{"key":"op_1464_CO","page":{"url":"https://pt.bookimed.com/clinics/country=colombia/procedure=stem-cell-for-spinal-cord-injury/","procedure":{"id":1464,"slug":"stem-cell-for-spinal-cord-injury","name":"Terapia com células estaminais para lesão da medula espinhal","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"therapy","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"stem-cells","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":204,"iso":"CO","name":"Colômbia"},"currency":"USD","data_date":"2025-06-16"},"pages":{"clinics_url":"https://pt.bookimed.com/clinics/country=colombia/procedure=stem-cell-for-spinal-cord-injury/","cost_url":"https://pt.bookimed.com/clinics/country=colombia/procedure=stem-cell-for-spinal-cord-injury/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":8000,"to":14000,"avg":{"value":10000,"method":"median","source":"offers"},"us":{"from":20000,"to":45000},"uk":{"from":14000,"to":26000},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Medelhim","from":8000}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"source":"offers","items":[{"tier":"standard","min":10000,"max":10000,"median":10000,"count":1}]},"comparison":[{"country_iso":"UA","from":11000,"to":30000},{"country_iso":"FR","from":14000,"to":27000},{"country_iso":"GB","from":14000,"to":26000},{"country_iso":"US","from":20000,"to":45000},{"country_iso":"IL","from":22000,"to":35000},{"country_iso":"TR","from":10000,"to":24000},{"country_iso":"MX","from":14000,"to":28000},{"country_iso":"DE","from":14000,"to":28000},{"country_iso":"CA","from":15000,"to":35000},{"country_iso":"AE","from":14000,"to":30000},{"country_iso":"TH","from":45600,"to":{"status":"missing","reason":"not_collected"}},{"country_iso":"PL","from":9000,"to":20000},{"country_iso":"KR","from":18000,"to":30000},{"country_iso":"CZ","from":6500,"to":12500},{"country_iso":"AT","from":9500,"to":19500},{"country_iso":"ES","from":14000,"to":28000},{"country_iso":"IT","from":9000,"to":20000},{"country_iso":"CN","from":18000,"to":35000},{"country_iso":"AU","from":9000,"to":21000},{"country_iso":"IN","from":6500,"to":13000},{"country_iso":"MY","from":9000,"to":22000},{"country_iso":"VN","from":9000,"to":20000},{"country_iso":"BR","from":14000,"to":27000}],"base_country":"US","base_is_fallback":false},"savings":{"pct":60,"variant":">=15%"},"package":{"included":["Boost overall well-being","Consultation with a doctor","Consultation with an anesthesiologist","Consultation with an orthopedist traumatologist","Rejuvenate body & mind","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":["Accommodation is not included"],"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":3,"items":[{"id":6835,"name":"Reju Stem Cell Clinic","city":"Medellín","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":1,"has_procedure":true,"why_ranked":"Uses high-potency stem cells with a replication factor of 12, significantly more potent than competitors. Offers a service guarantee with complimentary re-treatment if results aren't achieved within 6 to 8 months.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":[{"id":"68508db4d71c6897810e4752","price":10000,"nights":0,"included":["Boost overall well-being","Rejuvenate body & mind","Consultation with a doctor","Consultation with an anesthesiologist","Consultation with an orthopedist traumatologist","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":["Accommodation is not included"],"other_services":"Our protocol was designed to regenerate damaged tissues, repair nerve damage, and improve mobility in patients with spinal cord injury or degenerative disc disease. It utilizes a guided intradiscal injection of mesenchymal stem cells derived from Wharton's jelly. Our stem cells regenerate spinal cord, nerve, and cartilage tissues while the exosomes reduce inflammation, support nerve regeneration, and accelerate healing. Includes pre-treatment IV-detox, hyperbaric chamber session, and post-treatment recovery including pressotherapy, red light therapy, recovery massage, and cryotherapy. Each patient is given a specialized treatment plan aimed to facilitate advanced healing, as well as reduce inflammation and pain. Services included in the package will be specific to patient need and condition. Disclosures - Prices may vary depending on the type of application and the area where it is applied. The number of stem cells and applications may vary based on the patient’s condition and physiological profile. If initial treatment does not yield measurable improvement in 6-8 months, retreatment will be administered at no additional cost. Please contact our rep to get the accurate price for your particular condition."