{"meta":{"humanUrl":"https://ar.bookimed.com/clinics/country=germany/city=wuppertal/procedure=manimally-invasive-fusion-surgery/","canonicalUrl":"https://ar.bookimed.com/clinics/country=germany/city=wuppertal/procedure=manimally-invasive-fusion-surgery/","jsonUrl":"https://ar.bookimed.com/clinics/country=germany/city=wuppertal/procedure=manimally-invasive-fusion-surgery/data.json","title":"أفضل عيادات جراحة دمج العمود الفقري بالحد الأدنى من التدخل في فوبرتال لعام 2026 — الأسعار","description":"أفضل عيادات جراحة دمج العمود الفقري بالحد الأدنى من التدخل في فوبرتال: تقييمات المرضى واستشارة مجانية.","heading":"جراحة دمج العمود الفقري بالحد الأدنى من التدخل في فوبرتال: 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مركزًا للعمود الفقري معتمدًا من DWG، ويلتزم بأعلى معايير الجودة الألمانية في جراحة العمود الفقري. يستخدم الفريق نهجًا جراحيًا مجهريًا طفيف التوغل من الخلف، مع أنظمة براغٍ وقضبان من التيتانيوم وأقفاص بين الفقرات. ولحماية الأعصاب، يستخدم الجرّاحون المراقبة الكهروفسيولوجية طوال العملية. ويتولى البروفيسور الدكتور ماركوس كروبر والدكتور توماس ليرنر قيادة قسم العمود الفقري. ويمكن للمرضى الوقوف مباشرة بعد الجراحة، فيما تبدأ خطة علاج طبيعي منظمة بعد ستة أسابيع للمساعدة على التعافي. وتتخصص العيادة في زراعات التيتانيوم وترقيع العظام الذاتية.</p>","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":223.84175297041583,"price_to":447.68350594083165,"currency":"USD","id":56468},"diagnostic":{"id":37,"name":"تخطيط 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السرطان","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6841934325139.jpeg","name":"ISO 9001:2015 نظم إدارة الجودة"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"زميل، الكلية الأمريكية للجراحين","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":117},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[{"id":3689,"user":{"id":2155,"name":"Ольга ","country_code":"UA","country_name":{"ar":"أوكرانيا","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":2},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":2},{"name":"relative_price","value":2}],"text":{"ar":"مساء الخير في 10 أبريل ، 2019 ، أجرت عملية جراحية في العمود الفقري قام بها د. بوهل وفيلوي ، وهي عملية مشتركة لجراح أعصاب وجراحة العظام. أطباء جميلون يحملون أيادي ذهبية ، وبفضل هؤلاء الأطباء ، تم اختيار هذه العيادة وشكر كبير للمنسق اليونا. سارت العملية بشكل جيد ، كما تم التعافي بعد الجراحة ، تحت إشراف دقيق من قبل الأطباء والمعالجين الفيزيائيين. العيادة نفسها في مستوى الراحة لعيادة خاصة متوسطة في كييف. الموظفون يقظون ومستعدون دائمًا للمساعدة. كانت الغرفة فسيحة ونظيفة ومشرقة. كان عمل القسم الدولي مزعجًا بعض الشيء ، فقد سمحوا لي بتوقيع المستندات باللغة الألمانية دون ترجمة ورقية ، على الأقل إلى الإنجليزية ، وأنا صامت بالفعل بشأن اللغة الروسية. في بعض الأحيان ، خلال المشاورات ، تحدثوا مع الأطباء باللغة الألمانية ، دون ترجمة حرفيًا لما كانوا يتحدثون عنه. ولكن على الرغم من ذلك ، كانت العيادة والأطباء وشركة Bookimed سعداء للغاية ، ويمكنني أن أوصي الأستاذين بوهل وفيلوي.","en":"Good day. Operated on 10.04.2019 spondealistez at the doctors of Bul and Flo, joint operation of a neurosurgeon and an orthopedist. Doctors are beautiful with golden hands. Actually because of these doctors this clinic was chosen, and in this many thanks to the coordinator Alyona. The surgery went great, recovery after surgery, under the close supervision of doctors and physiotherapists, also went well. The clinic itself is on the level of convenience of an average private clinic in Kiev. The staff is attentive and always ready to help. The chamber was spacious, clean and bright. The work of the international department was a little upset, they were allowed to sign documents in German without a paper translation at least into English, I’m not talking about the Russian language. Sometimes they consulted with doctors in German, without literally translating what they were talking about. But despite this, I was very pleased with the clinic, the doctors and the company Bukibmed, and I can recommend the professors Buhl and Flo."