{"id":6517,"date":"2025-06-20T22:38:17","date_gmt":"2025-06-21T02:38:17","guid":{"rendered":"https:\/\/sostourismemedical.com\/?page_id=6517"},"modified":"2026-05-23T08:30:52","modified_gmt":"2026-05-23T12:30:52","slug":"lower-back-surgery","status":"publish","type":"page","link":"https:\/\/www.sostourismemedical.com\/en\/chirurgie\/chirurgie-du-bas-du-dos\/","title":{"rendered":"Lower back surgery"},"content":{"rendered":"<p>&nbsp;<\/p>\n<div class=\"rounded-corners\" style=\"background-color: #f7f7f7;padding: 30px\"><div class=\"fancy_heading fancy_heading_icon\"><div class=\"fh-top\"><span class=\"icon_top\"><i class=\"icon-mic\" aria-hidden=\"true\"><\/i><\/span><\/div><h2 class=\"title\">\u00c9couter notre Podcast<\/h2><div class=\"inside\"><div class=\"podcast-episode episode-8229\">\n<p class=\"episode-excerpt\">Ce podcast pr\u00e9sente une vue d&rsquo;ensemble d\u00e9taill\u00e9e des options de chirurgie du bas du dos disponibles en France, en particulier pour les patients internationaux. Il met<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n<div id=\"podcast_player_8229\" class=\"podcast_player\"><audio class=\"wp-audio-shortcode\" id=\"audio-8229-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Chirurgie-Lombaire-en-France-_-Guide-Complet-pour-Patients-Internationaux.mp3?_=1\" \/><a href=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Chirurgie-Lombaire-en-France-_-Guide-Complet-pour-Patients-Internationaux.mp3\">https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Chirurgie-Lombaire-en-France-_-Guide-Complet-pour-Patients-Internationaux.mp3<\/a><\/audio><\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Chirurgie lombaire en France : guide exhaustif pour les patients internationaux &#8211; Chirurgie du bas du dos<\/h2>\n<h3>1. Introduction \u2013 pourquoi la France pour votre rachis lombaire ?<\/h3>\n<p>&nbsp;<\/p>\n<p align=\"center\"><a href=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/06\/pain-in-back-cropped-image-of-young-african-man-t-2025-02-22-03-13-10-utc-scaled.jpg\"><img decoding=\"async\" class=\"radius-image aligncenter wp-image-6702 size-large\" title=\"Pain in back. Cropped image of young African man touching his back\" src=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/06\/pain-in-back-cropped-image-of-young-african-man-t-2025-02-22-03-13-10-utc-1200x799.jpg\" alt=\"Pain in back. Cropped image of young African man touching his back\" width=\"1200\" height=\"799\" srcset=\"https:\/\/media.sostourismemedical.com\/2025\/06\/pain-in-back-cropped-image-of-young-african-man-t-2025-02-22-03-13-10-utc-1200x799.jpg 1200w, https:\/\/media.sostourismemedical.com\/2025\/06\/pain-in-back-cropped-image-of-young-african-man-t-2025-02-22-03-13-10-utc-500x333.jpg 500w, https:\/\/media.sostourismemedical.com\/2025\/06\/pain-in-back-cropped-image-of-young-african-man-t-2025-02-22-03-13-10-utc-300x200.jpg 300w, https:\/\/media.sostourismemedical.com\/2025\/06\/pain-in-back-cropped-image-of-young-african-man-t-2025-02-22-03-13-10-utc-768x511.jpg 768w, https:\/\/media.sostourismemedical.com\/2025\/06\/pain-in-back-cropped-image-of-young-african-man-t-2025-02-22-03-13-10-utc-1536x1022.jpg 1536w, https:\/\/media.sostourismemedical.com\/2025\/06\/pain-in-back-cropped-image-of-young-african-man-t-2025-02-22-03-13-10-utc-2048x1363.jpg 2048w, https:\/\/media.sostourismemedical.com\/2025\/06\/pain-in-back-cropped-image-of-young-african-man-t-2025-02-22-03-13-10-utc-360x240.jpg 360w, https:\/\/media.sostourismemedical.com\/2025\/06\/pain-in-back-cropped-image-of-young-african-man-t-2025-02-22-03-13-10-utc-113x75.jpg 113w, https:\/\/media.sostourismemedical.com\/2025\/06\/pain-in-back-cropped-image-of-young-african-man-t-2025-02-22-03-13-10-utc-480x319.jpg 480w, https:\/\/media.sostourismemedical.com\/2025\/06\/pain-in-back-cropped-image-of-young-african-man-t-2025-02-22-03-13-10-utc-150x100.jpg 150w\" sizes=\"(max-width:767px) 480px, (max-width:1200px) 100vw, 1200px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>La chirurgie du bas du dos est devenue une option privil\u00e9gi\u00e9e pour de nombreux <a title=\"Marcel Mazaltarim\" href=\"https:\/\/sostourismemedical.com\/a-propos\/notre-equipe\/marcel-mazaltarim\/\" data-wpil-monitor-id=\"1230\">patients<\/a>.<\/p>\n<p>&nbsp;<\/p>\n<p>Des p\u00f4les universitaires (CHU Pellegrin \u2013 Bordeaux, Institut Colonne Vert\u00e9brale, Clinique du Pr\u00e9 \u2013 Le Mans, Clinique des C\u00e8dres \u2013 Toulouse) r\u00e9alisent <strong>plus de 400 op\u00e9rations lombaires par an<\/strong> et disposent de technologies <a title=\"D\u00e9compression Neurovert\u00e9brale : Nouvelle Voie pour la Hernie Discale\" href=\"https:\/\/sostourismemedical.com\/decompression-neurovertebrale-nouvelle-voie-pour-la-hernie-discale-7\/\" data-wpil-monitor-id=\"1233\">de pointe<\/a> : navigation 3-D, microscopie 4K, endoscopes 6 mm, robots de pose de vis. La France a surtout d\u00e9velopp\u00e9 <strong>ses propres implants<\/strong> (LP-ESP\u00ae, IntraSPINE\u00ae, B-Dyn\u00ae, TOPS&#x2122;) et les met \u00e0 <a title=\"Guide Patient sur la Chirurgie de la Colonne Vert\u00e9brale\" href=\"https:\/\/sostourismemedical.com\/chirurgie-colonne-vertebrale-guide-patient\/\" data-wpil-monitor-id=\"2080\">disposition de patients<\/a> \u00e9trangers dans un cadre r\u00e9glement\u00e9 (LPPR ou financement priv\u00e9 selon l\u2019implant) .