}]},{"id":4347,"name":"Stem Cells Kyron Colombia","city":"Cali","rating":5,"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":2,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":6817,"name":"Reviv Clinic","city":"Medellín","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["American Academy of Aesthetic Medicine","International Society for Stem Cell Application","Patient choice in Orthopaedics","Patient choice for Hair transplant","ISO 9001:2015 Quality management systems","Korean Accreditation Program for Hospitals Serving Foreign Patients (외국인환자 유치 의료기관 평가인증)"],"rank":3,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":{"status":"missing","reason":"not_collected"},"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":2522,"slug":"medellin","name":"Medelhim","clinics_count":1,"price_from":8000,"profile":{"city_type":"Second-largest city in Colombia","access":["Medellín Airport (MDE), 20 km from Medellín"],"sources":["https://en.wikipedia.org/wiki/Medellín","https://en.wikipedia.org/wiki/José_María_Córdova_International_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":1,"active_with_related":1,"hospital_nights_median":0,"days_in_country_median":{"status":"missing","reason":"fewer than 10 offers with hotel days"},"top_offers":[{"id":"68508db4d71c6897810e4752","clinic_id":6835,"clinic_listed":true,"price":10000,"nights":0,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Boost overall well-being","Rejuvenate body & mind","Consultation with a doctor","Consultation with an anesthesiologist","Consultation with an orthopedist traumatologist","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":["Accommodation is not included"],"other_services":"Our protocol was designed to regenerate damaged tissues, repair nerve damage, and improve mobility in patients with spinal cord injury or degenerative disc disease. It utilizes a guided intradiscal injection of mesenchymal stem cells derived from Wharton's jelly. Our stem cells regenerate spinal cord, nerve, and cartilage tissues while the exosomes reduce inflammation, support nerve regeneration, and accelerate healing. Includes pre-treatment IV-detox, hyperbaric chamber session, and post-treatment recovery including pressotherapy, red light therapy, recovery massage, and cryotherapy. Each patient is given a specialized treatment plan aimed to facilitate advanced healing, as well as reduce inflammation and pain. Services included in the package will be specific to patient need and condition. Disclosures - Prices may vary depending on the type of application and the area where it is applied. The number of stem cells and applications may vary based on the patient’s condition and physiological profile. If initial treatment does not yield measurable improvement in 6-8 months, retreatment will be administered at no additional cost. Please contact our rep to get the accurate price for your particular condition.","is_package":true}],"packages":[{"id":"68508db4d71c6897810e4752","clinic_id":6835,"clinic_listed":true,"price":10000,"nights":0,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Boost overall well-being","Rejuvenate body & mind","Consultation with a doctor","Consultation with an anesthesiologist","Consultation with an orthopedist traumatologist","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":["Accommodation is not included"],"other_services":"Our protocol was designed to regenerate damaged tissues, repair nerve damage, and improve mobility in patients with spinal cord injury or degenerative disc disease. It utilizes a guided intradiscal injection of mesenchymal stem cells derived from Wharton's jelly. Our stem cells regenerate spinal cord, nerve, and cartilage tissues while the exosomes reduce inflammation, support nerve regeneration, and accelerate healing. Includes pre-treatment IV-detox, hyperbaric chamber session, and post-treatment recovery including pressotherapy, red light therapy, recovery massage, and cryotherapy. Each patient is given a specialized treatment plan aimed to facilitate advanced healing, as well as reduce inflammation and pain. Services included in the package will be specific to patient need and condition. Disclosures - Prices may vary depending on the type of application and the area where it is applied. The number of stem cells and applications may vary based on the patient’s condition and physiological profile. If initial treatment does not yield measurable improvement in 6-8 months, retreatment will be administered at no additional cost. Please contact our rep to get the accurate price for your particular condition.","is_package":true}],"related_packages":{"status":"missing","reason":"not_collected"},"other_packages":{"status":"missing","reason":"not_classified"}},"medical":{"indications":["Chronic traumatic spinal cord injury","Subacute traumatic spinal cord injury"],"contraindications":["Active infection or sepsis","Active or recent malignancy","Pregnancy or breastfeeding","Uncontrolled coagulopathy or anticoagulation that cannot be paused","Severe unstable medical condition","Pressure ulcers with active infection","Unstable spine or untreated compression of the cord","Allergy to anesthetic or cell culture components","Immunosuppression or severe immune disorder"],"operation_hours":{"min":1,"max":3,"unit":"hours","qualifier":"For cell administration session; harvest adds time if autologous cells are used."