{"key":"op_873_TH","page":{"url":"https://fr.bookimed.com/clinics/country=thailand/procedure=anterior-cervical-discectomy-and-fusion/","procedure":{"id":873,"slug":"anterior-cervical-discectomy-and-fusion","name":"Discectomie cervicale antérieure et fusion","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"neurosurgery","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":45,"iso":"TH","name":"Thaïlande"},"currency":"USD","data_date":{"status":"missing","reason":"not_collected"}},"pages":{"clinics_url":"https://fr.bookimed.com/clinics/country=thailand/procedure=anterior-cervical-discectomy-and-fusion/","cost_url":"https://fr.bookimed.com/clinics/country=thailand/procedure=anterior-cervical-discectomy-and-fusion/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":7000,"to":13500,"avg":{"value":6938,"method":"median","source":"offers"},"us":{"from":38000,"to":68000},"uk":{"from":14500,"to":23000},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Si Racha District","from":7000},{"city":"Phuket","from":9500},{"city":"Chiang Mai","from":8500},{"city":"Bangkok","from":9500},{"city":"Pattaya","from":9500}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"source":"offers","items":[{"tier":"premium","min":6938,"max":6938,"median":6938,"count":1}]},"comparison":[{"country_iso":"UA","from":3800,"to":6000},{"country_iso":"FR","from":9500,"to":16500},{"country_iso":"GB","from":14500,"to":23000},{"country_iso":"US","from":38000,"to":68000},{"country_iso":"IL","from":27000,"to":29000},{"country_iso":"TR","from":5000,"to":20100},{"country_iso":"MX","from":8000,"to":14500},{"country_iso":"DE","from":11500,"to":17500},{"country_iso":"CA","from":17000,"to":32000},{"country_iso":"AE","from":16000,"to":27000},{"country_iso":"PL","from":4600,"to":7800},{"country_iso":"KR","from":13000,"to":22500},{"country_iso":"CZ","from":6200,"to":9200},{"country_iso":"AT","from":13500,"to":19500},{"country_iso":"ES","from":28100,"to":39400},{"country_iso":"IT","from":11500,"to":18000},{"country_iso":"CN","from":9500,"to":15500},{"country_iso":"AU","from":21000,"to":32000},{"country_iso":"IN","from":2500,"to":8000},{"country_iso":"MY","from":8000,"to":11500},{"country_iso":"VN","from":5500,"to":8500},{"country_iso":"BR","from":7500,"to":12000},{"country_iso":"AZ","from":13000,"to":14000},{"country_iso":"RO","from":4700,"to":5800}],"base_country":"US","base_is_fallback":false},"savings":{"pct":82,"variant":">=15%"},"package":{"included":["24-hr nurse services","VIP Room","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":{"status":"missing","reason":"not_collected"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":2,"items":[{"id":8260,"name":"Pacific Garden Hospital","city":"Si Racha District","rating":5,"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":1,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":[{"id":"6a80384545c007ef6d09a6f3","price":6938,"nights":3,"included":["24-hr nurse services","VIP Room","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":{"status":"missing","reason":"not_collected"},"other_services":"Anterior Cervical Discectomy and Fusion (ACDF) with Cervical Locking Plate – 1 Level | Pacific Garden Hospital, Thailand Package Overview Surgical treatment for a herniated cervical disc or cervical spine degeneration compressing the nerves or spinal cord at one level. Through a small incision at the front of the neck, the affected disc is removed, a disc replacement implant is inserted, and the spine is secured with a cervical locking plate for stability. The procedure helps relieve neck pain, pain radiating down the arm, numbness, or weakness. Most patients are able to walk the day after surgery. Why Patients Choose Pacific Garden Hospital Complete care from the moment you land: Private transfers from the airport to your accommodation, and between your accommodation and the hospital, are provided throughout your treatment. A dedicated medical interpreter from day one to discharge: Your interpreter accompanies you at every step, including consultations, tests, surgical preparation and follow-up, so you clearly understand your diagnosis, treatment and recovery plan. Available in Arabic and English. Privacy and prayer room: A prayer room is available within the hospital, with strong attention to the privacy of patients and their families. Experienced spine surgeon: Surgery is performed by Dr. Chatree Klanwarin, a specialist in endoscopic spine surgery, working with a multidisciplinary team to care for you from pre-surgery through rehabilitation. Modern equipment, personal attention: As a newer hospital, we offer modern medical equipment in a calm environment. International patients receive individual care without the crowds of a large hospital. Ideal location for recovery: Located in Bo Win, Si Racha, Chonburi, approximately 35 minutes from Pattaya and 1 hour 30 minutes from Suvarnabhumi Airport. A quiet setting with nearby accommodation suitable for accompanying family members. Package Includes Pre-operative consultation with spine surgeon Pre-operative tests: blood tests, ECG, chest X-ray (additional