<\/p>\n<p>&nbsp;<\/p>\n<h3>2. Pathologies lombaires op\u00e9r\u00e9es<\/h3>\n<table>\n<thead>\n<tr>\n<th>Pathologie<\/th>\n<th>M\u00e9canisme<\/th>\n<th>Tableau clinique typique<\/th>\n<th><a title=\"Chirurgie mini-invasive et endoscopique du rachis\" href=\"https:\/\/sostourismemedical.com\/chirurgie-mini-invasive-du-rachis-avantages-et-innovations\/\" data-wpil-monitor-id=\"2310\">Risque si non trait\u00e9e<\/a><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong><a class=\"wpil_keyword_link\" title=\"Hernie discale\" href=\"https:\/\/sostourismemedical.com\/hernie-discale\/\" data-wpil-keyword-link=\"linked\" data-wpil-monitor-id=\"540\">Hernie discale<\/a> L4-L5 \/ L5-S1<\/strong><\/td>\n<td>Fragment nucl\u00e9aire compresse la racine<\/td>\n<td><a class=\"wpil_keyword_link\" title=\"Sciatique\" href=\"https:\/\/www.cliniquetagmed.com\/sciatique\" data-wpil-keyword-link=\"linked\" data-wpil-monitor-id=\"538\" target=\"_blank\" rel=\"noopener\">Sciatique<\/a>, lombalgie aigu\u00eb<\/td>\n<td>D\u00e9ficit moteur, douleurs chroniques<\/td>\n<\/tr>\n<tr>\n<td><strong><a class=\"wpil_keyword_link\" title=\"St\u00e9nose foraminale\" href=\"https:\/\/www.cliniquetagmed.com\/stenose-foraminale\" data-wpil-keyword-link=\"linked\" data-wpil-monitor-id=\"539\" target=\"_blank\" rel=\"noopener\">St\u00e9nose foraminale<\/a> ou centrale<\/strong><\/td>\n<td>Ost\u00e9ophytes + hypertrophie ligament jaune<\/td>\n<td><a class=\"wpil_keyword_link\" href=\"https:\/\/sostourismemedical.com\/chirurgie\/le-systeme-tops\/\" title=\"Le Syst\u00e8me TOPS\" data-wpil-keyword-link=\"linked\" data-wpil-monitor-id=\"5383\">Claudication<\/a> neurog\u00e8ne, cruralgie<\/td>\n<td>Troubles sensitifs permanents<\/td>\n<\/tr>\n<tr>\n<td><strong>Discopathie d\u00e9g\u00e9n\u00e9rative douloureuse<\/strong><\/td>\n<td>Perte d\u2019hydratation, micro-mobilit\u00e9<\/td>\n<td>Lombalgie m\u00e9canique chronique<\/td>\n<td>Invalidit\u00e9 fonctionnelle<\/td>\n<\/tr>\n<tr>\n<td><strong>Spondylolisth\u00e9sis d\u00e9g\u00e9n\u00e9ratif ou isthmique<\/strong><\/td>\n<td>Glissement vert\u00e9bral ant\u00e9rieur<\/td>\n<td>Lombalgie, radiculalgie bilat\u00e9rale<\/td>\n<td>Progression du glissement, alt\u00e9ration neurologique<\/td>\n<\/tr>\n<tr>\n<td><strong>Instabilit\u00e9 post-laminectomie<\/strong><\/td>\n<td>D\u00e9compression ant\u00e9rieure non fusionn\u00e9e<\/td>\n<td>Rechute douloureuse<\/td>\n<td>Maladie du segment adjacent<\/td>\n<\/tr>\n<tr>\n<td><strong><a class=\"wpil_keyword_link\" title=\"Syndrome facettaire\" href=\"https:\/\/www.decompressionneurovertebrale.com\/syndrome-facettaire\/\" data-wpil-keyword-link=\"linked\" data-wpil-monitor-id=\"537\" target=\"_blank\" rel=\"noopener\">Syndrome facettaire<\/a> \/ arthrose post\u00e9rieure<\/strong><\/td>\n<td>D\u00e9g\u00e9n\u00e9rescence zygapophysaire<\/td>\n<td>Lombalgie en extension<\/td>\n<td>Limitation s\u00e9v\u00e8re de la mobilit\u00e9<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection.png\"><img decoding=\"async\" class=\"grey-image aligncenter wp-image-6881 size-full\" title=\"Chirurgie lombaire en France guide exhaustif pour les patients internationaux visual selection\" src=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection.png\" alt=\"Chirurgie lombaire en France guide exhaustif pour les patients internationaux visual selection\" width=\"576\" height=\"954\" srcset=\"https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection.png 576w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-302x500.png 302w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-181x300.png 181w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-309x512.png 309w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-45x75.png 45w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-480x795.png 480w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-60x100.png 60w\" sizes=\"(max-width:767px) 480px, 576px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<h3>3. Panorama des techniques chirurgicales<\/h3>\n<h4>3.1 Fusions intersomatiques<\/h4>\n<ul class=\"custom-icon-list\">\n<li>\n<p><strong>ALIF<\/strong> (abord ant\u00e9rieur L3-S1) : cage PEEK ou Ti 3-D, vis d\u2019appoint, dur\u00e9e ~45 min, faible d\u00e9labrement musculaire .<\/p>\n<\/li>\n<li>\n<p><strong>PLIF \/ <a class=\"wpil_keyword_link\" href=\"https:\/\/neuromtl.com\/fr\/service\/chirurgie-de-la-colonne-vertebrale\/\" title=\"TLIF\" data-wpil-keyword-link=\"linked\" data-wpil-monitor-id=\"5384\" target=\"_blank\" rel=\"noopener\">TLIF<\/a><\/strong> (post\u00e9rieur trans-musculaire) : cage + vis p\u00e9diculaires, tous niveaux, 60-90 min .<\/p>\n<\/li>\n<li>\n<p><strong>XLIF \/ LLIF \/ OLIF<\/strong> (abord lat\u00e9ral L1-L4) : incision de 4 cm, r\u00e9cup\u00e9ration rapide, <a title=\"Chirurgie du dos, pourquoi chercher une alternative\u202f?\" href=\"https:\/\/sostourismemedical.com\/chirurgie-du-dos-pourquoi-chercher-une-alternative\/\" data-wpil-monitor-id=\"1955\">attention au plexus lombaire<\/a> .