},"anesthesia":["local_sedation"],"sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"One course is typical; some protocols repeat administration every 3-6 months."},"stages":[{"code":"cell_harvest","label":"Cell harvest and processing","after":{"min":0,"max":3,"unit":"days","qualifier":"Bone marrow or fat harvest if autologous; culture time varies."}},{"code":"cell_administration","label":"Intrathecal or intraspinal cell administration","after":{"min":1,"max":7,"unit":"days","qualifier":"Often repeated over several days in some protocols."}},{"code":"rehabilitation","label":"Inpatient rehabilitation","after":{"min":2,"max":28,"unit":"days","qualifier":"Starts shortly after administration."}}],"qualifier":"One course of cell administration with rehabilitation is the usual protocol."},"hospital_nights":{"value":0,"source":"offers","parsed_details":{"min":14,"max":28,"unit":"nights","qualifier":"Includes cell administration, monitoring and inpatient rehabilitation; shorter if rehabilitation is done elsewhere."}},"treatment_conditions":["inpatient"],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Intensive inpatient program after cell administration; long-term rehabilitation continues at home."},"fly_home_after_days":{"min":14,"max":30,"unit":"days","qualifier":"After inpatient monitoring and rehabilitation, with clearance for travel, pressure-sore and thrombosis risk."},"back_to_work_days":{"min":60,"max":180,"unit":"days","qualifier":"After inpatient rehabilitation ends; depends on injury level, wheelchair independence and job type."},"exercise_resume_weeks":{"min":4,"max":12,"unit":"weeks","qualifier":"Structured therapy continues throughout; unrestricted exercise depends on spinal stability and clinician clearance."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Any neurological change develops gradually alongside rehabilitation; benefit is not guaranteed."},"result_longevity":"Durability of any benefit is unproven; long-term data are limited.","main_risks":["Infection, bleeding, headache, fever, neurological worsening, pain, immune reactions","Possible abnormal tissue growth, syringomyelia or cysts"],"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any adverse event within 90 days, mostly transient headache, fever or back pain; serious events uncommon."},"revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Patients receiving a repeat cell course within 12 months; mainly elective, not for correcting complications."},"success":{"metric":{"status":"missing","reason":"not_collected"},"value":{"status":"missing","reason":"not_collected"},"horizon":{"status":"missing","reason":"not_collected"},"source":{"status":"missing","reason":"not_collected"},"evidence_status":"not_proven"},"scars":"Only a needle puncture mark from lumbar puncture or injection, plus a small mark at the harvest site; typically not visible. Open surgical delivery leaves a small scar.","pain":"Mild to moderate headache, back pain or puncture-site soreness for a few days, usually managed with simple analgesics. Neuropathic pain may transiently increase.","preparation":["Review MRI and neurological records","Infection screening blood tests","Pause blood thinners as advised","Confirm medical stability and bladder management","Cell harvesting (bone marrow or fat) if autologous","Fasting before sedation"],"recovery_timeline":[{"phase":"Days 0-3","description":"Observation after cell administration with monitoring for fever, headache and neurological change.","restrictions":["Bed rest as directed","No heavy transfers"]},{"phase":"Days 4-28","description":"Inpatient rehabilitation with physiotherapy, occupational therapy and bladder and skin care.","restrictions":["Avoid overexertion","Pressure-relief routine"]},{"phase":"Months 1-6","description":"Continued home rehabilitation; gradual neurological changes assessed at follow-up.","restrictions":["Avoid new unsupervised high-intensity training"]},{"phase":"Months 6-12","description":"Final assessment of functional outcome; possible repeat course.","restrictions":{"status":"missing","reason":"not_collected"}}],"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":30,"unit":"days","qualifier":"Neurological exam and ASIA grading at end of inpatient stay or one month."