Tokuda Hospital Sofia


A 5-year-old child with over 100 degrees of spine deformity successfully underwent surgery with the Tokuda orthopedics

14 march 2017

A remote-controlled system of magnetic implants will save up to 10 additional surgical interventions and allow the young patient grow

A 5-year-old child with an extreme rapid progressing, over a 100-degree scoliosis underwent surgery with the orthopedics of Acibadem City Clinic Tokuda Hospital. The child got the disorder due to congenital genetic disease, neurofibromatosis, causing dystrophy in the spine. The avant-garde surgery lasted for just over 5 hours and was performed by the team of Assoc. Prof. Vasil Yablanski, Head of Orthopedics and Traumatology at Acibadem City Clinic Tokuda, who has successfully treated over 100 scoliosis children. Using the innovative implants – the so-called “Magnetic clones”, physicians will have the ability to make additional adjustments in straightening the spine remotely without the need for surgical incisions and anesthesia.

Surgery of scoliosis usually involves placing implants in a patient's vertebral column (a.k.a. spine), straightening and fix it. However, at a very early age, standard implants would stop the child's growth and therefore force their extra stretching every 6-7 months to allow the spine to grow. This requires a number of additional surgical interventions.

“This child has about 6-7 years of active growth and this means up to 10 additional implant stretching surgeries. The new magnetic implants we already have, give us the possibility of dynamic remote control. The child will come every three months for us to set them in a position so the spine can develop. We will perform the corrections without surgery, in outpatient conditions and completely non-invasively”, says Assoc. Prof. Yablanski. The postoperative period shall not require cast or corset, and after discharge, the child is encouraged to move actively. “The implantation of magnetic plates is a great way to treat children with severe spinal deformities in their infancy, allowing them to fully grow and develop”, the specialist says.

Surgery in spinal cord deformities is one of the worst surgical interventions to be experienced by a child in childhood. However, in some cases they are life-saving and only chance for young patients. Without medical intervention in such patients, deformities can progress to conditions incompatible with life due to pressure of vital organs, restriction of breathing, etc.

Even after a surgery in childhood, scoliosis progresses very quickly due to the nature of the disease causing it. Now, this child feels great, and his recovery is very fast. He will be followed-up actively at the Tokuda Orthopedic Department, and every 3 months the implant will be remotely controlled so that the spine's straightening follows the child's growth.

Only after the completion of the growth, a final intervention for the fixation of the spine shall be undertaken. Thanks to this innovative implant, the young patient has been spared between 8 and 10 surgical interventions and the progressively increasing risks of complications thereof.

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Hospital location

51B Nikola Y. Vaptsarov Blvd., Sofia, 1407 (if you drive, the entrance is from Atanas Dukov str.)

The hospital has a parking lot for patients and visitors. The first 30 min. are free of charge, the first hour after that has a 3 BGN fee, and for every next hour a 2BGN/hrs. fee applies.
IMPORTANT! Have in mind that the parking lot is very busy Monday to Friday between 10.00 and 14.00. The hospital team will appreciate if those whose health condition allow, take the drop off option without parking or use other transport means or alternative parking lots in the area.

Public transport:
Buses: №88, 120

Metro lines: You can get off at James Bourchier or Vitosha metro station and walk to the hospital.


From the Central Railway Station

Bus: take bus #305 and get off at Romanian Embassy stop, then transfer to bus #120 to Tokuda Hospital stop.

Metro: Take metro line Nadezda-Lozenetz and get off either at James Bourchier or Vitosha metro station, then walk to the hospital.