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Where to have spine surgery in Bangkok


Matt87

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51 minutes ago, Matt87 said:

Two levels: c4-c5, c5-c6 and there is a mild compression fracture of C5. My girlfriend said we are talking about at least 420K. Do you know if we can walk-in at BNH hospital and talk with Prof. Wicharn?

Best to make an appointment, which can be done by phone or online.  He is in high demand and theere onlt Tuesday evenings and Saturday mornings.

 

420k if a private international hospital is quiet possible (depending on exact type of surgery) but would be much less at a government hospital and of course free if obtained through the universal scheme, though that process can be slow.

 

What hospital is your GF covered at under the universal ("30 baht") scheme? It will be where she is listed in a housebook (tabian ban).

 

And from whom/where did she get this 420k+ quote? You said Sriraj advised no surgery needed and also that is not a private hospital so it sounds like she has consulted someone else at a private hospital.

 

 

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56 minutes ago, Matt87 said:

Two levels: c4-c5, c5-c6 and there is a mild compression fracture of C5. My girlfriend said we are talking about at least 420K. Do you know if we can walk-in at BNH hospital and talk with Prof. Wicharn?

 

According to the MRI report (which does need to be supplemented with a direct MRI reading by a specialist) changes at C4-C5 are mild which if true  would not warrant surgery.

 

Even at C5-C6 the report lists only moderate narrowing which also does not usually equate to surgery in the near term, though it may worsen over time to an extent that requires it.

 

I'm not sure you understand how very common these findings are (even in perfectly asymptomatic people) and what the usual threshold for needing surgery is?

 

However, the symptoms you report are at odds with the MRI report so its accuracy needs a review. 

 

Compression fracture would usually be treated with neck brace and PT (cervical traction), has this been done?

 

Besides the actual MRI film bring Xray film with you if available. A great deal can be seen on XRay including things like bone spurs which sometimes get missed and can account for symptoms  worse than the narrowing would otherwise cause.

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