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El Dr. Nnamdi Elenwoke es neurocirujano en el Neuroinstitut – Centro Médico Teknon (Barcelona), un centro de referencia en Europa. Está especializado en neurocirugía mínimamente invasiva y funcional. Posee experiencia específica en la malformación de Arnold–Chiari y en los trastornos de la unión craneovertebral. En su práctica utiliza técnicas microquirúrgicas avanzadas, cirugía endoscópica de la base del cráneo y neurocirugía asistida por robot.
\nFormación y entrenamiento: Médico (2007). Residencia de Neurocirugía (MIR) en el Hospital Miguel Servet, Zaragoza. Formación avanzada en cirugía endoscópica de la base del cráneo en la Universidad de Emory, Atlanta. Formación clínica en el National Hospital for Neurology and Neurosurgery, Londres. Cuenta con más de 15 años de experiencia en cirugía compleja de cerebro y columna.
\nCompetencias clave: descompresión de fosa posterior; tumores cerebrales y medulares; cirugía de columna mínimamente invasiva; hidrocefalia y siringomielia. Emplea técnicas de imagen avanzadas y neuronavegación para mejorar la seguridad y preservar la función. Acreditaciones: Sociedad Española de Neurocirugía, EANS y el Colegio Oficial de Médicos de Barcelona. Ha publicado trabajos científicos y participa activamente en congresos internacionales.
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El médico mantiene membresías profesionales en la Real Sociedad Belga de ORL y la Sociedad Francesa de Otorrinolaringología, aportando formación y experiencia internacional al tratamiento de pacientes en Alicante.
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instability"],"main_risks":["Surgical site infection","Dural tear with cerebrospinal fluid leak","Nerve root injury or persistent numbness or weakness","Bleeding or epidural hematoma","Blood clots (DVT/PE)","Screw malposition or hardware loosening","Non-union (pseudarthrosis)","Adjacent segment degeneration"],"pain":"Moderate to severe for the first 3-5 days, controlled with oral and short-term stronger analgesics; leg pain often eases quickly, back soreness fades over 6-12 weeks.","preparation":["Lumbar MRI and/or CT and standing X-rays reviewed","Pre-operative blood tests, ECG and anesthesia assessment","Stop smoking and nicotine well before surgery","Surgeon-directed pause of blood thinners and anti-inflammatories","Fasting before anesthesia","Optimize diabetes and blood pressure"],"recovery_timeline":[{"phase":"Hospital stay (days 0-4)","description":"Mobilization with physiotherapist on day one, drain removal, pain control.","restrictions":["No bending, lifting or twisting","Walk 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needed.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat spinal surgery within about 5 years, including adjacent segment disease, non-union or hardware problems."},"scars":"One midline lower-back scar, typically 5-10 cm, fading to a thin line over 6-12 months; smaller if minimally invasive.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"decompression_fusion","label":"Laminectomy with pedicle screw stabilization and fusion at one level","after":{"min":0,"max":0,"unit":"days","qualifier":"Same operation."}}],"qualifier":"Decompression and stabilization done in one surgery."},"success":{"metric":"Patients with meaningful leg pain and function improvement","value":75,"unit":"percent","horizon":"2 years","population":"Adults with single-level stenosis with instability or spondylolisthesis, failed conservative care","evidence_status":"limited"},"techniques":[{"name":"Open laminectomy with pedicle screws and posterolateral fusion","suits_whom":"Stenosis with instability or spondylolisthesis at one level.","recovery":"Stay 3-4 nights; return to desk work in about 6-12 weeks."},{"name":"Laminectomy with pedicle screws and TLIF/PLIF cage","suits_whom":"Instability with disc collapse or foraminal stenosis needing restored disc height.","recovery":"Stay 3-4 nights; fusion matures over 6-12 months."},{"name":"Minimally invasive decompression with percutaneous screws","suits_whom":"Selected patients with a single level and suitable anatomy.","recovery":"Stay 2-3 nights; often less muscle pain early on."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2.5,"max":4.5,"unit":"hours","qualifier":"Operating time for one-level decompression with instrumented fusion."},"initial_assessment_documents":["Lumbar spine MRI report and images","Standing lumbar X-rays","Lumbar CT scan (if available)","Neurological examination or clinic notes","Medication list including 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