Le Dr Eli Ashkenazi, neurochirurgien spécialisé dans la colonne vertébrale avec _doctor_1799_years_ d'expérience et fondateur de l'Israel Spine Center, a réalisé plus de 1 000 chirurgies de la colonne vertébrale, y compris des traitements innovants de la sténose spinale. Il est spécialisé dans les pathologies de la colonne lombaire et cervicale et a été formé au Montefiore Medical Center. L'implantation du système ApiFix peut coûter environ 33 500 $.
L'hôpital Assuta est la plus grande clinique privée d'Israël. Il développe de nombreuses spécialités médicales et est hautement spécialisé en chirurgie, FIV, cardiologie (utilisation de VenaSeal, Cryo et MICRA et d'autres techniques innovantes) et oncologie. La principale caractéristique distinctive de cet établissement médical est un niveau élevé d'attention aux besoins du patient. Le choix d'une opération chirurgicale, d'un médecin traitant et du type de chambre n'est pas la liste complète des éléments laissés au choix du patient.
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Le docteur utilise des méthodes chirurgicales et non invasives, y compris des traitements innovants comme le système TOPS™ pour la sténose spinale. <\\/p>
Avec une formation en neurochirurgie de l'hôpital universitaire Hadassah et une formation supplémentaire en chirurgie de la colonne vertébrale au Montefiore Medical Center aux États-Unis, le docteur est également un auteur prolifique de plus de 50 articles sur les traitements des affections de la colonne vertébrale.<\\/p>
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Les organisateurs de l'accueil sont professionnels et ont tout mis en œuvre pour que l'opération et la rencontre avec les médecins se fassent rapidement. Denis et son équipe semblent travailler jour et nuit. C'est du bon travail ! Les médecins sont extraordinaires ! Attentifs et très attentionnés. Et surtout, ils sont très compétents. L'opération s'est bien déroulée et nous sommes très satisfaits de tout. La chambre était confortable. Tout ce dont nous avions besoin. La seule chose est que le Centre Ikhilov est un hôpital public et que le personnel n'a pas toujours fourni les services que l'on attendait de lui. Mais notre hôte a toujours fait tout son possible pour résoudre rapidement toute situation. Ils se sont occupés de nous tout le temps. En Israël, le niveau et le professionnalisme des médecins sont vraiment élevés. Nous avons été très satisfaits.","en":"Hello! Thank you for organizing my mom’s treatment. The host, organizers, are professionals and have done everything possible for quick surgery and meeting with doctors. Denis and his team seem to be working around the clock. Great fellows! Doctors are awesome! Attentive and very caring. And most importantly, knowledgeable. The operation went well and we are very pleased with everything. The room was comfortable. All that is needed. The only thing is Ichilov Center - a state hospital, the attendants did not always provide the services expected from them. But our host always did everything possible to quickly eliminate certain situations. They patronized us constantly. Israel is a really high level and professionalism of doctors. We were very pleased."},"order":{"operation":{"id":671,"name":{"fr":"Remplacement de la hanche","en":"Hip replacement"}},"illness":{"id":3363,"name":{"fr":"Arthrose de la hanche","en":"Osteoarthritis of the hip"}}},"doctor_info":{"id":631,"name":"Aaron Menahem","alias":"aaron-menahem"},"clinic_info":{"id":1,"name":"Sourasky Medical Center (Ichilov)","alias":"sourasky-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-12-29T16:59:27.000+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}],"comment_about_bookimed":{"fr":"Julia - a répondu aux questions apparemment sans week-end et à tout moment. Tout était très bien organisé. Je vous remercie !","en":"Julia - answered questions, it seems, seven days a week and at any time. Everything was very well organized. Thank you!"},"summary":{"positive":{"fr":"Israël dispose d'un très haut niveau et d'un professionnalisme remarquable chez les médecins. Nous avons été très satisfaits.","en":"\"Israel is a really high level and professionalism of doctors. We were very pleased.\""}}},{"id":5251,"user":{"id":83898,"name":"Ihor Svirshch","country_code":"UA","country_name":{"fr":"Ukraine"}},"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":{"fr":"Les tarifs de la clinique sont certes élevés, mais la clinique est excellente (des spécialistes qualifiés ont proposé un bon traitement, je reviendrai bientôt pour une consultation à la clinique).","en":"Of course, the prices bite at the clinic, but the clinic is excellent (qualified specialists picked up a good treatment, I will return to the clinic for a consultation soon)"},"order":{"illness":{"id":34,"name":{"fr":"Spondylarthrite ankylosante","en":"Ankylosing spondylitis"}}},"doctor_info":{"id":1800,"name":"Marina Anuk","alias":"marina-anuk"},"clinic_info":{"id":1,"name":"Sourasky 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Il a réalisé les premières arthroplasties robotiques du genou et de la hanche en Turquie et a effectué plus de 3 500 interventions chirurgicales robotiques.","advisoryText":"Le Dr Kayhan Turan est un chirurgien orthopédiste spécialisé dans la chirurgie robotique de remplacement articulaire et la médecine du sport. Il a réalisé les premières arthroplasties robotiques du genou et de la hanche en Turquie et a effectué plus de 3 500 interventions chirurgicales robotiques.","linkedin":"https://www.linkedin.com/in/drkayhanturan/","specialities":[{"id":"sur.016","name":"Orthopedic surgeon ","illness_kind_id":33}]},"updatedAt":"2026-11-12T20:40:09.129Z","activeCountries":["IL","TR","ES","DE","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":23249}},"direction":{"id":3,"name":"Orthopédie","alias":"orthopedics-and-traumatology","name_forms":{"base_form":"Orthopédie","form_1":"orthopédie","form_2":"d'orthopédie","form_4":"orthopédiste"}},"illness_kind":{"id":3,"name":{"en":"Orthopedics"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Return to school or light desk-type work after standard short-segment ApiFix surgery; depends on job demands and surgeon protocol."