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Neurological and MRI review, often remote or local."}},{"purpose":"other","requirement":"conditional","after":{"min":7,"max":60,"unit":"days","qualifier":"For fever, new pain, neurological worsening or infection signs."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the clinician who will do the procedure, and the credentials of the facility","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Determine ahead of time how you will communicate with your clinician and others caring for you","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Cerebrospinal fluid leakage","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13011616/","host":"pmc.ncbi.nlm.nih.gov","quote":"The primary endpoint was procedural and long-term safety, including AE, infection, tumor or cyst formation, CSF leakage, or MRI evidence of syrin.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Infection after the procedure","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13011616/","host":"pmc.ncbi.nlm.nih.gov","quote":"The primary endpoint was procedural and long-term safety, including AE, infection, tumor or cyst formation, CSF leakage, or MRI evidence of syrin.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"New pain after intraspinal injection","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7313002/","host":"pmc.ncbi.nlm.nih.gov","quote":"Notably, 33% of patients treated by intraspinal BMMNC injection reported development of new pain [18].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":429}},{"id":"W4","text":"Hydrocephalus after intrathecal application","urgency":"emergency","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7313002/","host":"pmc.ncbi.nlm.nih.gov","quote":"Intrathecal application can also deliver a large number of cells to the spinal cord and is less invasive relative to intraspinal application; however, the rate of cell engraftment is unclear, and complications, such as hydrocephalus and liquorrhea, need to be addressed.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":429}},{"id":"W5","text":"New neurological deterioration","urgency":"emergency","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13011616/","host":"pmc.ncbi.nlm.nih.gov","quote":"IP delivery demonstrates convergent early-phase safety, with no recurrent cell-related severe toxicity, tumor formation, or progressive neurological deterioration attributable to the delivery platform.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["local_sedation"],"back_to_work_days":{"min":60,"max":180,"unit":"days","qualifier":"After inpatient rehabilitation ends; depends on injury level, wheelchair independence and job type."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any adverse event within 90 days, mostly transient headache, fever or back pain; serious events uncommon."},"contraindications":["Active infection or sepsis","Active or recent malignancy","Pregnancy or breastfeeding","Uncontrolled coagulopathy or anticoagulation that cannot be paused","Severe unstable medical condition","Pressure ulcers with active infection","Unstable spine or untreated compression of the cord","Allergy to anesthetic or cell culture components","Immunosuppression or severe immune disorder"],"days_in_clinic":{"min":14,"max":28,"unit":"nights","qualifier":"Includes cell administration, monitoring and inpatient rehabilitation; shorter if rehabilitation is done elsewhere."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":12,"unit":"weeks","qualifier":"Structured therapy continues throughout; unrestricted exercise depends on spinal stability and clinician clearance."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Any neurological change develops gradually alongside rehabilitation; benefit is not guaranteed."},"fly_home_after_days":{"min":14,"max":30,"unit":"days","qualifier":"After inpatient monitoring and rehabilitation, with clearance for travel, pressure-sore and thrombosis risk."},"follow_up_visits":[{"purpose":"assessment","after":{"min":28,"max":30,"unit":"days","qualifier":"Neurological exam and ASIA grading at end of inpatient stay or one month."},"requirement":"routine"},{"purpose":"result_review","after":{"min":90,"max":180,"unit":"days","qualifier":"Neurological and MRI review, often remote or local."},"requirement":"routine"},{"purpose":"other","after":{"min":7,"max":60,"unit":"days","qualifier":"For fever, new pain, neurological worsening or infection signs."