The most important reasons
for Florence Nightingale Istanbul Hospital Spine Center to be accepted as one
of the world-renowned and reference centers in spinal diseases are the founder
of our center, . Azmi Hamzaoglu's
academic profile, professional skills and the other experienced doctors working
in our center.
In our Istanbul Spine
- Childhood and adulthood
- Traumatic spine fractures and
- Spine infections,
- Neck hernias and canal stenosis,
- Disc prosthesis practices,
- Thoracic spine hernias and canal
- Lumbar hernias and canal strictures,
- Waist slips
- Failed back surgery syndrome and
- Vertebroplasty or kyphoplasty, stent
practices in spinal diseases in the elderly,
- Spine and spinal cord tumor surgery,
- Congenital spinal diseases
- Pain surgery,
- Spasticity surgery is performed in the
light of current developments. We Solve the Problems in Scoliosis Treatment by
Defining New Procedures.
Tethering ProcedureOne of the problems in the
surgical treatment of patients with scoliosis (curvature of the spine), is the
fixation of the spine, therefore disabling the spine mobility in a certain
Prof. . Thanks to the tethering procedure performed by Prof. Dr. Azmi Hamzaoglu
and his team, this problem is erased. Spine movement of the patient is not
removed. This situation provides an important advantage especially for
pediatric patients because the growth of the child is not hindered.
In the spine of children treated with the tethering procedure, while the
concave continues to grow, the convex growth stops thanks to the rope attached
to the screws. Thus, the curvature corrects itself over time. The operated area
also maintains its mobility:
· The curvature is corrected
without the need for freezing / fixation in the spine through the tethering
· Mobility does not disappear.
· Growth is not prevented in children.
Sliding Growing Rod Technique
At Florence Nightingale
Istanbul Hospital Spine Surgery Center, scoliosis is successfully treated using
the Sliding Growing Rod technique (Self-Sliding Rod technique) developed . by Prof. Dr. Azmi Hamzaoğlu and accepted in
the world literature in the treatment of early onset of scoliosis. The need for
lengthening at 6-month intervals is eliminated and the need for repeated
lengthening surgery is minimized through this technique.
We Choose the Appropriate
Treatment Procedure and Reliable Imaging Tools for Our Patients in Scoliosis
and All Kinds of Problems of the Spine in Our Center,
EOS allows the whole body or a specific
area to be viewed in three dimensions (3D) at the same time from the front,
back and side. The radiation received during this procedure is approximately 10
times less than standard procedures.
EOS is especially used in
the imaging of spinal diseases such as Scoliosis and Kyphosis. Detailed
information can be obtained with EOS imaging prior to many orthopedic
Some patients, especially children with curvature of the spine, require
multiple imaging procedures to follow up. There are concerns that some
radiation-related side effects may increase in adolescents who are exposed to
frequent examinations with standard procedures. At this point, EOS stands out
with its low radiation rate.
EOS can view every part of
the body equally at the same quality. The good quality of the images obtained
makes the decision about the treatment
even more reliable. The mistakes that can be made in determining the degree of
spinal curvature can negatively affect the success of the surgical treatment in
standard procedures where image quality is not as good as EOS.
We Perform a
Multidisciplinary Individualized Patient Approach at Florence Nightingale
Istanbul Hospital Spine Center
Hastalarımızın tüm tetkikleri branş hekimlerimiz, ağrı ve fizik tedavi klinikleri ile radyoloji uzmanlarımız eşliğinde değerlendirilir. Konservatif tedavi (ilaç ve fizik tedavi uygulamaları), sinir kökü ve faset eklem bloğu veya endoskopik ya da açık cerrahi tedavi seçeneklerini içeren uygun tedavi yöntemi her hasta için bilimsel olarak belirlenir.
Merkezimizdeki Nöroloji ve Nörofizyoloji Çalışmaları
All examinations of our
patients are evaluated in the company of our branch physicians, pain and
physical therapy clinics and radiology specialists. The appropriate treatment
procedure, including conservative treatment (medication and physical therapy
practice), nerve root and facet joint block, or endoscopic or open surgical
treatment options, is scientifically and individually determined for each
Neurophysiology Studies in Our Center
In our Spine Center, all
patients undergoing spine surgery are periodically evaluated by neurologists
before and after surgery. Neurological evaluation and consultations are
extremely important at the stages of deciding on surgical treatment and
determining the area to be operated neuroanatomically.
It is extremely important
to make differential diagnosis with our neurology specialists who have been
evaluating spine patients for many years and have a certain level of experience
in this field, and determining if there is another underlying neurological
In our spine center, there is also our neurophysiology department, which deals
with the conversion of electrical activities generated by different procedures
in the structures of the brain, brainstem, spinal cord and peripheral nervous
system and muscles, into numerical values with the help of computers, and the
evaluation and interpretation of these values. The neurophysiological tests
performed in our neurophysiology department provide very concrete information
in determining the surgical treatment to be performed and the postoperative
Our Department of Diagnostic and Interventional
Radiology for Musculoskeletal System
Radiological evaluation of
the musculoskeletal and nervous system is one of the special and difficult
topics in radiology. Especially advanced degenerative diseases, scoliosis,
postoperative patient evaluation, radiological evaluation of tumor and
infection cases require a certain experience.