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any complication including implant, wound or pain issues within 2 years; serious neurological events under 1%."},"contraindications":["Skeletally immature patient or significant remaining growth","Very rigid curve that does not correct on bending","Curve outside usual treatable range (moderate thoracic or thoracolumbar idiopathic)","Non-idiopathic scoliosis (neuromuscular, congenital, syndromic) in most protocols","Active infection","Severe osteoporosis or poor bone quality","Metal implant allergy","Unfit for general anesthesia","Pregnancy"],"days_in_clinic":{"min":3,"max":5,"unit":"nights","qualifier":"Typical inpatient stay after posterior instrumented spinal surgery with the ApiFix short-segment system."},"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 to non-contact activity; contact and high-impact sports typically need longer and surgeon clearance."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Curve settles as the short fusion segment consolidates and mobility stabilizes; ratchet correction may continue."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After surgery, including 3-5 hospital nights; depends on surgeon clearance, wound healing, flight length and thrombosis risk."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":21,"unit":"days","qualifier":"From surgery; wound check and suture or staple review if not absorbable."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"From surgery; clinical and X-ray assessment of alignment and implant position."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"From surgery; radiographic review of correction and fusion progress."}}],"indications":["Skeletally mature adolescent idiopathic scoliosis, Cobb about 40-60 degrees","Flexible curve suitable for short-segment correction and limited fusion"],"main_risks":["Infection","Bleeding","Implant loosening, breakage or rod ratchet problems","Loss of correction or curve progression","Nerve or spinal cord injury (rare)","Persistent pain","Need for revision surgery","Anesthetic and thromboembolic risks","Adjacent segment issues"],"pain":"Moderate to significant postoperative back pain for the first days to weeks, managed with multimodal analgesia; it usually decreases markedly within 4-6 weeks.","preparation":["Spine specialist visit: standing full-spine X-rays, bending films or MRI","Assessment of skeletal maturity and curve flexibility","Pre-anesthetic assessment and routine blood tests","Fasting before general anesthesia","Review of medicines and allergies with the surgical team","Plan for post-operative mobilization and pain control"],"recovery_timeline":[{"phase":"Hospital stay (days 0-5)","description":"Pain control, early mobilization with physiotherapy, wound monitoring.","restrictions":["No bending, lifting or twisting","Walking assisted initially"]},{"phase":"Early recovery (weeks 1-6)","description":"Increasing walking and daily activity, wound healing, return to light school or desk work.","restrictions":["No lifting heavy loads","No sport","Avoid repetitive spinal twisting and bending"]},{"phase":"Intermediate recovery (weeks 6-12)","description":"Radiographic review, gradual return to non-contact activity and physiotherapy.","restrictions":["No contact or high-impact sports"]},{"phase":"Consolidation (3-12 months)","description":"Fusion segment consolidates and the curve stabilizes, with follow-up imaging.","restrictions":["Contact sports only after imaging confirms stability"]}],"rehabilitation_days":{"min":30,"max":90,"unit":"days","qualifier":"Ordinary functional recovery to normal daily activity; physiotherapy may be part of this but is not always formally required."},"result_longevity":"Correction is intended to be permanent, as the fused apical segment stabilizes the curve. The implant remains long term, though revision may occasionally be needed for loosening, breakage or curve progression.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Reoperation for implant breakage, loosening or loss of correction within about 2-5 years."},"scars":"Typically a shorter midline or paramedian posterior incision over the instrumented segment (smaller than for long posterior fusion), which heals as a linear scar that may widen or thicken in some patients.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical procedure; routine follow-up checks are not counted."},"stages":[{"code":"surgery","label":"ApiFix system implantation under general anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Single operation on day of procedure."}}],"qualifier":"Standard protocol is a single-stage operation."},"success":{"metric":"Cobb angle correction of main curve","value":60,"unit":"percent","horizon":"2 years after surgery","population":"Skeletally mature adolescents with flexible idiopathic curves, Cobb about 40-60 degrees","evidence_status":"limited"},"techniques":[{"name":"Posterior short-segment ApiFix with pedicle screws and ratcheting rod, limited fusion of the apical region","suits_whom":"Skeletally mature adolescents (and select young adults) with moderate, flexible idiopathic curves","recovery":"Hospital stay of a few days; return to school or light work in weeks; non-contact sport after about 6-12 weeks."