},"requirement":"conditional"}],"indications":["Chronic traumatic spinal cord injury","Subacute traumatic spinal cord injury"],"main_risks":["Infection, bleeding, headache, fever, neurological worsening, pain, immune reactions","Possible abnormal tissue growth, syringomyelia or cysts"],"pain":"Mild to moderate headache, back pain or puncture-site soreness for a few days, usually managed with simple analgesics. Neuropathic pain may transiently increase.","preparation":["Review MRI and neurological records","Infection screening blood tests","Pause blood thinners as advised","Confirm medical stability and bladder management","Cell harvesting (bone marrow or fat) if autologous","Fasting before sedation"],"recovery_timeline":[{"phase":"Days 0-3","description":"Observation after cell administration with monitoring for fever, headache and neurological change.","restrictions":["Bed rest as directed","No heavy transfers"]},{"phase":"Days 4-28","description":"Inpatient rehabilitation with physiotherapy, occupational therapy and bladder and skin care.","restrictions":["Avoid overexertion","Pressure-relief routine"]},{"phase":"Months 1-6","description":"Continued home rehabilitation; gradual neurological changes assessed at follow-up.","restrictions":["Avoid new unsupervised high-intensity training"]},{"phase":"Months 6-12","description":"Final assessment of functional outcome; possible repeat course.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Intensive inpatient program after cell administration; long-term rehabilitation continues at home."},"result_longevity":"Durability of any benefit is unproven; long-term data are limited.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Patients receiving a repeat cell course within 12 months; mainly elective, not for correcting complications."},"scars":"Only a needle puncture mark from lumbar puncture or injection, plus a small mark at the harvest site; typically not visible. Open surgical delivery leaves a small scar.","sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"One course is typical; some protocols repeat administration every 3-6 months."},"stages":[{"code":"cell_harvest","label":"Cell harvest and processing","after":{"min":0,"max":3,"unit":"days","qualifier":"Bone marrow or fat harvest if autologous; culture time varies."}},{"code":"cell_administration","label":"Intrathecal or intraspinal cell administration","after":{"min":1,"max":7,"unit":"days","qualifier":"Often repeated over several days in some protocols."}},{"code":"rehabilitation","label":"Inpatient rehabilitation","after":{"min":2,"max":28,"unit":"days","qualifier":"Starts shortly after administration."}}],"qualifier":"One course of cell administration with rehabilitation is the usual protocol."},"success":{"metric":null,"value":null,"unit":null,"horizon":null,"population":"Adults with chronic traumatic spinal cord injury receiving intrathecal cells plus rehabilitation","evidence_status":"not_proven"},"techniques":[{"name":"Intrathecal injection via lumbar puncture","suits_whom":"Most chronic or subacute injuries; least invasive route.","recovery":"Bed rest for hours; discharge to rehabilitation within days."},{"name":"Intravenous infusion","suits_whom":"Patients preferring minimal invasiveness or in acute-subacute trials.","recovery":"Same-day observation; no procedural recovery."},{"name":"Direct intraspinal injection at injury site","suits_whom":"Selected patients in trials with focal injury.","recovery":"Surgical recovery with several days of monitoring."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"For cell administration session; harvest adds time if autologous cells are used."},"initial_assessment_documents":["Spine MRI report and images","Neurosurgical or rehabilitation discharge summary","Neurological exam with ASIA impairment grade","Date and level of injury","Recent blood tests including infection screening","List of blood thinners"],"travel_trips":{"min":1,"max":3,"one_trip_possible":true,"qualifier":"Usually one cell administration course plus 2-4 weeks inpatient rehabilitation; some protocols repeat every 3-6 months."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the clinician who will do the procedure, and the credentials of the facility","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Determine ahead of time how you will communicate with your clinician and others caring for you","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Cerebrospinal fluid leakage","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13011616/","host":"pmc.ncbi.nlm.nih.gov","quote":"The primary endpoint was procedural and long-term safety, including AE, infection, tumor or cyst formation, CSF leakage, or MRI evidence of syrin.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Infection after the procedure","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13011616/","host":"pmc.ncbi.nlm.nih.gov","quote":"The primary endpoint was procedural and long-term safety, including AE, infection, tumor or cyst formation, CSF leakage, or MRI evidence of syrin.