Instituto de Especialidades Médicas (IEM) is a multispecialty medical center in Moca, Dominican Republic. The clinic treats both adults and children. Key specialties include gynecology, gastroenterology, orthopedics, and neurology. The pediatric unit covers neonatology, pulmonology, and speech pathology. IEM opened in February 1989. Its medical team has 106 doctors.
The orthopedic department focuses on knee surgery and arthroscopic joint replacement. Neurologists provide advanced care for cognitive aging and dementia. A dedicated oncology service offers brachytherapy for prostate cancer. Diagnostic tools include CT scans, sonography, and gastro-endoscopy. IEM also has a 24-hour emergency room and an on-site pharmacy.
","text_type":"short_description","reviews":[],"clinic":{"id":9930,"alias":"instituto-de-especialidades-medicas-iem","name":"Instituto de Especialidades Médicas (IEM)","short_description":"Instituto de Especialidades Médicas (IEM) is a multispecialty medical center in Moca, Dominican Republic. The clinic treats both adults and children. Key specialties include gynecology, gastroenterology, orthopedics, and neurology. The pediatric unit covers neonatology, pulmonology, and speech pathology. IEM opened in February 1989. Its medical team has 106 doctors.
The orthopedic department focuses on knee surgery and arthroscopic joint replacement. Neurologists provide advanced care for cognitive aging and dementia. A dedicated oncology service offers brachytherapy for prostate cancer. Diagnostic tools include CT scans, sonography, and gastro-endoscopy. IEM also has a 24-hour emergency room and an on-site pharmacy.
","images":[{"base_url":"clinic/6ae4c867db3ef","title":"طبيب يقدم عرضًا طبيًا في المنطقة الإدارية لمعهد التخصصات الطبية IEM"},{"base_url":"clinic/6ae4c8694c516","title":"طبيبة تقدم عرضًا في المنطقة الإدارية بمعهد التخصصات الطبية IEM"},{"base_url":"clinic/6ae4c86ad4749","title":"طبيبة تقدم عرضًا في غرفة استشارات بمعهد التخصصات الطبية، المكسيك"},{"base_url":"clinic/6ae4c86c5e065","title":"طاقم طبي بزي أبيض في غرفة اجتماعات Instituto de Especialidades Médicas"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"جمهورية الدومنيكان","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"Moca","id":2898,"alias":"moca"},"address":"José Antonio Pérez 6, Moca, Espaillat"},"rating":{"rating":0,"google":4.1,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":106,"year_foundation":1989},"accreditations":[]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":159},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"أذربيجان","alias":"azerbaijan","iso_code":"AZ"},{"name":"ألمانيا","alias":"germany","iso_code":"DE"},{"name":"أوكرانيا","alias":"ukraine","iso_code":"UA"},{"name":"إسبانيا","alias":"spain","iso_code":"ES"},{"name":"إسرائيل","alias":"israel","iso_code":"IL"},{"name":"إيطاليا","alias":"italy","iso_code":"IT"},{"name":"الإمارات العربية المتحدة","alias":"united-arab-emirates","iso_code":"AE"},{"name":"الصين","alias":"china","iso_code":"CN"},{"name":"المكسيك","alias":"mexico","iso_code":"MX"},{"name":"المملكة المتحدة","alias":"united-kingdom","iso_code":"GB"},{"name":"النمسا","alias":"austria","iso_code":"AT"},{"name":"الهند","alias":"india","iso_code":"IN"},{"name":"الولايات المتحدة الامريكيه","alias":"united-states","iso_code":"US"},{"name":"اليابان","alias":"japan","iso_code":"JP"},{"name":"اليونان","alias":"greece","iso_code":"GR"},{"name":"بولندا","alias":"poland","iso_code":"PL"},{"name":"تايلاند","alias":"thailand","iso_code":"TH"},{"name":"تركيا","alias":"turkey","iso_code":"TR"},{"name":"جمهورية التشيك","alias":"czech-republic","iso_code":"CZ"},{"name":"جمهورية الدومنيكان","alias":"dominican-republic","iso_code":"DO"},{"name":"رومانيا","alias":"romania","iso_code":"RO"},{"name":"سويسرا","alias":"switzerland","iso_code":"CH"},{"name":"فرنسا","alias":"france","iso_code":"FR"},{"name":"كوريا