},"order":{"illness":{"name":{"ar":"الانزلاق الفقاري","en":"Spondylolisthesis"}}},"clinic_info":{"id":268,"name":"Medical Center in Solingen","alias":"medical-center-in-solingen","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-04-30T10:51:41.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ar":"&quot;كنت سعيدًا جدًا بالعيادة والأطباء وشركة Bukibmed ، ويمكنني أن أوصي بالبروفيسور Buhl و Flo&quot;.","en":"\"I was very pleased with the clinic, the doctors and the company Bukibmed, and I can recommend the professors Buhl and Flo.\""}}},{"id":26246,"user":{"id":1057335,"name":"Gerard   Patrick Muckian","country_code":"IE"},"ratings":[{"name":"main","value":5},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"translation","value":5}],"text":{"ar":"أتذكر حديثي مع الجراح بوضوح. أكثر ما لفت انتباهي هو صراحته بشأن المخاطر والمضاعفات، مما أضفى جوًا من الشفافية على عملية تركيب تحويلة البطين البريتوني. حتى الآن، أشعر بتحسن كما هو متوقع. كان طاقم العيادة داعمًا للغاية، وظلوا على تواصل معي بعد العملية. أؤكد أيضًا أنه لم تكن هناك أي تكاليف إضافية غير المبلغ المتفق عليه مسبقًا. تمت إدارة كل شيء على أكمل وجه. نصيحتي الوحيدة للمريض المستقبلي هي إحضار الكثير من الكتب للقراءة خلال فترة النقاهة.","en":"I remember my conversation with the surgeon clearly. What stood out most was that he was honest about the risks and complications, which set a transparent tone for the entire process of getting my VP shunt. So far, I'm feeling about as expected in my recovery. The clinic staff has been supportive and they stayed in touch with me after the surgery. I can also confirm there were no additional expenses on top of what was originally quoted. Everything was handled well. My one piece of advice for a future patient would be to bring plenty of reading material for the downtime."},"order":{"operation":{"id":646,"name":{"ar":"جراحات استسقاء الرأس ، تحويلات العمليات الجراحية","en":"Hydrocephalus surgeries, shunt surgeries"}}},"clinic_info":{"id":268,"name":"Medical Center in Solingen","alias":"medical-center-in-solingen","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2026-07-11T12:11:15.416+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"coordinator_mentioned","value":false}],"summary":{"positive":{"ar":"تم التعامل مع كل شيء بشكل جيد.","en":"Everything was handled well."}}},{"id":5168,"user":{"id":12393,"name":"Viktoriia Solikha","country_code":"UA","country_name":{"ar":"أوكرانيا","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"ar":"مساء الخير !!! كنت في العيادة لإجراء استشارة في أوائل سبتمبر ، فالدكتور بول والموظفون مهذبون للغاية ويقظون وهادئون ، وما أدهشني أنهم لا يحاولون كسب المال عليك ، لكنهم يقدمون خيارات للعلاج والفحص الأرخص. تسريع عملية العلاج ، ولكن على العكس من ذلك ، أوضح المخاطر وطرق العلاج المختلفة ، والتي شجعت وألهمت الأمل في حل إيجابي لمشكلتي.","en":"Good evening !!! I was in the clinic for a consultation in early September. Dr. Bul and the staff are very polite, attentive, calm, and what is surprising, they are not trying to make money on you, but they offer options for cheaper treatment and testing. No one tried to scare or speed up the treatment process, but on the contrary, explained the risks and different methods of treatment, which encouraged and inspired hope for a favorable resolution of my problem."},"order":{"illness":{"name":{"ar":"ورم في المخ","en":"Brain tumor"}}},"doctor_info":{"id":199,"name":"Ralf Buhl","alias":"ralf-buhl"},"clinic_info":{"id":268,"name":"Medical Center in Solingen","alias":"medical-center-in-solingen","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-09-16T08:52:57.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"coordinator_mentioned","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ar":"أنا راضٍ تمامًا، حيث أجابوا على جميع الأسئلة المطروحة، ونسقوا معي ورافقوني منذ لحظة ذهابي إلى العيادة حتى عودتي إلى المنزل.","en":"I am completely satisfied, as they answered all the questions posed, coordinated and accompanied me from the moment I went to the clinic until I returned home."