tests for pre-existing conditions, at the physician's discretion, are not included) ACDF at 1 level, including cervical locking plate and disc replacement implant Anesthesia and operating room fees 3-night hospital stay in a Garden Suite Medications and medical supplies during admission Physiotherapy before discharge Follow-up visit Airport–accommodation–hospital transfers Medical interpreter throughout treatment Accommodation booking assistance Not Included Additional levels or procedures, treatment of complications, extended hospital stay, treatment and medications related to pre-existing conditions"}]},{"id":6116,"name":"Intrarat Hospital","city":"Bangkok","rating":4.4,"reviews_count":15,"accreditations":["International Organization for Standardization"],"rank":2,"has_procedure":true,"why_ranked":"Two-level ACDF (C4–5, C5–6) includes MRI of spinal cord. Surgeon performed 900+ procedures. ISO 9001:2015-certified hospital in Bangkok.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":5,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":2751,"slug":"si-racha-district","name":"Si Racha District","clinics_count":1,"price_from":7000,"profile":{"city_type":"Industrial coastal town in Chonburi, Thailand","access":["U-Tapao Airport (UTP), 69 km from Si Racha"],"sources":["https://en.wikipedia.org/wiki/Si_Racha","https://www.rome2rio.com/s/Utapao-Airport-UTP/Si-Racha"],"checked_at":"2026-11-03","status":"ok"}},{"id":362,"slug":"phuket","name":"Phuket","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":9500,"profile":{"city_type":"Island city, capital of Phuket province","access":["Phuket Airport (HKT), 32 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Phuket_City","https://en.wikipedia.org/wiki/Phuket_International_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":420,"slug":"chiang-mai","name":"Chiang Mai","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":8500,"profile":{"city_type":"Largest city in northern Thailand","access":["Chiang Mai Airport (CNX), 4 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Chiang_Mai","https://www.worldtravelguide.net/guides/asia/thailand/chiang-mai/chiang-mai-international-airport/"],"checked_at":"2026-11-03","status":"ok"}},{"id":75,"slug":"bangkok","name":"Bangkok","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":9500,"profile":{"city_type":"Capital and largest city of Thailand","access":["Suvarnabhumi Airport (BKK), 25 km from downtown Bangkok","Don Mueang Airport (DMK), 23 km from the Grand Palace"],"sources":["https://en.wikipedia.org/wiki/Bangkok","https://en.wikipedia.org/wiki/Suvarnabhumi_Airport","https://www.worldtravelguide.net/guides/asia/thailand/bangkok/bangkok-don-mueang-international-airport/"],"checked_at":"2026-11-03","status":"ok"}},{"id":367,"slug":"pattaya","name":"Pattaya","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":9500,"profile":{"city_type":"City in Eastern Thailand, Chonburi province","access":["U-Tapao Airport (UTP), 50 km from Pattaya's Walking Street","Suvarnabhumi Airport (BKK), 120 km from Pattaya by road"],"sources":["https://en.wikipedia.org/wiki/Pattaya","https://en.wikipedia.org/wiki/U-Tapao_International_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":1,"active_with_related":1,"hospital_nights_median":3,"days_in_country_median":{"status":"missing","reason":"fewer than 10 offers with hotel days"},"top_offers":[{"id":"6a80384545c007ef6d09a6f3","clinic_id":8260,"clinic_listed":true,"price":6938,"nights":3,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["24-hr nurse services","VIP Room","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":{"status":"missing","reason":"not_collected"},"other_services":"Anterior Cervical Discectomy and Fusion (ACDF) with Cervical Locking Plate – 1 Level | Pacific Garden Hospital, Thailand Package Overview Surgical treatment for a herniated cervical disc or cervical spine degeneration compressing the nerves or spinal cord at one level. 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Experienced spine surgeon: Surgery is performed by Dr. Chatree Klanwarin, a specialist in endoscopic spine surgery, working with a multidisciplinary team to care for you from pre-surgery through rehabilitation. Modern equipment, personal attention: As a newer hospital, we offer modern medical equipment in a calm environment. International patients receive individual care without the crowds of a large hospital. Ideal location for recovery: Located in Bo Win, Si Racha, Chonburi, approximately 35 minutes from Pattaya and 1 hour 30 minutes from Suvarnabhumi Airport. A quiet setting with nearby accommodation suitable for accompanying family members. 