<\/p>\n<\/li>\n<\/ul>\n<p><strong>Avantages :<\/strong> taux de consolidation &gt; 95 %, soulagement durable.<br \/>\n<strong>Limites :<\/strong> perte de mouvement, syndrome adjacent (ASD \u2248 3 %\/an).<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-1.png\"><img decoding=\"async\" class=\"grey-image aligncenter wp-image-6882 size-full\" title=\"Chirurgie lombaire en France guide exhaustif pour les patients internationaux visual selection (1)\" src=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-1.png\" alt=\"Chirurgie lombaire en France guide exhaustif pour les patients internationaux visual selection (1)\" width=\"950\" height=\"726\" srcset=\"https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-1.png 950w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-1-500x382.png 500w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-1-300x229.png 300w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-1-768x587.png 768w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-1-360x275.png 360w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-1-98x75.png 98w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-1-480x367.png 480w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-1-131x100.png 131w\" sizes=\"(max-width:767px) 480px, (max-width:950px) 100vw, 950px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<h4>3.2 <a class=\"wpil_keyword_link\" href=\"https:\/\/sostourismemedical.com\/chirurgie\/prothese-discale\/\" title=\"proth\u00e8se discale\" data-wpil-keyword-link=\"linked\" data-wpil-monitor-id=\"6608\">Proth\u00e8se discale<\/a> lombaire (LP-ESP\u00ae)<\/h4>\n<p><a class=\"wpil_keyword_link\" href=\"https:\/\/sostourismemedical.com\/choix-des-implants\/\" title=\"Choix des implants\" data-wpil-keyword-link=\"linked\" data-wpil-monitor-id=\"5385\">Implant<\/a> monobloc titane + noyau polym\u00e8re, <strong>6 degr\u00e9s de libert\u00e9<\/strong> ; voie r\u00e9trop\u00e9riton\u00e9ale identique \u00e0 l\u2019ALIF .<\/p>\n<ul class=\"custom-icon-list\">\n<li>\n<p><strong>Indications :<\/strong> discopathie douloureuse isol\u00e9e (L4-L5 \/ L5-S1) chez patient &lt; 55 ans sans <a class=\"wpil_keyword_link\" title=\"arthrose facettaire\" href=\"https:\/\/www.cliniquetagmed.com\/arthrose-facettaire\" data-wpil-keyword-link=\"linked\" data-wpil-monitor-id=\"536\" target=\"_blank\" rel=\"noopener\">arthrose facettaire<\/a>.<\/p>\n<\/li>\n<li>\n<p><strong>Avantages :<\/strong> pr\u00e9servation de la lordose et de la mobilit\u00e9, moins d\u2019ASD.<\/p>\n<\/li>\n<li>\n<p><strong>Limites :<\/strong> contre-indications : instabilit\u00e9 &gt; 3 mm, spondylolisth\u00e9sis grade II.<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-2.png\"><img decoding=\"async\" class=\"grey-image aligncenter wp-image-6883 size-full\" title=\"Chirurgie lombaire en France guide exhaustif pour les patients internationaux visual selection (2)\" src=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-2.png\" alt=\"Chirurgie lombaire en France guide exhaustif pour les patients internationaux visual selection (2)\" width=\"720\" height=\"492\" srcset=\"https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-2.png 720w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-2-500x342.png 500w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-2-300x205.png 300w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-2-360x246.png 360w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-2-110x75.png 110w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-2-480x328.png 480w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-2-146x100.png 146w\" sizes=\"(max-width:767px) 480px, 720px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<h4>3.3 Stabilisation dynamique \u00ab motion \u00bb<\/h4>\n<ul class=\"custom-icon-list\">\n<li>\n<p><strong>IntraSPINE\u00ae interlaminaire<\/strong> : silicone-polyester proche de l\u2019axe de rotation, indiqu\u00e9 pour discopathie, st\u00e9nose foraminale, syndrome facettaire .<\/p>\n<\/li>\n<li>\n<p><strong>B-Dyn\u00ae tige p\u00e9diculaire \u00e9lastom\u00e8re<\/strong> : conserve la lordose et amortit les contraintes, r\u00e9vision en fusion simplifi\u00e9e .<\/p>\n<\/li>\n<li>\n<p><strong>TOPS&#x2122; arthroplastie post\u00e9rieure totale<\/strong> : remplace les facettes apr\u00e8s d\u00e9compression L4-L5 ; mouvement contr\u00f4l\u00e9 (8\u00b0 flexion, 5\u00b0 inclinaison) tout en bloquant la translation .<\/p>\n<\/li>\n<\/ul>\n<p><strong>B\u00e9n\u00e9fices <\/strong><a title=\"Liste de Contr\u00f4le (Checklist) pour Votre Voyage M\u00e9dical en France\" href=\"https:\/\/sostourismemedical.com\/liste-controle-voyage-medical-france\/\" data-wpil-monitor-id=\"1231\">communs : mobilit\u00e9<\/a> segmentaire pr\u00e9serv\u00e9e, r\u00e9duction du risque de r\u00e9-op\u00e9ration pour ASD .<br \/>\n<strong>Sp\u00e9cificit\u00e9 France\/Canada :<\/strong> TOPS&#x2122; et LP-ESP\u00ae ne disposent pas d\u2019homologation de s\u00e9rie au Canada (acc\u00e8s seulement via programme sp\u00e9cial), alors qu\u2019ils sont pos\u00e9s en routine dans plusieurs centres fran\u00e7ais .