},"summary":{"positive":{"ar":"- لم يحاول أحد تخويف أو تسريع عملية العلاج ، بل على العكس ، أوضح المخاطر وأساليب العلاج المختلفة ، مما شجع وألهم الأمل في إيجاد حل إيجابي لمشكلتي.","en":"- No one tried to scare or speed up the treatment process, but on the contrary, explained the risks and different methods of treatment, which encouraged and inspired hope for a favorable resolution of my problem."}}},{"id":4120,"user":{"id":41499,"name":"Рауф ","country_code":"AZ","country_name":{"ar":"أذربيجان","en":"Azerbaijan"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ar":"كل شيء على ما يرام ، رتبت استشارة عن بعد لفهم ما إذا كان من الممكن القيام بهذه العملية. هناك حاجة بالتأكيد لهذا التنسيق ، مفيدة للغاية. أستطيع أن أقول أنه يجب على المرضى تدوين جميع أسئلتهم مقدمًا ، حتى لا يفكروا في ما يجب طرحه على الطبيب ، كما يجب عليك أن تفكر مقدمًا في ما تريده أساسًا من الاستشارة ومن ثم سيكون مفيدًا بالتأكيد","en":"Everything is fine, they arranged a remote consultation to understand whether it is possible to perform an operation. This format is definitely needed, very useful. I can say that the patients would write down all their questions in advance, so that later they would not think that they should ask the doctor, you also need to think in advance what you want in principle from the consultation and then it will definitely be useful."},"order":{"illness":{"name":{"ar":"القرص الغضروفي","en":"Herniated disk"}}},"clinic_info":{"id":136,"name":"Nordwest Clinic (Krankenhaus)","alias":"clinic-nordwest","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-06-24T00:00:00.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ar":"أستطيع أن أقول إن المرضى سيكتبون جميع أسئلتهم مقدمًا ، حتى لا يفكروا لاحقًا في أنه ينبغي عليهم سؤال الطبيب ، تحتاج أيضًا إلى التفكير مسبقًا فيما تريده من حيث المبدأ من الاستشارة ، وبعد ذلك سيكون بالتأكيد مفيد.","en":"I can say that the patients would write down all their questions in advance, so that later they would not think that they should ask the doctor, you also need to think in advance what you want in principle from the consultation and then it will definitely be useful."}}},{"id":6459,"user":{"id":164227,"name":"Валерий ","country_code":"UA","country_name":{"ar":"أوكرانيا","en":"Ukraine"}},"ratings":[{"name":"main","value":4},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"ar":"لقد أجريت عملية مماثلة منذ 20 عامًا في ألمانيا - لقد أصبح الآن أفضل بالتأكيد ، والآن تم تخفيض فترة ما بعد الجراحة إلى يوم وأصبحت أقل إيلامًا. المستشفى جيدة ، جناح مزدوج والظروف مريحة. هناك دش في الغرفة ، إنه مريح. تحدثنا مع رالف بول ، الطبيب قبل العملية. بعد المشاورة الأولى ، بقي عدم اليقين فيما إذا كان يجب القيام بالعملية أم لا. في هذا الصدد ، الأطباء حريصون وإذا كان هناك خطر إجراء عملية جراحية مع مضاعفات ، فيمكنهم تقديم الحقن والعلاج الطبيعي ، وهو أرخص وأكثر أمانًا. ومع ذلك ، في حالتي ، استعرض الطبيب مرة أخرى التصوير بالرنين المغناطيسي وقرر إجراء العملية. العلاج الكافي ، لا حقن أكثر من اللازم ، أعطى دواء الألم. بشكل عام ، كل شيء على ما يرام ، وفترة ما بعد الجراحة صغيرة وكل شيء جيد حتى الآن. بالتأكيد لن يكون لدينا مثل هذه النتيجة.","en":"I did a similar operation 20 years ago in Germany - now it’s definitely better, now the postoperative period has been reduced to a day and it is less painful. The hospital is good, double ward and the conditions are comfortable. There is a shower in the room, it’s convenient. We spoke with Ralph Bull, a doctor before the operation. After the first consultation, there remained uncertainty whether to do the operation or not. In this regard, doctors are careful and if there is a risk of surgery with complications, they can offer injections and physiotherapy, which is cheaper and safer. Nevertheless, in my case, the doctor once again reviewed the MRI and decided to do the operation. Adequate treatment, do not inject too much, gave pain medication. In general, everything is fine, the postoperative period is small and everything is good so far. We definitely would not have such a result."