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Experienced spine surgeon: Surgery is performed by Dr. Chatree Klanwarin, a specialist in endoscopic spine surgery, working with a multidisciplinary team to care for you from pre-surgery through rehabilitation. Modern equipment, personal attention: As a newer hospital, we offer modern medical equipment in a calm environment. International patients receive individual care without the crowds of a large hospital. Ideal location for recovery: Located in Bo Win, Si Racha, Chonburi, approximately 35 minutes from Pattaya and 1 hour 30 minutes from Suvarnabhumi Airport. A quiet setting with nearby accommodation suitable for accompanying family members. Package Includes Pre-operative consultation with spine surgeon Pre-operative tests: blood tests, ECG, chest X-ray (additional tests for pre-existing conditions, at the physician's discretion, are not included) ACDF at 1 level, including cervical locking plate and disc replacement implant Anesthesia and operating room fees 3-night hospital stay in a Garden Suite Medications and medical supplies during admission Physiotherapy before discharge Follow-up visit Airport–accommodation–hospital transfers Medical interpreter throughout treatment Accommodation booking assistance Not Included Additional levels or procedures, treatment of complications, extended hospital stay, treatment and medications related to pre-existing conditions","is_package":true}],"related_packages":{"status":"missing","reason":"not_collected"},"other_packages":{"status":"missing","reason":"not_classified"}},"medical":{"indications":["Radiculopathy from disc herniation or foraminal stenosis failing conservative care","Degenerative myelopathy from anterior disc or osteophyte compression","Degenerative disc disease with persistent neurologic symptoms matching imaging","Progressive or severe neurologic deficit from cervical disc pathology","Cervical instability or selected traumatic disc injury"],"contraindications":["Active infection at the surgical site or systemic infection","Medical unfitness for general anesthesia","Relative: pathology needing a posterior approach, e.g., posterior compression","Severe osteoporosis (relative; may compromise fixation and fusion)","Active smoking or nicotine use (relative; impairs fusion)","Relative: prior anterior neck surgery, radiation, or vocal cord problems","Asymptomatic degenerative changes without correlating symptoms or imaging findings"],"operation_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Operating time for a single-level ACDF; multilevel procedures take longer."},"anesthesia":["general"],"sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical procedure for a single-level ACDF."},"stages":[{"code":"surgery","label":"Single-stage anterior discectomy with decompression and interbody fusion","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in one operation."}}],"qualifier":"Typical uncomplicated single-level ACDF in one operation; multilevel cases are longer but still usually single-stage."},"hospital_nights":{"value":3,"source":"offers","parsed_details":{"min":0,"max":2,"unit":"nights","qualifier":"Single-level ACDF; many patients stay 0-1 night, with 1-2 nights common in inpatient practice."}},"treatment_conditions":["day_case","inpatient"],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery for single-level ACDF to return to usual daily activities; formal physiotherapy is optional."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"Single-level ACDF; after wound check and surgeon clearance, depending on swallowing comfort, neck pain and thrombosis risk."},"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Single-level ACDF: desk work at about 2-3 weeks; manual or heavy work 6 weeks or longer."},"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light walking early; gentle exercise after surgeon clearance; impact and heavy lifting later, once fusion progresses on imaging."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Bony fusion on imaging takes about 6-12 months; arm pain often improves sooner, numbness or weakness slowly."},"result_longevity":"Fusion is intended to be permanent once solid bony union occurs; symptom relief is often durable, but adjacent-segment degeneration may develop over years and some patients need further surgery.","main_risks":["Transient dysphagia or sore throat (common)","Hoarseness from recurrent laryngeal nerve irritation or injury","Hematoma, which may compromise the airway","Infection","Non-union (pseudarthrosis)","Adjacent segment degeneration over time","Persistent or new neurologic symptoms, cord or root injury (rare)","Dural tear / CSF leak","Esophageal injury (rare)","Hardware or graft problems such as subsidence or migration","General anesthesia and thromboembolic risks"],"complication_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Any perioperative complication including transient dysphagia; serious complications such as hematoma, nerve or cord injury under 2%."},"revision_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Cumulative reoperation for pseudarthrosis, hardware or adjacent-segment disease; 2-10% long-term."