The radiology team, who has
been working one-on-one with the spine surgery department and has been trained
on this subject, has gained serious experience in this field for many years. In
the diagnostic radiological examinations, the previous images of all patients
are evaluated by a radiology specialist and these are taken into consideration
in new and additional shots to be made. The evaluation and comparison of the
radiographies are completed on the same day and discussed with the spine surgeon, on computer.
One of the most important tasks undertaken by our radiology department is pain
treatments under the guidance of imaging procedures. For this purpose, epidural
cortisone injection, nerve root block, facet joint block / RF denervation,
sacroiliac joint block methods are used.
Our specific methods and interventional procedures that we perform in terms of
diagnosis and treatment in our department are, Axial loaded lumbar MRI,
myelography and myeloCT, dynamic cervical MR, facet joint blockage, facet
thermocoagulation denervation, imaging-guided spine biopsies, discography and
Osteoporosis (metabolic bone diseases)
Metabolic (osteoporosis-osteopenia) bone diseases
are evaluated by a specialist in our center, and treatment solutions are
planned in a multidisciplinary manner to be most beneficial to our patients.
Our Physotherapy and Rehabilitation DepartmentIn our Physotherapy and
Rehabilitation Department in our center we have; diagnosis and treatment of
spine diseases, rehabilitation after sports injuries and orthopedic surgery,
rehabilitation in neurological diseases, diagnosis and treatment of lymphedema,
diagnosis and treatment of osteoporosis and other metabolic bone diseases and
In our department, primarily therapeutic exercises, all electrotherapy
practices, hydrotherapy practices, kinezyoteyping practices and medical fitness
and spine rehabilitation with whole body electro-myostimulation (electro-muscle
stimulation) (EMS) system are used.
Muscle strengthening exercises, which are performed by our team experienced in
spinal diseases in our department, are exercise programs especially performed
to stabilize and strengthen the muscle groups with decreased functions. The
main purpose is to regain the lost muscle power in the recovery process after
conservative or surgical treatments of large joints such as hip, knee, ankle,
shoulder, elbow and wrist, or the spine. When muscle strength and especially
coordination, that is, the ability of muscles to work together in harmony, is
regained and controlled, it will be possible for the person to return to daily
life activities, work, sports and hobbies without any limitations. In the long
term, a protective training program is started to prevent these problems from
With the exercise therapy performed in the treatment of mild idiopathic
scoliosis in our department, it is aimed to improve the trunk muscles, improve
the posture, and increase the mobility of the tense structures of the trunk.
Strengthening the abdominal wall, trunk extensor muscles, stretching the
structures on the concave side of the curvature, strengthening the lateral
flexors muscles of the body located on the convex side of the curvature are
provided with specific exercises. Deep breathing exercises are also performed
to our patients to improve pulmonary function.
Our Anesthesia and Intensive Care DepartmentAt our Florence Nightingale
Hospital Spine Center, we have been working with experienced anesthesiologists
and technicians in scoliosis and spine surgery for many years.
Anesthesiologists experienced in scoliosis and spine surgery provide general
anesthesia during the operation and afterwards give the necessary medications
to prevent the patient from feeling pain, control the regular functioning of
the heart and lungs, and perform the necessary treatments for the good
functioning of other organs.
While working with our experienced anesthesiologists in our center, our
surgeons in the scoliosis and spine center, knowing that the patient is in safe
hands, give all their attention to their work.
Our anesthesiologists examine the health status of our patients before surgery.
They inform the patient about procedures and tell that they will visit and
answers the patient's questions. They inform about the examination, treatment,
care and procedures. Before the anesthesia, the patient takes the necessary
medications. Chooses the most appropriate anesthesia method according to the
results of the examinations and the disease.
After the operation, our anesthesiologists wakes the patient up smoothly by
applying the necessary care and treatment to help the patient recover from the
effects of medications taken during the surgery, so the patient does not to
feel pain and remains healthy after the operation.
Today, extreme postoperative pain is no longer fate. In our center, when
the the patients is fully conscious after
the surgery, the pain pump defined as "Patient Controlled Analgesia"
and the rate of pain relief are adjusted by the patient himself / herself.
Our Acupuncture Department for Pain TreatmentAcupuncture treatment is a
frequently used method in our center to treat the painful process before the
operation or during the recovery period after the operation for spinal surgery.
Our spinal surgery department works in close cooperation with the acupuncture
department located within.
Acupuncture is a branch of science that stimulates certain points in the body
with needles and / or moxa, laser and electrical stimulation when necessary,
affecting the body's autonomic nervous system, neuroendocrine system, immune
system and regional blood flow, treating functional diseases and helping to