},"order":{"illness":{"name":{"ar":"القرص الغضروفي","en":"Herniated disk"}}},"doctor_info":{"id":199,"name":"Ralf Buhl","alias":"ralf-buhl"},"clinic_info":{"id":268,"name":"Medical Center in Solingen","alias":"medical-center-in-solingen","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-01-21T11:40:10.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ar":"العودة: عن الطبيب: تحدثنا مع الطبيب رالف بول قبل العملية. عن العيادة: &quot;المستشفى جيد ، جناح مزدوج والظروف مريحة. يوجد دش في الغرفة ، إنه ملائم&quot;. حول النتائج: &quot;بشكل عام ، كل شيء على ما يرام ، وفترة ما بعد الجراحة صغيرة وكل شيء على ما يرام حتى الآن.&quot; عن التجربة: &quot;بعد الاستشارة الأولى ، بقي هناك شك حول ما إذا كان يجب إجراء العملية أم لا. وفي هذا الصدد ، فإن الأطباء حريصون وإذا","en":"\"We definitely would not have such a result.\"Return:  About the doctor: \"We spoke with Ralph Bull, a doctor before the operation.\" About the clinic: \"The hospital is good, double ward and the conditions are comfortable. There is a shower in the room, it’s convenient.\" About the results: \"In general, everything is fine, the postoperative period is small and everything is good so far.\" About the exp"}}},{"id":4745,"user":{"id":80678,"name":"Ihor Sushko","country_code":"UA","country_name":{"ar":"أوكرانيا","en":"Ukraine"}},"ratings":[{"name":"main","value":4},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"ar":"بشكل عام ، الانطباعات إيجابية بالتأكيد ، ومن المستحيل المقارنة مع أدويتنا. ووفقًا لإحصائيات علاج مشكلتي بشكل مباشر ، فإن الفعالية أعلى بالطبع. بالطبع ، الأمر صعب مع حاجز اللغة ، باستثناء فتياتنا في المركز الدولي ، لم أسمع كلمة روسية منذ 7 أيام ، كانت بالتأكيد صعبة ، وقد ساعد المترجمون المبدئيون أيضًا عندما كنت معهم. أنصح جميع الأصدقاء الآن Bookimed سوف يساعد دائما.","en":"In general, the impressions are certainly positive, and it is impossible to compare with our medicine. And according to the statistics of the treatment of my problem itself, the effectiveness is of course much higher. Of course, it’s hard with the language barrier, except for our girls in the international center, I didn’t hear a Russian word in 7 days, it was certainly difficult, and in principle translators also helped when I was with them. I advise all friends now Bookimed will always help."},"order":{"illness":{"name":{"ar":"القرص الغضروفي","en":"Herniated disk"}}},"clinic_info":{"id":268,"name":"Medical Center in Solingen","alias":"medical-center-in-solingen","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-08-09T07:13:40.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ar":"أنصح جميع الأصدقاء الآن أن Bookimed سيساعد دائمًا.","en":"I advise all friends now Bookimed will always help."}}},{"id":15069,"user":{"id":144928,"name":"Muhammad Seleem ","country_code":"KW"},"ratings":[{"name":"main","value":4},{"name":"relative_price","value":2},{"name":"doctor","value":4},{"name":"personal","value":3},{"name":"comfort","value":3},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":6},{"name":"manager","value":5}],"text":{"ar":"إجمالاً، كانت التجربة ممتازة. المشكلة الوحيدة التي واجهتني هي التأخير الذي واجهته في استلام تقرير الطبيب.","en":"All in all, the experience was excellent. The only issue that I had was the delay that I am facing in receiving the doctor’s report."},"order":{"illness":{"name":{"ar":"ورم في المخ","en":"Brain tumor"}}},"clinic_info":{"id":268,"name":"Medical Center in Solingen","alias":"medical-center-in-solingen","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-04-25T13:05:22.409+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":false},{"name":"is_notification_sent","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"ar":"إجمالاً، كانت التجربة ممتازة. المشكلة الوحيدة التي واجهتني هي التأخير الذي واجهته في استلام تقرير الطبيب.","en":"All in all, the experience was excellent. The only issue that I had was the delay that I am facing in receiving the doctor’s report."