},"success":{"metric":"Meaningful arm pain and neurologic symptom relief","value":85,"horizon":"1-2 years after surgery","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"A small transverse skin incision (about 3-5 cm) on the front of the neck, usually placed in a skin crease; typically fades to a thin, inconspicuous line.","pain":"Moderate neck and throat pain for the first days to weeks, usually controlled with oral analgesics; arm pain from radiculopathy often improves quickly after surgery. Sore throat and swallowing discomfort are common early.","preparation":["Preoperative medical assessment and anesthesia evaluation","Stop smoking and nicotine before surgery","Review of current medications and supplements with the surgical team","Fasting before general anesthesia","Arrange help at home after discharge"],"recovery_timeline":[{"phase":"First days","description":"Discharge same day to 2 days; sore throat, swallowing discomfort, neck stiffness; walking encouraged; soft collar sometimes used.","restrictions":["No heavy lifting","No driving on opioids or with limited neck mobility","Keep wound dry"]},{"phase":"Weeks 2-6","description":"Gradual return to daily activities and desk work; swallowing and neck pain improve; walking program.","restrictions":["Avoid lifting more than a few kilograms","Avoid strenuous neck movements and impact activity"]},{"phase":"Weeks 6-12","description":"Follow-up imaging; progressive return to normal activity and strengthening, with physiotherapy if prescribed.","restrictions":["Avoid heavy lifting and contact sports until surgeon clears"]},{"phase":"Months 6-12","description":"Solid fusion typically established on imaging; maximal neurologic recovery.","restrictions":{"status":"missing","reason":"not_collected"}}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":7,"unit":"days","qualifier":"First postoperative check before departure; wound review and symptom assessment."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"Clinical review with cervical X-ray to assess alignment and early fusion."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Review of fusion on imaging and symptom outcome."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating you","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":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the facilities and standards at the clinic or hospital where you will be treated","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":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and side effects of your treatment","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":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated","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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask the medical team questions about your treatment","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":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Get a second opinion from a doctor on your treatment options","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":"A doctor can give you a valuable second opinion as well as advice about treatment options and whether it's necessary.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer is a hard sell","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible 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aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The clinic does not discuss possible complications","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F5","text":"The clinic does not mention aftercare","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of 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Severe pain or worsening pain. Sudden numbness or muscle weakness. Difficulty breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"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}},{"id":"T4","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}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Single-level ACDF: desk work at about 2-3 weeks; manual or heavy work 6 weeks or longer."},"complication_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Any perioperative complication including transient dysphagia; serious complications such as hematoma, nerve or cord injury under 2%."},"contraindications":["Active infection at the surgical site or systemic infection","Medical unfitness for general anesthesia","Relative: pathology needing a posterior approach, e.g., posterior compression","Severe osteoporosis (relative; may compromise fixation and fusion)","Active smoking or nicotine use (relative; impairs fusion)","Relative: prior anterior neck surgery, radiation, or vocal cord problems","Asymptomatic degenerative changes without correlating symptoms or imaging findings"],"days_in_clinic":{"min":0,"max":2,"unit":"nights","qualifier":"Single-level ACDF; many patients stay 0-1 night, with 1-2 nights common in inpatient practice."},"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 walking early; gentle exercise after surgeon clearance; impact and heavy lifting later, once fusion progresses on imaging."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Bony fusion on imaging takes about 6-12 months; arm pain often improves sooner, numbness or weakness slowly."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"Single-level ACDF; after wound check and surgeon clearance, depending on swallowing comfort, neck pain and thrombosis risk."