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"New pain after intraspinal injection","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7313002/","host":"pmc.ncbi.nlm.nih.gov","quote":"Notably, 33% of patients treated by intraspinal BMMNC injection reported development of new pain [18].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":429}},{"id":"W4","text":"Hydrocephalus after intrathecal application","urgency":"emergency","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7313002/","host":"pmc.ncbi.nlm.nih.gov","quote":"Intrathecal application can also deliver a large number of cells to the spinal cord and is less invasive relative to intraspinal application; however, the rate of cell engraftment is unclear, and complications, such as hydrocephalus and liquorrhea, need to be addressed.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":429}},{"id":"W5","text":"New neurological deterioration","urgency":"emergency","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13011616/","host":"pmc.ncbi.nlm.nih.gov","quote":"IP delivery demonstrates convergent early-phase safety, with no recurrent cell-related severe toxicity, tumor formation, or progressive neurological deterioration attributable to the delivery platform.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want an approach other than cellular therapy","name":"Rehabilitation for spinal cord injury","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11711022/","host":"pmc.ncbi.nlm.nih.gov","quote":"cellular therapies, rehabilitation strategies, and biomaterial applications.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"intrathecal-injection","name":"Intrathecal injection via lumbar puncture","how_it_works":{"text":"Stem cells are injected directly into the intrathecal space","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13011616/","host":"pmc.ncbi.nlm.nih.gov","quote":"IT injections are used to administer stem cells directly into the intrathecal space, targeting the central nervous system, however, this approach, while circulates the therapy into the CNS has restricted ability to penetrate the spinal parenchyma itself [ 12 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"intravenous-infusion","name":"Intravenous infusion","how_it_works":{"text":"Stem cells are delivered through the bloodstream to reach different body areas","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13011616/","host":"pmc.ncbi.nlm.nih.gov","quote":"IV infusions deliver stem cells through the bloodstream to reach different areas of the body, though it faces challenges in crossing the blood–brain barrier [ 11 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"direct-intraspinal-injection","name":"Direct intraspinal injection at injury site","how_it_works":{"text":"Stem cells are injected directly into the injured spinal cord tissue","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13011616/","host":"pmc.ncbi.nlm.nih.gov","quote":"Intraparenchymal (IP) transplantation, which delivers cells directly into injured spinal cord, is intended to improve local retention, survival, and integration.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"intrathecal-injection","name":"Intrathecal injection via lumbar puncture","how_it_works":{"id":"H1","text":"Stem cells are injected directly into the intrathecal space","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13011616/","host":"pmc.ncbi.nlm.nih.gov","quote":"IT injections are used to administer stem cells directly into the intrathecal space, targeting the central nervous system, however, this approach, while circulates the therapy into the CNS has restricted ability to penetrate the spinal parenchyma itself [ 12 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Most chronic or subacute injuries; least invasive route.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Bed rest for hours; discharge to rehabilitation within days."},{"id":"intravenous-infusion","name":"Intravenous infusion","how_it_works":{"id":"H1","text":"Stem cells are delivered through the bloodstream to reach different body areas","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13011616/","host":"pmc.ncbi.nlm.nih.gov","quote":"IV infusions deliver stem cells through the bloodstream to reach different areas of the body, though it faces challenges in crossing the blood–brain barrier [ 11 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Patients preferring minimal invasiveness or in acute-subacute trials.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Same-day observation; no procedural recovery."