},"what_like_text":{"ar":"المرفق جيد.","en":"The facility is good."},"what_not_like_text":{"ar":"التأخير في الحصول على التقرير.","en":"Delay in getting the report."}},"summary":{"positive":{"ar":"وبشكل عام، كانت التجربة ممتازة.","en":"All in all, the experience was excellent."}}},{"id":6728,"user":{"id":6911,"name":"Umulkheir Nur Issack","country_code":"KE"},"ratings":[{"name":"main","value":1},{"name":"comfort","value":1},{"name":"coordination","value":2},{"name":"doctor","value":1},{"name":"manager","value":4},{"name":"personal","value":3},{"name":"translation","value":3},{"name":"relative_price","value":2}],"text":{"ar":"لقد أجريت استشارة عبر الإنترنت مع الطبيب الذي كنت أتوقع ردود فعل جيدة ، ولكن بدلاً من ذلك تبين أنه كان مفجعًا ولكن كان حقيقة ربما لم أكن أعرفها إلا أنها متوسط.","en":"I did an online consultation with the doctor thou was expecting a good feedback but instead it turned out to be a heartbreaking one but it was a fact maybe that I didn't knew but otherwise they are average."},"order":{"illness":{"name":{"ar":"تضيق العمود الفقري","en":"Spinal stenosis"}}},"clinic_info":{"id":295,"name":"Bremen-Mitte Clinic","alias":"clinic-bremen-nord","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2020-02-17T08:26:46.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ar":"نعم كنت راضيا.","en":"Yes I was satisfied."}}],"meta":{"total_count":13,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"guide_mc":{"text":"<p style=\";text-align:right;direction:rtl\">اليوم 1</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> الوصول إلى المطار.</li><li style=\";text-align:right;direction:rtl\"> نقل من المطار إلى الفندق.</li><li style=\";text-align:right;direction:rtl\"> استرح وتكيف مع البيئة الجديدة.</li></ul><p style=\";text-align:right;direction:rtl\"> اليوم الثاني</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> الانتقال من الفندق إلى العيادة.</li><li style=\";text-align:right;direction:rtl\"> التشاور مع جراح العظام.</li><li style=\";text-align:right;direction:rtl\"> إجراء الفحوصات الطبية اللازمة.</li></ul><p style=\";text-align:right;direction:rtl\"> يوم 3</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> التحضير للجراحة.</li><li style=\";text-align:right;direction:rtl\"> إدارة التخدير.</li><li style=\";text-align:right;direction:rtl\"> إجراء جراحة الدمج طفيفة التوغل.</li><li style=\";text-align:right;direction:rtl\"> رعاية ما بعد الجراحة في العيادة.</li></ul><p style=\";text-align:right;direction:rtl\"> يوم 4-7</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> رعاية ما بعد الجراحة والمراقبة.</li><li style=\";text-align:right;direction:rtl\"> إدارة الألم والعناية بالجروح.</li><li style=\";text-align:right;direction:rtl\"> الانتقال من العيادة للفندق.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع 1-2</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> فترة النقاهة الأولية في الفندق.</li><li style=\";text-align:right;direction:rtl\"> فحوصات منتظمة في العيادة.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع 3-6</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> العودة التدريجية للأنشطة الخفيفة.</li><li style=\";text-align:right;direction:rtl\"> الفحوصات والمتابعة المستمرة.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع 6-12</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> العودة إلى العمل والأنشطة العادية الأخرى.</li><li style=\";text-align:right;direction:rtl\"> الفحص النهائي والخروج من العيادة.</li></ul><p style=\";text-align:right;direction:rtl\"> <i>يرجى ملاحظة أن الجدول الزمني والإجراءات قد تختلف بناءً على الظروف الصحية الفردية وتقييم الطبيب. اتبع دائمًا التعليمات والإرشادات الموضحة لتحقيق انتعاش سلس.