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":7,"unit":"days","qualifier":"First postoperative check before departure; wound review and symptom assessment."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"Clinical review with cervical X-ray to assess alignment and early fusion."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Review of fusion on imaging and symptom outcome."}}],"indications":["Radiculopathy from disc herniation or foraminal stenosis failing conservative care","Degenerative myelopathy from anterior disc or osteophyte compression","Degenerative disc disease with persistent neurologic symptoms matching imaging","Progressive or severe neurologic deficit from cervical disc pathology","Cervical instability or selected traumatic disc injury"],"main_risks":["Transient dysphagia or sore throat (common)","Hoarseness from recurrent laryngeal nerve irritation or injury","Hematoma, which may compromise the airway","Infection","Non-union (pseudarthrosis)","Adjacent segment degeneration over time","Persistent or new neurologic symptoms, cord or root injury (rare)","Dural tear / CSF leak","Esophageal injury (rare)","Hardware or graft problems such as subsidence or migration","General anesthesia and thromboembolic risks"],"pain":"Moderate neck and throat pain for the first days to weeks, usually controlled with oral analgesics; arm pain from radiculopathy often improves quickly after surgery. Sore throat and swallowing discomfort are common early.","preparation":["Preoperative medical assessment and anesthesia evaluation","Stop smoking and nicotine before surgery","Review of current medications and supplements with the surgical team","Fasting before general anesthesia","Arrange help at home after discharge"],"recovery_timeline":[{"phase":"First days","description":"Discharge same day to 2 days; sore throat, swallowing discomfort, neck stiffness; walking encouraged; soft collar sometimes used.","restrictions":["No heavy lifting","No driving on opioids or with limited neck mobility","Keep wound dry"]},{"phase":"Weeks 2-6","description":"Gradual return to daily activities and desk work; swallowing and neck pain improve; walking program.","restrictions":["Avoid lifting more than a few kilograms","Avoid strenuous neck movements and impact activity"]},{"phase":"Weeks 6-12","description":"Follow-up imaging; progressive return to normal activity and strengthening, with physiotherapy if prescribed.","restrictions":["Avoid heavy lifting and contact sports until surgeon clears"]},{"phase":"Months 6-12","description":"Solid fusion typically established on imaging; maximal neurologic recovery.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery for single-level ACDF to return to usual daily activities; formal physiotherapy is optional."},"result_longevity":"Fusion is intended to be permanent once solid bony union occurs; symptom relief is often durable, but adjacent-segment degeneration may develop over years and some patients need further surgery.","revision_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Cumulative reoperation for pseudarthrosis, hardware or adjacent-segment disease; 2-10% long-term."},"scars":"A small transverse skin incision (about 3-5 cm) on the front of the neck, usually placed in a skin crease; typically fades to a thin, inconspicuous line.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical procedure for a single-level ACDF."},"stages":[{"code":"surgery","label":"Single-stage anterior discectomy with decompression and interbody fusion","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in one operation."}}],"qualifier":"Typical uncomplicated single-level ACDF in one operation; multilevel cases are longer but still usually single-stage."},"success":{"metric":"Meaningful arm pain and neurologic symptom relief","value":85,"unit":"percent of patients","horizon":"1-2 years after surgery","population":"Adults with single-level degenerative cervical radiculopathy or myelopathy and concordant imaging","evidence_status":"limited"},"techniques":[{"name":"ACDF with structural interbody cage (PEEK/titanium) and anterior plate","suits_whom":"Most common approach for symptomatic single- or multilevel degenerative cervical disc disease with radiculopathy or myelopathy.","recovery":"Discharge in 0-2 days; return to desk work in about 2-3 weeks; fusion over 6-12 months."},{"name":"ACDF with structural allograft or autograft and plate","suits_whom":"Selected patients where a graft is preferred over a synthetic cage.","recovery":"Similar to cage-based ACDF; autograft adds donor-site pain if iliac crest bone is used."},{"name":"Stand-alone cage ACDF (without plate)","suits_whom":"Selected single-level cases with good bone quality.","recovery":"Similar recovery, with possibly less swallowing discomfort in some patients."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Operating time for a single-level ACDF; multilevel procedures take longer."