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":3,"unit":"hours","qualifier":"Operating time for a standard single ApiFix implantation; procedure only, excluding anesthesia preparation and recovery."},"initial_assessment_documents":["Full-length standing spine X-ray, front and side","Side-bending spine X-rays","Spine MRI report","Risser grade or skeletal maturity report","Back photos bending forward"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 3-5 nights in hospital, then about 7-10 days nearby before flying. Follow-up can be remote or local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the facility has recognized international accreditation","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Patients should only be referred for medical care to institutions that have been accredited by recognized international accrediting bodies (e.g., the Joint Commission International or the International Society for Quality in Health Care).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C2","text":"Check access to the surgeon’s licensing and outcome data","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Access to physician licensing and outcome data, as well as facility accreditation and outcome data, should be arranged for patients seeking medical care outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C3","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advertisement does not provide comprehensive facility accreditation details","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Make patients aware that medical tourism websites marketing directly to travelers might not include (or make available) comprehensive details on the accreditations, certifications, or qualifications of advertised facilities or healthcare professionals.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"F2","text":"The clinic cannot arrange access to surgeon licensing or outcome data","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Access to physician licensing and outcome data, as well as facility accreditation and outcome data, should be arranged for patients seeking medical care outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Oozing or bleeding from the incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25168-spinal-fusion","host":"my.clevelandclinic.org","quote":"Oozing or bleeding from the incision(s).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Sudden tingling or numbness in legs or feet","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25168-spinal-fusion","host":"my.clevelandclinic.org","quote":"Tingling or numbness in your legs or feet that happens suddenly or in a way that's noticeably different from before.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Loss of leg strength or paralysis","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25168-spinal-fusion","host":"my.clevelandclinic.org","quote":"Loss of muscle strength or any degree of paralysis in your legs or feet.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"The implant card identifies the presence and characteristics of spinal hardware","document":"implant card","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12718605/","host":"pmc.ncbi.nlm.nih.gov","quote":"Traditional practice has often included the provision of implant identification cards or medical certificates detailing the presence and characteristics of spinal hardware.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","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":"T3","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":"T4","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}},{"id":"T5","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your curve is moderate and you are still growing","name":"Bracing","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12579992/","host":"pmc.ncbi.nlm.nih.gov","quote":"Bracing is required for moderate curves from 25 to 45 degrees in skeletally immature cases.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your curve is severe or rapidly progressing","name":"Spinal fusion surgery","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12579992/","host":"pmc.ncbi.nlm.nih.gov","quote":"In cases that are rapidly progressive or in severe curves exceeding 40 to 45 degrees, spinal fusion surgery is considered the definitive treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"Your curve is mild","name":"Scoliosis-specific exercises","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12579992/","host":"pmc.ncbi.nlm.nih.gov","quote":"For mild curves, therapeutic exercises, particularly physiotherapeutic scoliosis-specific exercises (PSSE), are employed as a conservative approach to improve postural symmetry and reduce the risk of curve progression.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"posterior-short-segment","name":"Posterior short-segment ApiFix with pedicle screws and ratcheting rod, limited fusion of the apical region","how_it_works":{"text":"Screws are placed around the curve apex, spanning several spinal segments","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4328564","host":"pmc.ncbi.nlm.nih.gov","quote":"Two peri apical pedicular screws, spanning 3 or 4 motion segments are inserted.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=israel/city=tel-aviv/procedure=implantacia-sistemy-apifix/"}],"offerFilters":{"offer_count":0,"city_filter":[{"id":5,"name":"Ramat Gan","alias":"ramat-gan","country_iso_code":"IL"}],"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":120,"alias":"scoliosis","name":"Scoliose"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}