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Neurology

  • keyboard_arrow_rightLumbar disc herniation
    When medical treatment is not effective and signs of neurological compression persist (sciatica or cruralgia), surgical excision of the hernia may be proposed. 

    This resection is never obligatory except in the following emergency situations:

    - Motor deficiency (paralyzing sciatica).

    - Intolerable pain not relieved by morphine (hyperalgic).

    - "Ponytail" syndrome causing perineal or sphincteric disorders.

      In other cases, it is the evolution and repercussion of pain on the patient's daily life that guides the surgical indication.

    Minimally invasive herniated disc surgery uses all the techniques that minimize the size of the incision and thus allows a rapid healing.

    It includes all techniques which objectives are to reduce surgical trauma, either microsurgery with a microscope or endoscopic laser surgery with an endoscope, in order to avoid bleeding, reduce the risk of infection, speed up surgical follow-up Allowing the patient to rise 1 hour after surgery and finally to allow him to leave the surgical establishment on the day of the surgery, thus performing ambulatory surgery.

    Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.
  • keyboard_arrow_rightCervical disc herniation
    The cervical disc herniation is related to the "sciatica of the arm". As in the case of lumbar disc herniations, it is the compression of a nerve that is responsible for the symptoms. A soft disc herniation may be reabsorbed or, on the contrary, calcified and persist. The therapeutic choice will depend on the neurological repercussion of the hernia and the evolution of the symptoms under medical treatment. The surgical procedure is indicated in case of uncontrollable pain in spite of the analgesic and anti-inflammatory treatment (hyperalgic cervico-brachial neuralgia) or in case of paralysis, in case of persistent pain after several weeks of medical treatment.

    Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.
  • keyboard_arrow_rightArtificial disc replacement
    Artificial Disc Replacement objective is to implement a mobile prosthesis in the disc space. This eliminates pain and allows patients to regain or maintain mobility.

    The goal of surgery remains the release of compressed nerve roots. The surgeon decompresses the nerve root by removing the herniated disc and performing a curettage of the disc.The incision does not exceed 3 to 4 centimeters in the lower back. The muscles are not severed. The surgeon then introduces a 1 mm diameter tube under radiological control, which he directs towards the damaged area, removes the hernia and performs a curettage of the injured disc. The advantages of microsurgery are multiple: smaller incision, reduced risk of infection, smaller scar and less visible scar, less bleeding and pain after surgery, shorter hospital stay and faster activity recovery.

    Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.
  • keyboard_arrow_rightLumbar stenosis
    Initially, medical treatment is recommended. Pains can be reduced by analgesics or anti- inflammatories, associated with rehabilitation.

    In the second stage, corticoid infiltrations into the spine may be proposed. The goal is to decrease inflammation and reduce pain.

    But these treatments do not allow to enlarge the canal, nor to decompress the nerves. If the pain becomes intolerable and the disease is too disabling despite the drugs, then surgical treatment can be considered.

    Surgery is the only treatment that allows to enlarge the diameter of the spinal canal and to decompress the nerve fibers. Depending on the extent of the contraction, interventions vary. Sometimes it is simply enough to remove fragments of bone or ligaments that obstruct the spinal canal. This is called recalibration.

    If this is not sufficient, the surgeon performs laminectomy. This procedure involves removing a portion of the bone located at the back of a vertebra and called the vertebral plate. Depending on the case, the surgeon removes one or more blades. This operation is not without risks and is done under general anesthesia.

    Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.
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