Istanbul Spine Center

Istanbul Spine Center
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 Center;

  • Childhood and adulthood scoliosis,
  • Kyphosis,
  • Traumatic spine fractures and dislocations,
  • Spine infections,
  • Neck hernias and canal stenosis,
  • Disc prosthesis practices,
  • Thoracic spine hernias and canal stenosis,
  • Lumbar hernias and canal strictures,
  • Waist slips
  • Failed back surgery syndrome and revision surgery
  • 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 Procedure


One 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 area.
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 procedure.
 · 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 surgeries.
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 patient.
Neurology and 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 disease.

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 follow-up
.

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 sacroplasty
.

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 Department


In 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 rheumatic diseases.

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 occurring again.

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 Department


At 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 Treatment

Acupuncture 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 control pain
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