<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-3.png\"><img decoding=\"async\" class=\"grey-image aligncenter wp-image-6884 size-full\" title=\"Chirurgie lombaire en France guide exhaustif pour les patients internationaux visual selection (3)\" src=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-3.png\" alt=\"Chirurgie lombaire en France guide exhaustif pour les patients internationaux visual selection (3)\" width=\"924\" height=\"1032\" srcset=\"https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-3.png 924w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-3-448x500.png 448w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-3-269x300.png 269w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-3-768x858.png 768w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-3-360x402.png 360w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-3-67x75.png 67w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-3-480x536.png 480w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-3-90x100.png 90w\" sizes=\"(max-width:767px) 480px, (max-width:924px) 100vw, 924px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<h4>3.4 Techniques mini-invasives et endoscopie<\/h4>\n<ul class=\"custom-icon-list\">\n<li>\n<p><strong>Endoscopie transforaminale \/ interlaminaire<\/strong> : trocart 6 mm, anesth\u00e9sie rachidienne possible, sortie J0-J1 .<\/p>\n<\/li>\n<li>\n<p><strong>Micro-laminectomie ULBD<\/strong> (unilateral laminotomy for bilateral decompression) : d\u00e9compression canal + racines sans fusion, excellent pour st\u00e9nose mono-niveau.<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-4.png\"><img decoding=\"async\" class=\"grey-image aligncenter wp-image-6885 size-full\" title=\"Chirurgie lombaire en France guide exhaustif pour les patients internationaux visual selection (4)\" src=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-4.png\" alt=\"Chirurgie lombaire en France guide exhaustif pour les patients internationaux visual selection (4)\" width=\"504\" height=\"552\" srcset=\"https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-4.png 504w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-4-457x500.png 457w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-4-274x300.png 274w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-4-360x394.png 360w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-4-68x75.png 68w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-4-480x526.png 480w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-4-91x100.png 91w\" sizes=\"(max-width:767px) 480px, 504px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<h3>4. Tableau de correspondance pathologie \u2192 technique<\/h3>\n<table>\n<thead>\n<tr>\n<th>Pathologie<\/th>\n<th>Technique \u00ab gold standard \u00bb<\/th>\n<th>Alternatives pr\u00e9servant le mouvement<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Hernie discale molle<\/td>\n<td>Micro-discectomie endoscopique<\/td>\n<td>IntraSPINE\u00ae si instabilit\u00e9 minime<\/td>\n<\/tr>\n<tr>\n<td>St\u00e9nose foraminale un-niveau<\/td>\n<td>Foraminotomie + IntraSPINE\u00ae<\/td>\n<td><a class=\"wpil_keyword_link\" href=\"https:\/\/sostourismemedical.com\/chirurgie\/fusion\/plif-tlif\/\" title=\"PLIF \/ TLIF\" data-wpil-keyword-link=\"linked\" data-wpil-monitor-id=\"78216\">TLIF<\/a> mini-invasif<\/td>\n<\/tr>\n<tr>\n<td>Spondylolisth\u00e9sis d\u00e9g\u00e9n\u00e9ratif grade I<\/td>\n<td>TOPS&#x2122;<\/td>\n<td>PLIF + vis si morphotype instable<\/td>\n<\/tr>\n<tr>\n<td>Discopathie douloureuse L5-S1<\/td>\n<td>Proth\u00e8se LP-ESP\u00ae<\/td>\n<td>ALIF + cage si <a class=\"wpil_keyword_link\" title=\"arthrose\" href=\"https:\/\/www.decompressionneurovertebrale.com\/arthrose-et-decompression-neurovertebrale\/\" data-wpil-keyword-link=\"linked\" data-wpil-monitor-id=\"693\" target=\"_blank\" rel=\"noopener\">arthrose<\/a> facettaire<\/td>\n<\/tr>\n<tr>\n<td>St\u00e9nose canal multisegmentaire<\/td>\n<td>Laminectomie + fusion<\/td>\n<td>BDyn\u00ae (stabilis. hybride)<\/td>\n<\/tr>\n<tr>\n<td>Instabilit\u00e9 post-laminectomie<\/td>\n<td>BDyn\u00ae ou TOPS&#x2122;<\/td>\n<td>Fusion posterolaterale<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h3 data-start=\"0\" data-end=\"111\">Tableau r\u00e9capitulatif : pathologies lombaires, chirurgies envisageables et implants utilisables en France<\/h3>\n<div class=\"_tableContainer_16hzy_1\">\n<div class=\"_tableWrapper_16hzy_14 group flex w-fit flex-col-reverse\">\n<table class=\"w-fit min-w-(--thread-content-width)\" data-start=\"113\" data-end=\"2358\">\n<thead data-start=\"113\" data-end=\"245\">\n<tr data-start=\"113\" data-end=\"245\">\n<th data-start=\"113\" data-end=\"147\" data-col-size=\"md\"><strong data-start=\"115\" data-end=\"146\">Pathologie lombaire trait\u00e9e<\/strong><\/th>\n<th data-start=\"147\" data-end=\"205\" data-col-size=\"lg\"><strong data-start=\"149\" data-end=\"204\">Chirurgies possibles (1\u02b3\u1d49 intention \u2192 alternatives)<\/strong><\/th>\n<th data-start=\"205\" data-end=\"245\" data-col-size=\"lg\"><strong data-start=\"207\" data-end=\"243\">Implants ou dispositifs courants<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody data-start=\"260\" data-end=\"2358\">\n<tr data-start=\"260\" data-end=\"565\">\n<td