},{"id":"direct-intraspinal-injection","name":"Direct intraspinal injection at injury site","how_it_works":{"id":"H1","text":"Stem cells are injected directly into the injured spinal cord tissue","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13011616/","host":"pmc.ncbi.nlm.nih.gov","quote":"Intraparenchymal (IP) transplantation, which delivers cells directly into injured spinal cord, is intended to improve local retention, survival, and integration.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected patients in trials with focal injury.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Surgical recovery with several days of monitoring."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want an approach other than cellular therapy","name":"Rehabilitation for spinal cord injury","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11711022/","host":"pmc.ncbi.nlm.nih.gov","quote":"cellular therapies, rehabilitation strategies, and biomaterial applications.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK passport holders can visit Colombia for up to 90 days without a visa for business or tourism, at the immigration officer's discretion on arrival","source":{"url":"https://www.gov.uk/foreign-travel-advice/colombia/entry-requirements","host":"gov.uk","quote":"You can visit Colombia for up to 90 days without a visa for business or tourism, at the discretion of the Colombian immigration officer on arrival.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"U.S. citizens do not need a Colombian visa for tourism or business if staying for 90 days or less","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Colombia.html","host":"travel.state.gov","quote":"U.S. citizens do not need a Colombian visa for tourism or business if staying for 90 days or less.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"To enter Colombia, a British citizen's passport must be valid on the day of entry","source":{"url":"https://www.gov.uk/foreign-travel-advice/colombia/entry-requirements","host":"gov.uk","quote":"To enter Colombia, your passport must be valid on entry.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"passport_validity","audience":"us","volatile":true,"text":"Non-Colombian citizens must show a valid U.S. passport to enter and leave Colombia","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Colombia.html","host":"travel.state.gov","quote":"You must show a valid U.S. passport to enter and leave Colombia if you are not a Colombian citizen.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medications in original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Colombia.html","host":"travel.state.gov","quote":"You must carry prescription medications in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"hospital_payment","audience":"all","volatile":false,"text":"Hospitals and doctors in Colombia may ask for payment upfront before admission","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Colombia.html","host":"travel.state.gov","quote":"Hospitals and doctors may ask for payment upfront before admission.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V7","item":"emergency_number","audience":"all","volatile":false,"text":"Call 123 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/colombia/health","host":"gov.uk","quote":"Call 123 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["japan","mexico","republic-of-korea","thailand","turkey","ukraine"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":{"status":"missing","reason":"not_collected"},"count":{"status":"missing","reason":"not_collected"},"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":{"status":"missing","reason":"not_collected"},"faq":{"status":"missing","reason":"not_collected"},"h2":[{"text":"Qual é o Custo de Terapia com células estaminais para lesão da medula espinhal em Colômbia? Descubra Agora","kind":"content"},{"text":"Seus Benefícios e Garantias com a Bookimed","kind":"content"},{"text":"Seu assistente Bookimed pessoal","kind":"content"},{"text":"Não perca ofertas exclusivas de Terapia com células estaminais para lesão da medula espinhal em Colômbia para novembro 2026","kind":"content"},{"text":"Descubra as Melhores Clínicas de Terapia com células estaminais para lesão da medula espinhal em Colômbia: 3 opções Verificadas e Preços","kind":"content"},{"text":"Visão geral de Terapia com células estaminais para lesão da medula espinhal em Colômbia","kind":"content"},{"text":"Obtenha uma avaliação médica para Terapia com células estaminais para lesão da medula espinhal em Colômbia: escolha seu especialista entre os melhores da área","kind":"content"},{"text":"Histórias em vídeo de pacientes da Bookimed","kind":"content"},{"text":"Compartilhar este conteúdo","kind":"content"},{"text":"Obtenha uma consulta gratuita","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[{"field":"medical.hospital_nights","chosen":"offers","offers":0,"parsed_details":{"min":14,"max":28}}]}