},"initial_assessment_documents":["Cervical spine MRI report and images","Cervical spine X-rays, including flexion-extension views","Neurological examination or neurologist report","EMG/nerve conduction report (if available)","Cervical CT scan (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 5-7 days for surgery, wound check and fitness to fly. Later reviews can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating you","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":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the facilities and standards at the clinic or hospital where you will be treated","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":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and 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only","source":{"url":"https://www.gov.uk/foreign-travel-advice/thailand/entry-requirements","host":"gov.uk","quote":"From 15 September 2026, if you enter Thailand under the visa exemption scheme, you can stay for up to 30 days for tourism only.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"U.S. citizen tourists staying fewer than 60 days in Thailand need no visa, but must complete pre-arrival online registration","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Thailand.html","host":"travel.state.gov","quote":"U.S. citizen tourists entering Thailand for fewer than 60 days do not require a visa but pre-arrival online registration is required.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"Your passport must expire at least 6 months after the date you arrive in Thailand and have at least 1 blank page","source":{"url":"https://www.gov.uk/foreign-travel-advice/thailand/entry-requirements","host":"gov.uk","quote":"To enter Thailand, your passport must have an ‘expiry date’ at least 6 months after the date you arrive and have at least 1 blank page.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"passport_validity","audience":"us","volatile":true,"text":"U.S. travelers are strongly advised to hold a passport valid at least six months beyond the arrival date in Thailand to avoid possible denied entry","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Thailand.html","host":"travel.state.gov","quote":"We strongly recommend that your passport be valid for at least six months beyond the date of your arrival in Thailand to avoid possible denied entry.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"medicines","audience":"all","volatile":false,"text":"Up to a 30-day supply of medicine for personal use may be brought into Thailand with you","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Thailand.html","host":"travel.state.gov","quote":"Medicine for personal use: Up to a 30-day supply may be brought into the country with you.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 1669 for Emergency Medical Services (EMS) in Thailand","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Thailand.html","host":"travel.state.gov","quote":"For emergency services in Thailand, dial 1669 for Emergency Medical Services (EMS).","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["azerbaijan","china","france","germany","greece","india","israel","italy","mexico","poland","republic-of-korea","romania","spain","turkey","ukraine","united-arab-emirates"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.4,"count":15,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Anterior cervical discectomy and fusion (ACDF) in Thailand costs from _op_873_price_from_ to _op_873_price_to_. Final quotes depend on fused levels, implant choice, hospital tier, and city. In the US, this procedure costs _price_compare_US_average_ on average. One listed package includes a three-day hospital stay, VIP room, and 24-hour nursing. It also lists transfers and a cervical locking plate. Bangkok and Phuket are common destinations for comparing hospitals.</p>\n<ul>\n<li><strong>Fused levels.</strong> Treating multiple levels can increase hardware costs and operating time.</li>\n<li><strong>Implant choice.</strong> PEEK cages, titanium plates, and dynamic plates have different costs.</li>\n<li><strong>Hospital tier.</strong> Quotes may depend on the hospital and the services included.</li>\n<li><strong>Length of stay.</strong> Extra recovery nights beyond a package allowance may add room charges.</li>\n</ul>\n<p><strong>Bookimed Expert Insight.</strong> For comparing quotes, check whether the implant and inpatient stay are specified. Pacific Garden Hospital’s listed package names a Smith &amp; Nephew cervical locking plate. It also includes a three-day hospital stay, VIP room, 24-hour nurse services, and transfers. Hotel accommodation is not included. These details help clarify which services a listed package covers before comparing it with other hospital quotes.</p>","faq":[{"q":"What is the success rate for anterior cervical discectomy and fusion (ACDF) in Thailand?","a":"<p>Anterior cervical discectomy and fusion (ACDF) in Thailand maintains a success rate between 85% and 95%. Leading spinal centers reported 100% screw placement accuracy and infection rates as low as 0.83%. Patients typically see significant pain reduction and functional improvement within 3 months post-surgery.