data-start=\"260\" data-end=\"303\" data-col-size=\"md\"><strong data-start=\"262\" data-end=\"302\">Hernie discale molle (L4-L5 \/ L5-S1)<\/strong><\/td>\n<td data-col-size=\"lg\" data-start=\"303\" data-end=\"445\">\u2022 Micro-discectomie sous microscope ou endoscopie transforaminale (incision 6 mm)<br \/>\n\u2022 Si discopathie r\u00e9siduelle : ALIF \/ TLIF mini-invasif<\/td>\n<td data-col-size=\"lg\" data-start=\"445\" data-end=\"565\">\u2022 Aucun implant pour la micro-discectomie<br \/>\n\u2022 Cage intersomatique PEEK ou titane 3-D + vis p\u00e9diculaires (TLIF\/ALIF)<\/td>\n<\/tr>\n<tr data-start=\"566\" data-end=\"861\">\n<td data-start=\"566\" data-end=\"601\" data-col-size=\"md\"><strong data-start=\"568\" data-end=\"600\">St\u00e9nose foraminale un niveau<\/strong><\/td>\n<td data-col-size=\"lg\" data-start=\"601\" data-end=\"713\">\u2022 Foraminotomie post\u00e9rieure micro-chirurgicale ou endoscopique<br \/>\n\u2022 TLIF mini-invasif si instabilit\u00e9 associ\u00e9e<\/td>\n<td data-col-size=\"lg\" data-start=\"713\" data-end=\"861\">\u2022 Aucun implant (foraminotomie isol\u00e9e)<br \/>\n\u2022 Cage TLIF + vis titane ; possibilit\u00e9 d\u2019<strong data-start=\"798\" data-end=\"813\">IntraSPINE\u00ae<\/strong> (interlaminaire dynamique) si disque conserv\u00e9<\/td>\n<\/tr>\n<tr data-start=\"862\" data-end=\"1177\">\n<td data-start=\"862\" data-end=\"902\" data-col-size=\"md\"><strong data-start=\"864\" data-end=\"901\">St\u00e9nose centrale multisegmentaire<\/strong><\/td>\n<td data-col-size=\"lg\" data-start=\"902\" data-end=\"1040\">\u2022 Laminectomie d\u00e9compressive + fusion post\u00e9ro-lat\u00e9rale<br \/>\n\u2022 ULBD (laminotomie unilat\u00e9rale pour d\u00e9compression bilat\u00e9rale) si 1\u20132 niveaux<\/td>\n<td data-col-size=\"lg\" data-start=\"1040\" data-end=\"1177\">\u2022 Vis p\u00e9diculaires + tiges titane (fusion)<br \/>\n\u2022 Tiges dynamiques <strong data-start=\"1107\" data-end=\"1117\">B-Dyn\u00ae<\/strong> ou <strong data-start=\"1121\" data-end=\"1133\">Dynesys\u00ae<\/strong> pour pr\u00e9server partiellement le mouvement<\/td>\n<\/tr>\n<tr data-start=\"1178\" data-end=\"1463\">\n<td data-start=\"1178\" data-end=\"1228\" data-col-size=\"md\"><strong data-start=\"1180\" data-end=\"1227\">Discopathie d\u00e9g\u00e9n\u00e9rative douloureuse isol\u00e9e<\/strong><\/td>\n<td data-col-size=\"lg\" data-start=\"1228\" data-end=\"1371\">\u2022 Proth\u00e8se <a title=\"D\u00e9compression Neurovert\u00e9brale : Nouvelle Voie pour la Hernie Discale\" href=\"https:\/\/sostourismemedical.com\/decompression-neurovertebrale-nouvelle-voie-pour-la-hernie-discale-7\/\" data-wpil-monitor-id=\"1232\">discale lombaire par voie<\/a> ant\u00e9rieure (LP-ESP\u00ae, M6-L, ActivL\u00ae)<br \/>\n\u2022 ALIF avec cage et vis d\u2019appoint si <a class=\"wpil_keyword_link\" href=\"https:\/\/sostourismemedical.com\/conditions-chirurgicales\/arthrose-facettaire-severe\/\" title=\"Arthrose facettaire s\u00e9v\u00e8re\" data-wpil-keyword-link=\"linked\" data-wpil-monitor-id=\"66411\">arthrose facettaire<\/a> avanc\u00e9e<\/td>\n<td data-col-size=\"lg\" data-start=\"1371\" data-end=\"1463\">\u2022 <strong data-start=\"1375\" data-end=\"1386\">LP-ESP\u00ae<\/strong> (monobloc titane\/\u00e9lastom\u00e8re)<br \/>\n\u2022 Cage ALIF PEEK ou Ti-porous + plaque\/vis<\/td>\n<\/tr>\n<tr data-start=\"1464\" data-end=\"1726\">\n<td data-start=\"1464\" data-end=\"1509\" data-col-size=\"md\"><strong data-start=\"1466\" data-end=\"1508\">Spondylolisth\u00e9sis d\u00e9g\u00e9n\u00e9ratif (G I\u2013II)<\/strong><\/td>\n<td data-col-size=\"lg\" data-start=\"1509\" data-end=\"1609\">\u2022 Fusion TLIF\/PLIF classique<br \/>\n\u2022 Arthroplastie post\u00e9rieure <strong data-start=\"1571\" data-end=\"1580\">TOPS&#x2122;<\/strong> (pr\u00e9servation du mouvement)<\/td>\n<td data-col-size=\"lg\" data-start=\"1609\" data-end=\"1726\">\u2022 Cage TLIF\/PLIF + vis p\u00e9diculaires<br \/>\n\u2022 Dispositif articul\u00e9 <strong data-start=\"1672\" data-end=\"1681\">TOPS&#x2122;<\/strong> (remplace les facettes, contr\u00f4le flex-ext)<\/td>\n<\/tr>\n<tr data-start=\"1727\" data-end=\"2043\">\n<td data-start=\"1727\" data-end=\"1788\" data-col-size=\"md\"><strong data-start=\"1729\" data-end=\"1787\">Instabilit\u00e9 post-laminectomie \/ \u201csyndrome du dos plat\u201d<\/strong><\/td>\n<td data-col-size=\"lg\" data-start=\"1788\" data-end=\"1908\">\u2022 Stabilisation hybride : tiges <a title=\"Alternatives \u00e0 la fusion \u2013 Chirurgie du rachis sans arthrod\u00e8se\" href=\"https:\/\/sostourismemedical.com\/alternatives-fusion-chirurgie-rachis-guide\/\" data-wpil-monitor-id=\"2514\">dynamiques + fusion<\/a> segmentaire s\u00e9lective<br \/>\n\u2022 Fusion longue si d\u00e9formation sagittale<\/td>\n<td data-col-size=\"lg\" data-start=\"1908\" data-end=\"2043\">\u2022 <strong data-start=\"1912\" data-end=\"1922\">B-Dyn\u00ae<\/strong> (tige \u00e9lastom\u00e8re) coupl\u00e9 ou non \u00e0 cage intersomatique<br \/>\n\u2022 <a title=\"Quel Type d\u2019Implants ?