الجنوبية","alias":"republic-of-korea","iso_code":"KR"},{"name":"ليتوانيا","alias":"lithuania","iso_code":"LT"}],"cities":[{"name":"Moca","alias":"moca"}],"operations":[{"name":"العلاج الجراحي للجنف","alias":"operative-treatment-of-scoliosis"},{"name":"العلاج الطبيعي","alias":"physiotherapy"},{"name":"استبدال مفصل الكتف","alias":"shoulder-replacement"},{"name":"استبدال الكاحل","alias":"ankle-replacement"}],"diagnostics":[{"name":"التشاور مع أخصائي تقويم العظام","alias":"consultation-orthopedist-traumatologist"},{"name":"التشاور مع أخصائي تقويم العظام","alias":"orthopedic-consultation"},{"name":"التشاور مع جراح الوجه والفكين","alias":"consultation-of-a-maxillofacial-surgeon"},{"name":"ط م من الجيوب الأنفية","alias":"ct-of-the-paranasal-sinuses"},{"name":"الأشعة السينية الصدر","alias":"chest-x-ray"},{"name":"فحوصات مخبرية","alias":"lab-tests"},{"name":"تصوير مقطعي محوسب او المفراس","alias":"ct"}],"illnesses":[{"name":"تمزق الغضروف الهلالي","alias":"torn-meniscus"},{"name":"إصابات العظام والمفاصل","alias":"injuries-to-bones-and-joints"},{"name":"التهاب المفاصل","alias":"arthrosis"}],"illnessKinds":[{"name":"طب العظام","alias":"orthopedics-and-traumatology"}],"illness_kinds":[{"name":"طب العظام","alias":"orthopedics-and-traumatology"}]},"popularSearches":[{"name":"استبدال مفصل الورك","alias":"hip-replacement","type":"operation","id":671},{"name":"استبدال مفصل الركبة","alias":"knee-replacement","type":"operation","id":522},{"name":"العلاج الطبيعي","alias":"physiotherapy","type":"operation","id":128},{"name":"جراحة تطويل الأطراف","alias":"limb-lengthening-surgery","type":"operation","id":1387},{"name":"الأطراف الاصطناعية","alias":"hand-prosthetics","type":"operation","id":275},{"name":"التصوير بالرنين المغناطيسي لمنطقة واحدة","alias":"mri-one-department","type":"diagnostic","id":6},{"name":"التشاور مع وضع خطة العلاج","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"تصوير مقطعي محوسب او المفراس","alias":"ct","type":"diagnostic","id":96},{"name":"فحوصات مخبرية","alias":"lab-tests","type":"diagnostic","id":306},{"name":"فحص دم شامل","alias":"total-blood","type":"diagnostic","id":83}],"operationPrices":{"operation_prices":{"241":{"operation":{"name":"العلاج الجراحي للجنف","alias":"operative-treatment-of-scoliosis","use_for_listing":true},"country_price":{"TR":{"amount":15000,"max_amount":19300,"currency":"USD","clinic_count":21,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":14000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":24000,"max_amount":38000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"TH":false,"ES":true},"description":"يصحح هذا العلاج انحناء العمود الفقري ، ويتضمن وضع المسامير والقضبان ويحسن الوضع والتنفس.
"},"473":{"operation":{"name":"العلاج المحافظ لحالات الجنف","alias":"conservative-treatment-of-scoliosis","use_for_listing":true},"country_price":{"TR":{"amount":900,"max_amount":2200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":900,"max_amount":2300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":2000,"max_amount":2800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"TR":true,"TH":false,"ES":true},"description":"يهدف هذا العلاج إلى إدارة انحناء العمود الفقري بدون جراحة ، وذلك باستخدام الأقواس والعلاج الطبيعي والتمارين الرياضية. إنها أقل خطورة وخطورة.
"},"746":{"operation":{"name":"زرع نظام ApiFix","alias":"apifix-system-implantation","use_for_listing":true},"country_price":{"TR":{"amount":17500,"max_amount":24000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":12000,"max_amount":17500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":17500,"max_amount":25000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"TH":false,"ES":false},"description":"يتضمن الإجراء جراحة طفيفة التوغل لتصحيح انحناء العمود الفقري باستخدام قضيب مرن للحركة الطبيعية.
