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Operating techniques
About the treatment
Microsurgery
Procedure
Under general anaesthetic, the patient lies on his or her stomach. The surgeon inserts two titanium implants using cannulas into the fractured vertebra under X-ray control, then opens the implants and injects surgical cement to consolidate the vertebra. Incisions of less than 1 cm are closed with 2 stitches or staples.
Steps and Benefits
- The cement dries in 20-30 minutes, enabling the patient to get up as soon as he or she wakes up.
- Rapid consolidation of the vertebra reduces pain and allows rapid recovery.
- The technique is minimally invasive, with minimal incisions and a short recovery time.
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Hospitalisation
Hospitalization: outpatient or 1 night. Always return home, no nursing home required.
Return Home
A nurse will come to your home every day for anticoagulation.
Dressings are changed every 2 days.
Sutures and staples will be removed after 12 days.
A follow-up appointment with the surgeon will be scheduled 1 month after the operation.
Post-Operative Care
In the event of pain, gentle physical therapy (analgesic physiotherapy) can be started as early as 1 week after the operation, prior to rehabilitation.
Physiotherapy to begin 1 month after the operation, as prescribed by the surgeon.
Back to school or back to work
Return to work between 1 and 2 months after surgery, depending on recovery.
Rehabilitation/ Physiotherapy
Start: 1 month. Duration: 1 to 3 months, depending on recovery. Rythm: 2 to 3 weekly sessions (30-60 min), with daily exercises.
Nature: Analgesic physiotherapy, muscle strengthening, relaxation, posture.
Pain-free treatment.
No need for corset or lumbar belt, except in special cases.
Neurological complications: Less than 1%.
In back surgery, there is always a risk of neurological aggravation, ranging from chronic neuropathic pain to motor deficits, with more or less severe, temporary or permanent paralysis. This risk is estimated at less than 1% for this type of operation.
Infection: Less than 1%
Infections are rare, but possible.
In the event of infection, revision surgery and prolonged antibiotic therapy may be required, although these cases are theoretical and exceptional.
Hemorrhagic complications
Bleeding during or after the procedure is rare.
The risk of bleeding complications is considered theoretical, but surgeons monitor the situation carefully to avoid them.
Risk of cement leakage: 5 to 10%
Cement leakage is the specific complication of this procedure, occurring in 5-10% of cases.
Posterior leakage can lead to nerve compression in the vertebral canal, while anterior leakage into the venous system can cause pulmonary embolism.
However, symptomatic leaks are much rarer (less than 1%).
Intraoperative monitoring
The surgeon constantly monitors the procedure with X-rays to detect the slightest cement leak and stop the injection if a leak is detected, thus minimizing risks.
FAQ
Answers for our patients
If you have any further questions, please do not hesitate to contact us.
How can I make an appointment?
You can book an appointment directly on our website or by telephone on 04 72 43 03 43 (choice 1).
How long does it take to get an appointment?
Appointments take around 1 to 2 months. In an emergency, your GP can contact us directly by email.
How does the first consultation work?
At your first consultation, you will complete an iPad questionnaire in the waiting room so the doctor has your information in advance. The consultation will then determine whether surgical or non-surgical treatment is needed.
What documents should I bring to my visit?
Please bring your carte vitale, your GP's referral letter, and any radiological examinations already carried out.