</p> <ul> <li><strong>Clinical satisfaction:</strong> Research shows 90% to 93% of patients meet all surgical expectations.</li> <li><strong>Functional recovery:</strong> Approximately 73.77% of patients return to work within 12 weeks.</li> <li><strong>Surgical precision:</strong> High-tier facilities report 100% accuracy in screw placement for spinal stability.</li> <li><strong>Single-level success:</strong> Success rates reach 97% specifically for single-level cervical fusion procedures.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Thai surgeons often bridge the experience gap through extensive international training. Dr. Rattalerk Arunakul at KDMS Specialized Orthopedic Hospital trained at Yale and UC San Diego. This Western-standard expertise contributes to lower revision rates of 5% compared to higher international averages.</p> <p><strong>Patient Consensus:</strong> Many patients report their neck pain dropped from 8/10 to 1/10 post-surgery. They emphasize choosing Joint Commission International (JCI) accredited hospitals to ensure these high success metrics.</p>"},{"q":"What are the common risks or complications associated with ACDF in Thailand?","a":"<p>ACDF in Thailand maintains high safety standards at JCI-accredited facilities, though patients commonly experience temporary swallowing difficulties (dysphagia) or voice hoarseness. Rare but serious risks include adjacent segment disease, failed bone fusion (pseudarthrosis), and hardware displacement, which may require revision surgery or specialized follow-up care.</p> <ul> <li><strong>Swallowing difficulty:</strong> Dysphagia affects 13% to 60% of patients and typically resolves within weeks.</li> <li><strong>Voice changes:</strong> Temporary hoarseness occurs from recurrent laryngeal nerve irritation during the anterior approach.</li> <li><strong>Fusion failure:</strong> Pseudarthrosis risks increase with multilevel fusions or in patients who smoke.</li> <li><strong>Neurological risks:</strong> Spinal cord or nerve damage occurs in less than 1% of cases.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Thai orthopedic excellence centers like KDMS Specialized Orthopedic Hospital utilize surgeons with extensive US fellowships from Yale and UCLA. Dr. Gun Keorochana and Dr. Rattalerk Arunakul specialize in minimally invasive techniques that can reduce tissue trauma. Choosing surgeons with these specific international credentials often leads to lower complication rates compared to general spine practitioners.</p> <p><strong>Patient Consensus:</strong> Patients emphasize the importance of choosing JCI-accredited hospitals to ensure high hygiene standards. Many travelers advise budgeting for a longer stay in Bangkok to monitor for rare post-operative hematomas before flying home.</p>"},{"q":"How long is the recovery period after ACDF in Thailand?","a":"<p>Recovery after Anterior Cervical Discectomy and Fusion (ACDF) in Thailand typically involves a 1 to 2 day hospital stay. Patients generally return to sedentary work within 2 to 4 weeks. Full bone fusion and complete recovery often require 6 to 12 months for most international patients.</p> <ul> <li><strong>Hospital stay:</strong> Expect 1–2 days for observation, which is shorter than many Western medical centers.</li> <li><strong>Initial activity:</strong> Resume light walking immediately while avoiding lifting more than 2–4 kg for 6 weeks.</li> <li><strong>Work return:</strong> Office workers typically return in 2–4 weeks; physical roles require 6–12 weeks minimum.</li> <li><strong>Physical therapy:</strong> Rehabilitation usually begins 4–6 weeks post-surgery to safely restore neck range of motion.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Thai orthopedic centers like KDMS Specialized Orthopedic Hospital focus heavily on minimally invasive and endoscopic approaches. These techniques often lead to less tissue disruption than traditional surgery. This focus explains why Thai clinics frequently discharge patients after just 1 night. Surgeons like Dr. Gun Keorochana bring UCLA-level training to these specialized procedures in Bangkok.</p> <p><strong>Patient Consensus:</strong> Many patients find that neck stiffness lasts 3 to 4 months longer than expected. They recommend staying in Thailand for 4 weeks to ensure proper follow-up before flying home.</p>"},{"q":"How long must I stay in the hospital after an ACDF in Thailand?","a":"<p>Most patients spend 1 night in a Thai hospital following an Anterior Cervical Discectomy and Fusion (ACDF). While same-day discharge is possible for single-level procedures, surgeons typically require a 24-hour observation period. Recovery protocols focus on early mobilization to ensure patient safety before discharge.</p> <ul> <li><strong>Procedure complexity:</strong> Single-level fusions usually permit discharge the next morning.</li> <li><strong>Multi-level surgery:</strong> Extensive procedures involving multiple vertebrae may require 2 nights.</li> <li><strong>Surgical approach:</strong> Minimally invasive and endoscopic techniques often facilitate faster discharge.