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Operating techniques
About the treatment
Microsurgery (conventional technique)
Procedure
The patient lies on his or her stomach under general anesthesia. The surgeon accesses the narrowed area of the cervical canal by pulling the muscles apart. The compressed spinal cord and nerves are decompressed under microscopic control, using specialized instruments.
Steps and Benefits
- The nerves and spinal cord are decompressed to relieve the pressure.
- Intervertebral stabilization can be achieved with implants if required.
- A drain was inserted and removed on the second postoperative day.
- This technique ensures effective decompression of nerve structures.
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Hospitalisation
Hospitalization: outpatient.
Return home 3 to 4 hours after the operation.
When you return to your room, a physiotherapist will help you get up for the first time.
Return Home
Return the same day, by private car or taxi/VSL.
Prevent phlebitis as appropriate, and remove sutures or staples after 12 days.
Appointment with the surgeon 1 month after the operation.
Post-Operative Care
A nurse will change the dressings every 2 days.
Sutures/staple removal after 12 days.
Wear a cervical foam collar for 1 month before rehabilitation.
Rehabilitation to begin after 1 month, as prescribed by the surgeon.
Back to school or work
Return to work 2 to 3 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, work on cervical mobility and amplitude, muscle strengthening, relaxation, posture.
Respect for the no-pain rule.
Neurological complications: Less than 5%.
Risk of worsening neurological condition, ranging from neuropathic pain to temporary or permanent paralysis.
This risk remains below 5% for this type of operation.
Infection: 1-3
Early infections require a return to the operating room for cleaning and prolonged antibiotic therapy.
Chronic or late infections may require re-operation to remove or change the implanted material.
Hemorrhagic complications
Bleeding during or after the operation may require a blood transfusion.
In the event of compressive hematoma (pain/neurological deficit), emergency revision surgery will be performed.
Mechanical Complications
Pseudarthrosis: failure of the bone graft to set, with risk factors such as smoking, diabetes and obesity.
In the event of pain, a new bone graft may be required.
Adjacent syndrome: degeneration of a vertebral level adjacent to the arthrodesis, sometimes necessitating extension of the assembly.
Risk of adjacent syndrome or pseudarthrosis
Pseudarthrosis and adjacent syndrome represent mechanical complications linked to degeneration of an adjacent intervertebral level, which may require further intervention.
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.