\" href=\"https:\/\/sostourismemedical.com\/quel-type-dimplants\/\" data-wpil-monitor-id=\"2276\">Vis p\u00e9diculaires + tiges titane rigides<\/a> pour fusion \u00e9tendue<\/td>\n<\/tr>\n<tr data-start=\"2044\" data-end=\"2358\">\n<td data-start=\"2044\" data-end=\"2093\" data-col-size=\"md\"><strong data-start=\"2046\" data-end=\"2092\">Syndrome facettaire \/ arthrose post\u00e9rieure<\/strong><\/td>\n<td data-col-size=\"lg\" data-start=\"2093\" data-end=\"2225\">\u2022 Foraminotomie d\u00e9compressive associ\u00e9e \u00e0 un spacer inter-\u00e9pineux ou interlaminaire<br \/>\n\u2022 Fusion post\u00e9rieure si instabilit\u00e9 marqu\u00e9e<\/td>\n<td data-col-size=\"lg\" data-start=\"2225\" data-end=\"2358\">\u2022 <strong data-start=\"2229\" data-end=\"2244\">IntraSPINE\u00ae<\/strong> (insert silicone-polyester interlaminaire)<br \/>\n\u2022 Spacer inter-\u00e9pineux Coflex\u00ae, Wallis\u00ae ; ou vis + cage si fusion<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div class=\"sticky end-(--thread-content-margin) h-0 self-end select-none\">\n<div class=\"absolute end-0 flex items-end\">\u00a0<\/div>\n<\/div>\n<\/div>\n<\/div>\n<h4 data-start=\"2360\" data-end=\"2390\">Comment lire le tableau<\/h4>\n<ul data-start=\"2391\" data-end=\"2823\">\n<li data-start=\"2391\" data-end=\"2575\">\n<p data-start=\"2393\" data-end=\"2575\"><strong data-start=\"2393\" data-end=\"2417\">Chirurgies possibles<\/strong> : l\u2019option en gras correspond au \u201cgold standard\u201d fran\u00e7ais ; les alternatives \u00e9largissent le champ lorsque le bilan (IRM, mobilit\u00e9, \u00e2ge, activit\u00e9) l\u2019impose.<\/p>\n<\/li>\n<li data-start=\"2576\" data-end=\"2823\">\n<p data-start=\"2578\" data-end=\"2823\"><strong data-start=\"2578\" data-end=\"2590\">Implants<\/strong> : les marques cit\u00e9es repr\u00e9sentent les dispositifs les plus couramment utilis\u00e9s en France ; leur disponibilit\u00e9 et leur prise en charge financi\u00e8re (remboursement LPPR ou financement priv\u00e9) varient selon les centres et les mutuelles.<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"2825\" data-end=\"3200\" data-is-last-node=\"\" data-is-only-node=\"\">Ce r\u00e9capitulatif permet, d\u2019un coup d\u2019\u0153il, de relier votre diagnostic <a title=\"Nos chirurgiens experts partenaires en France\" href=\"https:\/\/sostourismemedical.com\/chirurgiens-experts-france-sante-optimale\/\" data-wpil-monitor-id=\"2286\">lombaire<\/a> \u00e0 la strat\u00e9gie op\u00e9ratoire fran\u00e7aise la mieux adapt\u00e9e \u2014 qu\u2019il s\u2019agisse de <strong data-start=\"2976\" data-end=\"3002\">pr\u00e9server le mouvement<\/strong> (proth\u00e8se, TOPS&#x2122;, implants dynamiques) ou de <strong data-start=\"3048\" data-end=\"3077\">stabiliser d\u00e9finitivement<\/strong> (fusion avec cage et vis). Pour toute <a title=\"Nos chirurgiens experts partenaires en France\" href=\"https:\/\/sostourismemedical.com\/chirurgiens-experts-france-sante-optimale\/\" data-wpil-monitor-id=\"2288\">question<\/a> ou validation de votre dossier d\u2019imagerie, notre \u00e9quipe demeure disponible.<\/p>\n<p data-start=\"2825\" data-end=\"3200\" data-is-last-node=\"\" data-is-only-node=\"\">\u00a0<\/p>\n<h3>5. Ce que la France offre de plus<\/h3>\n<ul class=\"custom-icon-list\">\n<li>\n<p><strong>Implants nationaux exclusifs<\/strong> (LP-ESP\u00ae, IntraSPINE\u00ae, B-Dyn\u00ae) fabriqu\u00e9s par l\u2019industrie textile m\u00e9dicale lyonnaise, pos\u00e9s depuis plus de 15 ans .<\/p>\n<\/li>\n<li>\n<p><strong>Exp\u00e9rience TOPS&#x2122; &gt; 400 patients<\/strong> \u00e0 la <a title=\"Techniques Sp\u00e9cifiques\" href=\"https:\/\/sostourismemedical.com\/techniques-specifiques\/\" data-wpil-monitor-id=\"1514\">Clinique des C\u00e8dres<\/a> \u2013 Toulouse (10 ans de recul) .<\/p>\n<\/li>\n<li>\n<p><strong>D\u00e9lais r\u00e9duits<\/strong> : 4-6 semaines entre t\u00e9l\u00e9-avis et chirurgie contre 9-12 mois en syst\u00e8me public canadien.<\/p>\n<\/li>\n<li>\n<p><strong>Prise en charge financi\u00e8re mixte<\/strong> : actes de fusion cod\u00e9s CCAM et rembours\u00e9s, dispositifs \u00ab motion \u00bb financ\u00e9s par mutuelle ou hors nomenclature (devis transmis avant venue).<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-5.png\"><img decoding=\"async\" class=\"grey-image aligncenter wp-image-6886 size-full\" title=\"Chirurgie lombaire en France guide exhaustif pour les patients internationaux visual selection (5)\" src=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-5.png\" alt=\"Chirurgie lombaire en France guide exhaustif pour les patients internationaux visual selection (5)\" width=\"936\" height=\"576\" srcset=\"https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-5.png 936w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-5-500x308.png 500w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-5-300x185.png 300w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-5-768x473.png 768w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-5-360x222.png 360w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-5-122x75.png 122w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-5-480x295.png 480w, https:\/\/media.sostourismemedical.com\/2025\/06\/Chirurgie-lombaire-en-France-_-guide-exhaustif-pour-les-patients-internationaux-visual-selection-5-163x100.png 