surgeon carefully manipulates the spine, making adjustments in all three dimensions to achieve optimal alignment.
      Once the spine is aligned in its optimal position, the surgeon proceeds to stabilize it by placing an implant, either a solid strut graft or a cage, which is a small, porous implant filled with bone graft. The cage allows the bone to grow through it, further aiding the fusion process. Permanent rods are then inserted into the pedicle screws, securing the spine. To fill the gap left by the removed vertebrae, additional bone graft is placed at the back of the spine. Finally, the surgeon closes the incision in layers, ensuring a secure and clean closure, and applies a gauze bandage to protect the wound.

      Post-operative Key Points with Perthes Disease Operation

      • Weight-bearing activities should be avoided for several weeks, and patients are usually instructed to avoid bending, twisting, or lifting heavy objects during recovery.
      • Physical therapy and rehabilitation are essential components of recovery and typically begin within 2-4 weeks after surgery.
      • A brace or external support may be required to stabilize the spine during the early stages of recovery.
      • The patient should avoid sitting or standing for long periods and take breaks to avoid spinal strain.
      • Follow-up visits are scheduled regularly to monitor the progress of spinal healing and fusion.
      • As Prospero Medical, we provide regular follow-up care to monitor our patients’ recovery for up to 6 months to 1 year after they return to their home countries. It is crucial that patients report any issues or concerns they experience during the post-operative recovery period directly to our clinic without delay, before seeking assistance from any third-party specialists.

      Recovery Facts with Vertebral Column Resection Operation

      • Recovery time varies but can typically take several months, with most patients seeing initial improvement within the first 3-6 months.
      • Patients will likely experience pain and discomfort during the initial phase of recovery, which can be managed with prescribed pain medications.
      • The first 2-4 weeks post-surgery are critical for initial healing, with patients needing to limit movement and follow strict activity restrictions.
      • Bed rest or limited physical activity is recommended in the first few weeks after surgery, gradually increasing activity as healing progresses.
      • Bone fusion can take up to 6-12 months, and during this time, regular follow-up visits are essential to monitor progress.
      • Patients may experience stiffness, swelling, and fatigue, which will gradually improve as healing continues.
      • The long-term success of the surgery depends on a combination of proper surgical technique, patient adherence to post-operative care instructions, and the quality of rehabilitation.

      Benefits of having Vertebral Column Resection Treatment in Turkey

      Turkey is becoming a sought-after destination for medical treatments, not only due to its exceptional healthcare services but also because of its rich cultural heritage and renowned hospitality. For those considering vertebral column resection surgery, Turkey offers a unique blend of high-quality care, cutting-edge technology, and cost-effective treatment options. The advantages of having this surgery in Turkey are compelling, with several benefits that may even surpass those of having the same procedure in one’s home country. These benefits include:

      • Turkey is home to highly skilled surgeons and medical professionals trained in internationally recognized institutions, ensuring top-notch care.
      • The country boasts world-class private hospitals equipped with the latest technology and advanced medical equipment.
      • Surgical treatments in Turkey are often more affordable than those in many Western countries, offering significant savings without compromising quality.
      • Post-surgery, patients receive personalized care, including physiotherapy sessions and close monitoring of recovery, all infused with Turkish hospitality.
      • Patients can combine medical treatment with a unique cultural experience, enjoying Turkey’s beautiful landscapes, history, and cuisine during their stay.
      • Turkey offers well-established medical tourism services, helping patients with travel arrangements, accommodations, and guidance throughout the treatment process.
      • Many hospitals in Turkey are accredited by international organizations, ensuring high-quality standards of medical practice and patient safety.

      How much does Vertebral Column Resection Treatment cost In Turkey?

      Choosing the right clinic for surgery can be a daunting task, especially with the overwhelming amount of commercial advertisements and social media promotions. To ensure you make an informed decision, it’s important to prioritize certain key factors that will guide you in shortlisting the best clinic for your needs. Here are some essential criteria to consider:

      • Look for clinics with a strong reputation and international accreditations, which indicate adherence to high medical and safety standards.
      • Check the credentials, experience, and specialization of the surgeons. A highly skilled, experienced professional will increase the chances of a successful outcome.
      • Ensure that the clinic uses state-of-the-art technology and equipment, which is crucial for accurate diagnosis, effective treatments, and a smooth recovery process.
      • A reliable clinic should offer detailed aftercare plans, including follow-ups, physiotherapy, and other recovery support to ensure a smooth healing process.
      • Avoid clinics that offer unclear or overly cheap pricing. Transparent and realistic pricing indicates professionalism and helps avoid hidden fees down the line.
      • Choose a clinic that prioritizes patient well-being and makes an effort to understand and address your concerns and expectations throughout the process.

      Realistic price estimation for medical treatment should be based on a thorough review of several key factors that influence the overall cost and quality of the service. These factors include:

      • The clinic’s reputation and accreditation in the medical field.
      • The type and complexity of the surgery. More intricate or specialized procedures may require additional resources, time, and expertise, thus affecting the overall price.
      • A highly experienced surgeon with a proven track record can ensure a better outcome.
      • High-quality after-care services, including follow-up appointments, physiotherapy, and support, are critical to recovery.
      • Clear, well-defined terms and conditions ensure that patients are aware of their rights, responsibilities, and any potential liabilities associated with the treatment. A transparent agreement in a legally sound format is vital for setting the right expectations and avoiding unforeseen costs.

      Veterbral column resection surgery prices in Turkey can vary based on several factors, as highlighted earlier. While cost is often a major consideration for those seeking surgery abroad, focusing solely on price without ensuring that the clinic meets essential quality standards can lead to serious, long-term complications. At Prospero Medical, we emphasize a transparent pricing policy, where every component of our services is clearly outlined, enabling patients to make well-informed decisions about their surgical treatments. Our goal is to provide pricing that is realistically calculated to match the level of medical care, the expertise of the surgeons we work with, and the professional medical guidance backed by years of experience. Additionally, we prioritize the quality of aftercare services we provide to our patients at our clinics in Turkey. We are committed to offering high-quality, professional medical services that are aligned with the most reasonable pricing, ensuring both excellent treatment outcomes and peace of mind for our patients.