</i></p>"}}},"relations":{"countries":[{"name":"ألمانيا","alias":"germany","iso_code":"DE"},{"name":"إسبانيا","alias":"spain","iso_code":"ES"},{"name":"إسرائيل","alias":"israel","iso_code":"IL"},{"name":"إيطاليا","alias":"italy","iso_code":"IT"},{"name":"الإمارات العربية 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طويل، لكنني متحمس لرؤية النتائج تظهر!","userName":"Elissa","user_name":"Elissa","preview":"https://i.vimeocdn.com/video/2030306975-cc21de7cf319a314f716eee0537340f1b56a6b419fc965a2cbc32517bd968856-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T10:25:33.219+00:00","clinicName":"Lokman Hekim Istanbul Hospital","clinic":{"name":"Lokman Hekim Istanbul Hospital","alias":"lokman-hekim-istanbul"},"clinicUrl":"/clinic/lokman-hekim-istanbul/","relations":{"operations":[{"name":"جراحة الأنف (انظر عملية تجميل الأنف)","alias":"rhinoplasty-nose-job"},{"name":"عملية تجميل أرنبة الأنف","alias":"tip-rhinoplasty"}]}}],"hasVideoReviewsByContext":true,"updatedAt":"2026-11-03T14:20:07.358Z","activeCountries":["TR","ES","DE","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":7,"rehabilitation_days":6,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":21657}},"direction":{"id":2,"name":"جراحة الأعصاب","alias":"neurosurgery","name_forms":{"base_form":"جراحة الأعصاب","form_4":"جراحة الأعصاب","form_6":"جراحة الأعصاب","form_11":"جراحي الأعصاب"}},"illness_kind":{"id":2,"name":{"en":"Neurosurgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":60,"unit":"days","qualifier":"Desk work about 2-8 weeks; heavy physical work often longer, depending on levels fused."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any perioperative complication within 90 days; serious events such as infection, nerve injury or dural tear are lower."},"contraindications":["Active spinal or systemic infection","Severe osteoporosis precluding adequate instrumentation fixation (relative; may need optimization)","Medical conditions making general anesthesia unsafe","Uncorrected bleeding disorder","Active smoking or nicotine use (relative; impairs fusion)","Pain or symptoms without a clear structural/instability correlate","Pregnancy (elective surgery generally deferred)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical single-level minimally invasive lumbar fusion; some centers discharge same day or next day, multilevel stays longer."},"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":"Light exercise from about 6-12 weeks; walking early; impact and heavy lifting after confirmed fusion."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Solid bony fusion and symptom plateau typically take about 6-12 months; may be longer."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Single-level minimally invasive lumbar fusion; after wound check and surgeon clearance; longer for multilevel fusion or thrombosis risk."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"From surgery; wound check and suture or staple removal if needed."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"From surgery; clinical review with imaging."}},{"purpose":"result_review","requirement":"routine","after":{"min":150,"max":365,"unit":"days","qualifier":"From surgery; imaging to assess fusion."}}],"indications":["Degenerative spondylolisthesis with symptoms refractory to conservative care","Disabling degenerative disc disease with instability, failed non-operative care","Recurrent disc herniation or stenosis requiring decompression with stabilization","Isthmic spondylolisthesis","Selected spinal instability or deformity"],"main_risks":["Infection","Bleeding or hematoma","Nerve root or dural injury, cerebrospinal fluid leak","Pseudarthrosis (non-union)","Hardware malposition, loosening or failure","Adjacent segment degeneration","Persistent or recurrent pain","Venous thromboembolism","Anesthesia-related risks","Radiation exposure from intraoperative imaging"],"pain":"Moderate to severe postoperative pain in the first days to weeks, managed with multimodal analgesia; generally less muscle-related pain than open fusion; gradually improves over weeks to months.","preparation":["Imaging (MRI/CT/X-ray) to confirm the surgical plan","Preoperative medical