"},"1616":{"operation":{"name":"جراحة الجنف","alias":"scoliosis-surgery","use_for_listing":true},"country_price":{"TR":{"amount":22400,"max_amount":28000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":22000,"max_amount":38000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":26000,"max_amount":38000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"TH":false,"ES":false}}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":6},"illness_kind_details":{"requests_processed":23249}},"direction":{"id":3,"name":"طب العظام","alias":"orthopedics-and-traumatology"},"illness_kind":{"id":3,"name":{"en":"Orthopedics"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":28,"max":84,"unit":"days","qualifier":"Desk or school work after about 4-12 weeks; physical work takes longer and needs clearance."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Overall complications after adult scoliosis fusion; higher with long constructs and osteoporosis."},"contraindications":["Unfit for general anesthesia (severe cardiopulmonary or systemic disease)","Active infection (systemic or local at the surgical site)","Severe uncorrected osteoporosis (relative; may limit instrumentation)","Mild, non-progressive curves that do not need surgery","Uncontrolled bleeding disorder","Active smoking or nicotine use (relative; impairs fusion)"],"days_in_clinic":{"min":3,"max":7,"unit":"nights","qualifier":"Typical posterior spinal fusion with instrumentation; longer for anterior/combined approaches or complications."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":12,"max":26,"unit":"weeks","qualifier":"Walking starts early; non-contact sport and gym after about 3-6 months; contact sports and heavy lifting 6-12 months."},"final_result_months":{"min":6,"max":24,"unit":"months","qualifier":"Time for spinal fusion to mature and for full functional recovery and curve stabilization."},"fly_home_after_days":{"min":10,"max":28,"unit":"days","qualifier":"Usually after the wound check at 10-21 days, pain controlled. Long fusions or complications push toward 4 weeks."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":21,"unit":"days","qualifier":"Wound review and suture/staple check after surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"Clinical review with X-ray at about 6-12 weeks."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Radiographic review of alignment and fusion at 6-12 months."}}],"indications":["Symptomatic or progressing adult degenerative or idiopathic scoliosis","Curve progression despite nonoperative care","Cardiopulmonary compromise or marked trunk imbalance from the deformity","Congenital or neuromuscular scoliosis with progressive deformity"],"main_risks":["Bleeding and need for transfusion","Infection of the wound or hardware","Neurological injury, including rare spinal cord injury","Pseudarthrosis (failed fusion)","Hardware failure or loosening","Persistent pain","Loss of spinal flexibility in the fused segments","Adjacent segment degeneration","Anesthesia-related and thromboembolic complications","Need for revision surgery","Dural tear with cerebrospinal fluid leak","Residual or recurrent deformity, including imbalance or proximal junctional kyphosis","Pulmonary complications (e.g., pneumonia, atelectasis, pleural effusion)"],"pain":"Significant pain in the first days to weeks, managed with multimodal analgesia; gradually declines over 6-12 weeks, with mild stiffness or discomfort lasting longer.","preparation":["Full-spine standing X-rays and often MRI or CT","Preoperative anesthesia assessment and blood tests","Cardiopulmonary assessment, including pulmonary function when indicated","Stop smoking and nicotine before surgery","Medication review with the surgical team","Fasting before surgery","Discussion of blood-saving strategies and postoperative expectations"],"recovery_timeline":[{"phase":"Hospital stay (days 0-7)","description":"Pain control, early mobilization with physiotherapy, monitoring of neurological function and wound.","restrictions":["No bending, lifting or twisting"]},{"phase":"Early recovery (weeks 1-6)","description":"Home recovery with progressive walking; pain gradually decreases.","restrictions":["No lifting heavy objects","Avoid bending and twisting","No sports"]},{"phase":"Intermediate (weeks 6-12)","description":"Return to school or desk work; activity gradually increases after X-ray review.","restrictions":["Avoid heavy lifting","Avoid impact and contact activities"]},{"phase":"Late recovery (months 3-12)","description":"Gradual return to exercise as fusion matures.","restrictions":["Contact sports and heavy loading only with surgeon clearance"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Hospital stay about 3-7 days; daily activities, walking and light school or desk tasks within 2-6 weeks."},"result_longevity":"Fusion is intended to be permanent and stops curve progression in the fused segments; long-term outcome depends on age, curve type and hardware or adjacent-segment issues.","revision_rate_pct":{"min":8,"max":15,"unit":"percent","qualifier":"Unplanned reoperation within 2-5 years for infection, implant or fusion problems; higher with long fusions."},"scars":"A long midline scar along the back, typically 20-40 cm for open posterior fusion, usually fading to a thin line over 1-2 years; may widen or thicken in some patients.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical admission for a standard posterior fusion; staged surgery is exceptional."},"stages":[{"code":"posterior_fusion","label":"Posterior spinal instrumentation and fusion","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial surgery."}}],"qualifier":"Typical single-stage posterior instrumented fusion."},"success":{"metric":"Curve correction (Cobb angle reduction) after posterior fusion","value":65,"unit":"percent","horizon":"2 years after surgery","population":"Adults with scoliosis, primary posterior instrumented fusion","evidence_status":"limited"},"techniques":[{"name":"Posterior spinal fusion with pedicle screw instrumentation","suits_whom":"Most adult scoliosis curves; the standard approach.","recovery":"Hospital stay about 3-7 days; return to desk work in about 1-3 months."},{"name":"Anterior spinal fusion or combined anterior-posterior approach","suits_whom":"Selected rigid or lumbar/thoracolumbar adult curves.","recovery":"Longer operation and hospital stay; recovery generally slower."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":4,"max":8,"unit":"hours","qualifier":"Typical posterior instrumented fusion for adult deformity; longer for long-segment or pelvic fixation."},"initial_assessment_documents":["Full-length standing spine X-rays, front and side","Bending or traction spine X-rays (if available)","Spine MRI report and images","Previous spine surgery operative report (if available)","Recent photos of back, standing and bending forward","Pulmonary function test results (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single trip; stay about 2-4 weeks including wound check before flying. Later X-ray reviews at home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/city=moca/procedure=operativnoe-lechenie-skolioza/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":3},"manualSeo":[],"updatedAt":"2026-11-01T21:03:50.640Z","activeCountries":["DO","TR","ES","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}