</li> <li><strong>Mobility milestones:</strong> Patients must demonstrate unassisted walking before leaving the facility.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Thai spine specialists often train at US institutions like the Mayo Clinic or UCLA. This results in recovery protocols that match American standards. While US hospitals often push for same-day discharge to cut costs, Thai clinics like KDMS prioritize a 1-night stay. This ensures clinicians personally monitor your first 24 hours of healing.</p> <p><strong>Patient Consensus:</strong> Many patients report walking comfortably by the second day. They appreciate the transition from high-tech hospital monitoring to local hotel recovery within 48 hours.</p>"},{"q":"What activity restrictions apply after ACDF surgery in Thailand?","a":"<p>Activity restrictions after ACDF surgery in Thailand focus on protecting the vertebral fusion site. Patients must avoid lifting over 5 pounds and refrain from neck bending or twisting for 6 to 12 weeks. Specialized Thai orthopedic centers often require rigid cervical collars to prevent graft displacement during initial healing.</p> <ul> <li><strong>Lifting limits:</strong> Do not lift objects heavier than 2–4 kilograms during the first 6 weeks.</li> <li><strong>Neck movement:</strong> Avoid all forward or backward head tilts, including looking down at mobile phones.</li> <li><strong>Driving safety:</strong> Restrict driving for 4–12 weeks until off narcotic medications and cleared by surgeons.</li> <li><strong>Physical activity:</strong> Postpone high-impact sports, overhead reaching, and strenuous household chores for 3–6 months.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While general guidelines suggestion a return to desk work in 2 weeks, surgeons at KDMS Specialized Orthopedic Hospital often advise longer breaks from screens. Constant slouching over laptops can strain the new fusion. If you work remotely, request a setup that keeps your monitor at eye level to maintain a neutral neck position while wearing your collar.</p> <p><strong>Patient Consensus:</strong> Patients emphasize that even minor actions like sneezing or coughing require bracing the neck to avoid sudden sharp pain. Many warn that attempting light housework too early can jeopardize the fusion process.</p>"},{"q":"Which are the top hospitals recognized for ACDF in Thailand?","a":"<p>Top hospitals for ACDF in Thailand include Bumrungrad International Hospital, Bangkok International Hospital, and Vejthani Hospital. These facilities specialize in the anterior approach using PEEK cages. Most recognized centers hold JCI accreditation and employ surgeons with extensive fellowships from institutions like UCLA and Yale.</p> <ul> <li><strong>Bumrungrad International:</strong> Features a dedicated Spine Institute that has treated over 12,000 patients.</li> <li><strong>Vejthani Hospital:</strong> Known as the King of Bones with 3,000+ successful cervical surgeries.</li> <li><strong>Bangkok International:</strong> Voted a World Best Hospital for Thailand Spine Surgery in 2025.</li> <li><strong>KDMS Hospital:</strong> Specialized orthopedic facility featuring surgeons trained at Yale and Cedars-Sinai.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While large multi-specialty hospitals like Bumrungrad dominate rankings, KDMS Specialized Orthopedic Hospital offers highly focused care. Their surgical team, including Dr. Rattalerk Arunakul, brings elite training from Top-tier US programs. This specialization often results in more personalized surgical planning for complex cervical fusions.</p> <p><strong>Patient Consensus:</strong> Focus on the surgeon's specific cervical case volume and JCI credentials rather than just hospital prestige. Prepare for temporary swallowing difficulties by having soft foods or smoothies ready for the first week post-op.</p>"}],"h2":[{"text":"Comment ça fonctionne","kind":"content"},{"text":"Quel est le Coût pour votre Discectomie cervicale antérieure et fusion en Thaïlande ?","kind":"content"},{"text":"Ne Manquez pas les Offres Exclusives de la discectomie cervicale antérieure et fusion en Thaïlande en novembre 2026","kind":"content"},{"text":"Découvrez les Meilleures Cliniques pour Votre Discectomie cervicale antérieure et fusion en Thaïlande : 2 Options Vérifiées et Prix","kind":"content"},{"text":"Aperçu de la discectomie cervicale antérieure et fusion en Thaïlande","kind":"content"},{"text":"Obtenez une évaluation médicale pour Discectomie cervicale antérieure et fusion en Thaïlande : Choisissez le meilleur spécialiste dans le domaine","kind":"content"},{"text":"Histoires vidéo des patients de Bookimed","kind":"content"},{"text":"Avis sur Bookimed : Découvrez l'Expérience des Patients","kind":"content"},{"text":"Partager ce contenu","kind":"content"},{"text":"FAQ de la discectomie cervicale antérieure et fusion en Thaïlande","kind":"content"},{"text":"Obtenez une consultation gratuite","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[{"field":"medical.hospital_nights","chosen":"offers","offers":3,"parsed_details":{"min":0,"max":2}}]}