and anesthesia assessment with blood tests","Stop smoking/nicotine before surgery","Review of current medications with the surgical team","Fasting as instructed by the anesthesia team","Plan for home support and mobility after discharge"],"recovery_timeline":[{"phase":"Hospital stay (days 0-3)","description":"Early mobilization with assistance, pain control, wound monitoring.","restrictions":["Avoid bending, lifting and twisting"]},{"phase":"Early recovery (weeks 1-6)","description":"Progressive walking, wound healing, reduced opioid use; light daily activities.","restrictions":["No lifting heavier than a few kilograms","Avoid prolonged sitting and twisting","No driving while on opioids"]},{"phase":"Intermediate (weeks 6-12)","description":"Return to desk work for many; start supervised physiotherapy and core strengthening.","restrictions":["Avoid heavy lifting and high-impact activity"]},{"phase":"Late (3-12 months)","description":"Fusion consolidates; gradual return to full activity as cleared on imaging.","restrictions":["Heavy labor and impact sports only with surgeon clearance"]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Ordinary functional recovery for single-level minimally invasive fusion to independent daily activities; full recovery takes longer."},"result_longevity":"Once solid fusion is achieved, the fused segment is generally durable and pain relief is often long-lasting, though not guaranteed. Adjacent segment degeneration may develop over years and sometimes needs further surgery.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Reoperation for pseudarthrosis, hardware problems or infection within about 2-5 years; adjacent segment surgery adds later."},"scars":"Small incisions (typically one or two pairs of roughly 1.5-3 cm cuts or a single small midline/paramedian incision) that usually fade to thin scars.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative admission for a single-level fusion."},"stages":[{"code":"surgery","label":"Minimally invasive fusion with instrumentation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of surgery."}}],"qualifier":"Typically one operation; staged procedures are uncommon and used for multilevel or complex cases."},"success":{"metric":"Radiographic fusion rate","value":90,"unit":"percent","horizon":"12-24 months","population":"Adults with single-level degenerative lumbar disease after failed conservative care","evidence_status":"limited"},"techniques":[{"name":"Minimally invasive TLIF (transforaminal lumbar interbody fusion) with percutaneous pedicle screws","suits_whom":"Degenerative spondylolisthesis or disc disease with instability, often with nerve compression.","recovery":"Hospital stay typically 1-3 nights; return to light activity within weeks."},{"name":"Lateral lumbar interbody fusion (LLIF/XLIF/OLIF)","suits_whom":"Selected patients needing indirect decompression or deformity correction.","recovery":"Similar to MIS TLIF; possible transient thigh symptoms."},{"name":"Anterior lumbar interbody fusion (ALIF)","suits_whom":"Selected patients needing large graft and lordosis restoration at lower lumbar levels.","recovery":"Usually 1-3 nights; access approach often with a vascular or access surgeon."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operative time for a typical single-level minimally invasive lumbar fusion; longer for multilevel."},"initial_assessment_documents":["Lumbar spine MRI report and images","Standing lumbar X-rays, flexion and extension views","Lumbar spine CT scan (if available)","Neurosurgeon or orthopedic spine surgeon report","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; 7-14 day stay including 1-3 hospital nights and early wound check. Reviews can be remote or local."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=germany/city=vuppertal/procedure=maloinvazivnaa-fuzia-pozvonocnika-srasenie-sosednih-pozvonkov/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}