163w\" sizes=\"(max-width:767px) 480px, (max-width:936px) 100vw, 936px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<h3>6. Parcours type d\u2019un patient qu\u00e9b\u00e9cois<\/h3>\n<table>\n<thead>\n<tr>\n<th>\u00c9tape<\/th>\n<th>D\u00e9lai<\/th>\n<th>D\u00e9tails<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>T\u00e9l\u00e9-consultation + envoi IRM<\/td>\n<td>J-45<\/td>\n<td>Staff multidisciplinaire<\/td>\n<\/tr>\n<tr>\n<td>Commission Rachis (board)<\/td>\n<td>J-40<\/td>\n<td>Validation indication &amp; implant<\/td>\n<\/tr>\n<tr>\n<td>Arriv\u00e9e Paris ou Bordeaux<\/td>\n<td>J-2<\/td>\n<td>Bilan pr\u00e9-op final<\/td>\n<\/tr>\n<tr>\n<td>Intervention<\/td>\n<td>J0<\/td>\n<td>Bloc + monitoring neuromusculaire<\/td>\n<\/tr>\n<tr>\n<td>Sortie clinique<\/td>\n<td>J + 2 (endo) \u00e0 J + 5 (fusion)<\/td>\n<td>H\u00f4tel-clinique partenaire<\/td>\n<\/tr>\n<tr>\n<td>Retour Qu\u00e9bec<\/td>\n<td>J + 10<\/td>\n<td>Programme t\u00e9l\u00e9-r\u00e9\u00e9ducation<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h3>7. Focus sur quatre implants \u00ab Made in France \u00bb<\/h3>\n<table>\n<thead>\n<tr>\n<th>Implant<\/th>\n<th>Cat\u00e9gorie<\/th>\n<th>Particularit\u00e9 biom\u00e9canique<\/th>\n<th>Centre leader<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>LP-ESP\u00ae<\/strong><\/td>\n<td>Proth\u00e8se discale<\/td>\n<td>Monobloc, pas de charni\u00e8re, amortissement \u00e9lastique<\/td>\n<td>Le Mans (1500 cas)<\/td>\n<\/tr>\n<tr>\n<td><strong>IntraSPINE\u00ae<\/strong><\/td>\n<td>Interlaminaire dynamique<\/td>\n<td>Support \u00ab cushioning \u00bb, proche ARI, respect sagittal<\/td>\n<td>Orl\u00e9ans (5000 cas)<\/td>\n<\/tr>\n<tr>\n<td><strong>B-Dyn\u00ae<\/strong><\/td>\n<td>Tige p\u00e9diculaire flexible<\/td>\n<td>\u00c9lastom\u00e8res, r\u00e9vision en fusion simple<\/td>\n<td>Paris &amp; Bordeaux<\/td>\n<\/tr>\n<tr>\n<td><strong>TOPS&#x2122;<\/strong><\/td>\n<td>Arthroplastie post\u00e9rieure<\/td>\n<td>Contr\u00f4le flexion\/extension + anti-translation<\/td>\n<td>Toulouse (400 cas)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h3>8. S\u00e9curit\u00e9, r\u00e9glementation et suivi<\/h3>\n<ul class=\"custom-icon-list\">\n<li>\n<p><strong>Implants titane\/PEEK MR-Conditional<\/strong> 1,5-3 T ; carte d\u2019implant fournie.<\/p>\n<\/li>\n<li>\n<p><strong>Taux de r\u00e9-op\u00e9ration<\/strong> : 1,8 % \u00e0 2 ans pour PLIF; 0,9 % \u00e0 5 ans pour LP-ESP\u00ae (s\u00e9ries fran\u00e7aises).<\/p>\n<\/li>\n<li>\n<p><strong>Guidelines HAS 2019<\/strong> imposent \u00e9chec de 6 mois de <a title=\"Guide pratique du patient qu\u00e9b\u00e9cois \u2013 FAQ &amp; Parcours de soins\" href=\"https:\/\/sostourismemedical.com\/guide-pratique-pour-patients-en-chirurgie-en-france\/\" data-wpil-monitor-id=\"2199\">traitement conservateur avant chirurgie<\/a>.<\/p>\n<\/li>\n<li>\n<p><strong>Tra\u00e7abilit\u00e9 UDI<\/strong> et registre national SpineTango \u2013 <a title=\"Nos chirurgiens experts partenaires en France\" href=\"https:\/\/sostourismemedical.com\/chirurgiens-experts-france-sante-optimale\/\" data-wpil-monitor-id=\"2437\">France pour toutes proth\u00e8ses et dispositifs dynamiques<\/a>.<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>9. Conclusion \u2013 fusion, motion ou endoscopie : choisir la bonne strat\u00e9gie<\/h3>\n<p>Qu\u2019il s\u2019agisse d\u2019une sciatique rebelle, d\u2019une <a title=\"\u00c0 propos\" href=\"https:\/\/sostourismemedical.com\/a-propos\/\" data-wpil-monitor-id=\"1234\">st\u00e9nose<\/a> invalidante ou d\u2019un glissement vert\u00e9bral, <strong>la palette th\u00e9rapeutique fran\u00e7aise couvre tout le spectre<\/strong>, de la micro-endoscopie sans fusion \u00e0 l\u2019arthroplastie post\u00e9rieure TOPS&#x2122; en passant par la fusion multi-niveaux.<\/p>\n<p>Pour les patients canadiens confront\u00e9s \u00e0 des d\u00e9lais d\u2019attente ou \u00e0 l\u2019absence d\u2019implants de pr\u00e9servation du mouvement, la <a title=\"Histoires de Patients Qu\u00e9b\u00e9cois : Leurs Parcours, Leurs Mots\" href=\"https:\/\/sostourismemedical.com\/histoires-de-patients-quebecois-chirurgie-espoir\/\" data-wpil-monitor-id=\"2436\">France offre une expertise<\/a><strong>, des dispositifs exclusifs et un parcours m\u00e9dical-touristique fluide<\/strong>. Envoyez-nous vos examens ; nos chirurgiens \u00e9valueront si une proth\u00e8se LP-ESP\u00ae, une stabilisation IntraSPINE\u00ae ou une fusion ALIF est le meilleur chemin vers <strong>une vie sans douleur et en mouvement<\/strong>.