What is ARTES?

ARTES is a Spine center of excellence established in Ankara. We provide consultation and care for all spinal conditions as well as on how to achieve and sustain a healthy spine with our experienced multidisciplinary team and more importantly well defined and tested patient guidance pathways.

Why?

The classical approach to the care of spinal disorders is to expect (and hope) patients to find the correct approach/spine doctor that will assume the responsibility of their medical care. This approach is not only time and resource consuming (patients may have to try several approaches/doctors before settling with the correct one) but also very open to potential confusion and even abuse.

A structured Spine Center on the other hand, has the potential and recourses of offering the ideal or optimal solution to each and every problem, be it related to spine pathology or an intrinsically healthy spine. In our center, all patients are first triaged by experts and then and only then referred to the caregivers relevant to their individual problems. We save you time and resources. Further, as our center provides a holistic approach to any given spine problem, we can make sure that you shall receive the ideal and only the ideal evaluation and treatment.

Who are we?

We are a team of medical doctors (surgeons as well as non-surgeons), nurses, and support staff including managers and the administration of a large state of the art hospital. We have units for:

DIAGNOSIS AND IMAGING
• Radiology
• Neuro-radiology
• Clinical evaluation
• Neurological Evaluation

PHYSICAL THERAPY AND REHABILITATION
• Physical Therapy
• Rehabilitation
• Physiotherapy

PAIN
• Pain Physician
• Interventional pain treatment
• Psychological diagnosis and treatment

NEUROLOGY
• Evaluation
• EMG and excited potentials
• Neurological treatment applications

SURGERY
• Pain surgery
• Deformation surgery
• Tumor and infection surgery
• Trauma surgery

FUNCTIONAL TREATMENTS
• Rehabilitation
• Interventional pain treatment
• Neuro-urology

Why in Ankara?

Ankara, the capital city of Turkey is renown for the level of its academic achievements. There are nine state-owned and several private medical schools giving highest quality medical education and graduating physicians and surgeons who are sought for their expertise throughout the country. Physicians and surgeons in the ARTES SPINE are mostly graduates of Hacettepe University, probably the best in the entire country. In addition to a high intellectual level, Ankara is renown for its humility. Best quality services are provided for a fraction of the cost of what may be in the more glamorous cities. Ankara is a very well connected city with direct flights from several cities in Europe, asia and middleeast.

What can ARTES offer?

1. The entire spectrum of surgical spine services:
   a. Deformity surgery
   b. Surgery for degenerative and pain conditions
   c. Surgical treatment of destructive conditions of the spine, i.e., fractures, dislocations, infections, tumors; including reconstructive surgery
   d. Expert spinal cord surgery i.e., Spinal cord tumors, Congenital anomalies of the spinal cord
   e. Spinal revision surgeries i.e., Failed back surgery syndromes, Failed instrumentation and fusion, Iatrogenic flat back
2. Expert pre- and post-operative care including advanced intensive care services
3. The entire spectrum of physical medicine services
4. Expert post-surgery rehabilitation programs
5. Expert pain management services
   a. Primary pain management
   b. Post-surgical pain management
6. High-level accommodation and transfer services in collaboration with contractors
7. Training of orthopedic and/or neuro-surgeons in the sub-specialty of spine surgery
8. Providing academic consultancy services; i.e., structuring a spinal surgery curriculum on a local needs basis, training and/or

Domains of expertise and service:

Spinal pain:
Objective patient evaluation
Identification of signs of danger (red flags) in acute pain
Reassurance and follow-up of safe patients
Further investigation and staging in the presence of red flags
Evaluation and staging of chronic pain patients
Identification of yellow flags
Follow-up
Physical and occupational therapy
Psychological support/treatment
Pain clinic
Interventional pain treatment
Surgery:
    Lumbar decompressive surgery
    Posterior Cervical decompression and fusion for cervical spondylotic myelopathy
    Anterior Cervical Discectomy
    Anterior Cervical Discectomy + Corpectomy + Fusion
    Failed back and neck surgery

Deformity:
Objective patient evaluation and follow-up
Patient education:
    Natural history of the disease
    What to expect for your condition
    Pros and cons of alternative treatment modalities
    Non-operative treatment modalities
    Bracing/casting in children
Pain management/psychological counselling in adults *
Balance and Kinematic evaluation
Surgery:
    All ages
    All locations
    Anterior / Posterior
    Osteotomies
    Instrumentation

Spinal infections:
Patient evaluation and staging
Triaging of patients
Multidisciplinary approach with Infectious Diseases Specialists
Surgery:
    Drainage and/or decompression
    Spinal resection/vertebrectomy
    Total/partial sacrectomy
    Stabilization/instrumentation

Spinal tumors:
Patient evaluation and staging
Triaging of patients
Multidisciplinary approach with Medical Oncology and Radiation Oncology
Surgery:
    Decompression surgery
    Minimally invasive pain management
        Vertebroplasty/kyphoplasty
        Percutaneous spinal instrumentation
        Invasive/non-invasive pain clinic
    Spinal resection/vertebrectomy
    Total/partial sacrectomy
    Stabilization

Spinal cord tumors:
Patient evaluation and staging
Surgery

Foramen Magnum Decompression:
Chiari Malformations
Foramen magnum decompression

Trauma/Fractures and dislocations:
Evaluation and staging of patients
Surgery
    Minimally invasive trauma management
        Vertebroplasty/kyphoplasty
        Percutaneous spinal instrumentation
    Decompression
    Stabilization and instrumentation
Early rehabilitation and mobilization

Revision Surgery:
Revisions for:
    Failed back surgery
    Failed cervical surgery
    Failed deformity surgery / residual balance problems

Minimally Invasive Surgery:
Minimally Invasive Lumbar Instrumentation (MILI)
Kyphoplasty
Vertebroplasty
Microsurgery
Microlumbar discectomy
Endoscopic discectomy
METRx system
Endoscopic cervical hemilaminotomy / foraminotomy