<\/p>\n<p>&nbsp;<\/p>\n<div\n\tclass=\"betterdocs-faq-wrapper layout-modern icon-after  betterdocs-shortcode\">\n\t<h2 class=\" betterdocs-faq-section-title\">FAQ<\/h2>\n\t<div class=\"betterdocs-faq-inner-wrapper\">\n\t\t\t<\/div>\n<\/div>\n\n<div\n\tclass=\"betterdocs-faq-wrapper layout-layout-4 icon-after faq-doc betterdocs-faq-layout-4 betterdocs-shortcode\">\n\t<h2 class=\"faq-doc betterdocs-faq-layout-4 betterdocs-faq-section-title\">Frequently Asked Questions<\/h2>\n\t<div class=\"betterdocs-faq-inner-wrapper\">\n\t\t<div class=\"betterdocs-faq-tab-wrapper\"><\/div><div class=\"betterdocs-faq-list-wrapper\"><\/div>\t<\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; &nbsp; Chirurgie lombaire en France : guide exhaustif pour les patients internationaux &#8211; Chirurgie du bas du dos 1. Introduction \u2013 pourquoi la France pour<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":6628,"parent":6166,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"episode_type":"","audio_file":"","podmotor_file_id":"","podmotor_episode_id":"","cover_image":"","cover_image_id":"","duration":"","filesize":"","filesize_raw":"","date_recorded":"","explicit":"","block":"","itunes_episode_number":"","itunes_title":"","itunes_season_number":"","itunes_episode_type":"","footnotes":""},"categories":[480,1406],"tags":[1650,930,405,792,299,376,1081,915,870,872,680,1345,170,736,494,555,1902,1807,219,479,867,522,1861,752,994,545,1660,520,212,1144,1062,634,561,742,1080,876,885,242,342,788,610,205,90,208,258,243,819,1153,29,221,893,1627,656,1355,741,980,394,772,1665,1616,843,692,6,936,797,952,1644,996,220,1030,743,247,95,241,1830,948,1071,1881,746,473,966,710,519,287,735,300,717,550,202,362,166,259,268,248,633,1333,483,1385,488,748,1065,1846,1122,747,1891,240,345,72,624,308,476,506,721,517,978,1005,782,1114,1112,609,878,472,527,11,1378,1095,504,92,599,1038,96,284,440,1652,1363,765,1699,1294,482,1645,379,1835,491,967,954,745,1751,1819,1358,638,1839,875,780,565,1296,866,1854,839,570,626,356,637,16,962,267,764,635,868,1254,630,1852,411,636,1022,781,1094,1698,1145,798,855,518,1267,434,1582,681,640,645,474,1067,1009,187,1511,1025,611,330,319,475,528,1211,335,441,331,1794,262,826,1073,218,1324,172,478,589,756,1568,758,846,1148,496,793,558,990,492,740,751,470,1714,501,329,306,1860,226,370,1726,620,1059,1285,1377,639,1002,493,13,685,557,490,1857,477,931,283,1497,882,1228,12,422,553,733,1063,955],"class_list":["post-6517","page","type-page","status-publish","has-post-thumbnail","hentry","category-chirurgie-du-rachis","category-chirurgie-lombaire","tag-absence","tag-acces","tag-age","tag-alternative","tag-alternatives","tag-am","tag-anterieure","tag-arthroplastie","tag-arthrose","tag-arthrose-facettaire","tag-attente","tag-av","tag-avantages","tag-avis","tag-b-dyn","tag-bas-du-dos","tag-bil","tag-bilan","tag-biome","tag-biomecanique","tag-bordeaux","tag-canada","tag-canadiens","tag-centres-francais","tag-chir","tag-chirurg","tag-chirurgica","tag-chirurgicales","tag-chirurgie","tag-chirurgie-du","tag-chirurgie-du-bas-du-dos","tag-chirurgie-lombaire","tag-chirurgien","tag-chirurgiens","tag-chirurgies","tag-claudication","tag-claudication-neurogene","tag-clinique","tag-co","tag-colonne","tag-colonne-vert","tag-colonne-vertebrale","tag-comment","tag-compression","tag-condition","tag-consultation","tag-contr","tag-contre-indic","tag-contre-indications","tag-cou","tag-cruralgie","tag-d","tag-decompression","tag-defi","tag-degene","tag-degenerative","tag-degenerescence","tag-delab","tag-delais","tag-delais-reduits","tag-details","tag-devis","tag-diagnostic","tag-disc","tag-discopathie-degenerative","tag-dispositif","tag-dispositifs-dynamiques","tag-disque","tag-dos","tag-dossier","tag-dou","tag-douleur","tag-douleurs","tag-douleurs-chroniques","tag-dr","tag-dynamique","tag-dynamiques","tag-e","tag-endosc","tag-endoscopie","tag-endoscopique","tag-equipe","tag-equipe-d","tag-et","tag-etranger","tag-examens","tag-experience","tag-expert","tag-expertise","tag-fa","tag-faq","tag-finance","tag-financement","tag-fonction","tag-foramin","tag-formation","tag-france","tag-frequently-asked-questions","tag-fusion","tag-fusions","tag-fusions-intersomatiques","tag-g","tag-gold-standard","tag-guide","tag-he","tag-hern","tag-hernie","tag-hernie-discale","tag-im","tag-imagerie","tag-implant","tag-implants","tag-implants-de-preservation","tag-implants-de-preservation-du-mouvement","tag-implants-dynamiques","tag-in","tag-incision","tag-indications","tag-interlaminaire","tag-intervention","tag-intra","tag-intraspine","tag-invasives","tag-irm","tag-laminectomie","tag-laterale","tag-leader","tag-les","tag-liberte","tag-lombaire","tag-lombaires","tag-lombalgie","tag-lombalgie-me","tag-maladie","tag-mecan","tag-micro-discectomie","tag-mini-invas","tag-mini-invasives","tag-mission","tag-mobilit","tag-mobilite","tag-mobilite-segmentaire","tag-motion","tag-mouvement","tag-navigation","tag-navigation-3-d","tag-neu","tag-neuro","tag-neurolog","tag-operations","tag-option","tag-osteophy","tag-parc","tag-parcours","tag-parcours-med","tag-parcours-medical","tag-paris","tag-parten","tag-partenaire","tag-pathologie","tag-pathologies","tag-pathologies-lombaires","tag-patient","tag-patient-quebecois","tag-patients","tag-patients-canadiens","tag-patients-internationaux","tag-pellegrin","tag-ph","tag-plaque","tag-po","tag-podcast","tag-poles-universitaires","tag-polyester","tag-post","tag-posterieure","tag-pr","tag-pre","tag-preservation-du-mouvement","tag-pression","tag-prise-en-charge","tag-pro","tag-programme","tag-progression","tag-prot","tag-prothe","tag-prothese","tag-prothese-discale","tag-prothese-discale-lombaire","tag-protheses","tag-quebec","tag-quebecois","tag-question","tag-questions","tag-r","tag-rachis","tag-rachis-lombaire","tag-re","tag-recup",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