{"id":8280,"date":"2025-07-08T09:52:06","date_gmt":"2025-07-08T13:52:06","guid":{"rendered":"https:\/\/sostourismemedical.com\/?page_id=8280"},"modified":"2025-07-14T00:00:10","modified_gmt":"2025-07-14T04:00:10","slug":"what-type-of-surgery","status":"publish","type":"page","link":"https:\/\/www.sostourismemedical.com\/en\/quel-type-de-chirurgie\/","title":{"rendered":"What Type of Surgery?"},"content":{"rendered":"<p>&nbsp;<\/p>\n<div class=\"rounded-corners\" style=\"background-color: #f7f7f7;padding: 30px\" data-rm-block-id=\"block-1\"><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-8262\">\n<p class=\"episode-excerpt\">SOS Tourisme M\u00e9dical\u00a0propose aux patients qu\u00e9b\u00e9cois des\u00a0solutions chirurgicales innovantes\u00a0pour le dos en France, souvent\u00a0non disponibles ou non rembours\u00e9es\u00a0au Canada. L&rsquo;objectif est de leur permettre de\u00a0retrouver mobilit\u00e9<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n<div id=\"podcast_player_8262\" class=\"podcast_player\"><audio class=\"wp-audio-shortcode\" id=\"audio-8262-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Chirurgie-de-la-Colonne_-Choix-et-Innovations-en-France.mp3?_=1\" \/><a href=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Chirurgie-de-la-Colonne_-Choix-et-Innovations-en-France.mp3\">https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Chirurgie-de-la-Colonne_-Choix-et-Innovations-en-France.mp3<\/a><\/audio><\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"page-chirurgie\">\n<h1>Quel Type de Chirurgie du cou ou du bas du dos : comment choisir ?<\/h1>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/close-up-of-surgery-team-operating-in-moern-hospital-.jpg\"><img decoding=\"async\" class=\"radius-image aligncenter wp-image-8031 size-large\" title=\"Close up of surgery team operating in moern hospital.\" src=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/close-up-of-surgery-team-operating-in-moern-hospital--1200x800.jpg\" alt=\"Close up of surgery team operating in moern hospital.\" width=\"1200\" height=\"800\" srcset=\"https:\/\/media.sostourismemedical.com\/2025\/07\/close-up-of-surgery-team-operating-in-moern-hospital--1200x800.jpg 1200w, https:\/\/media.sostourismemedical.com\/2025\/07\/close-up-of-surgery-team-operating-in-moern-hospital--500x333.jpg 500w, https:\/\/media.sostourismemedical.com\/2025\/07\/close-up-of-surgery-team-operating-in-moern-hospital--300x200.jpg 300w, https:\/\/media.sostourismemedical.com\/2025\/07\/close-up-of-surgery-team-operating-in-moern-hospital--768x512.jpg 768w, https:\/\/media.sostourismemedical.com\/2025\/07\/close-up-of-surgery-team-operating-in-moern-hospital--1536x1024.jpg 1536w, https:\/\/media.sostourismemedical.com\/2025\/07\/close-up-of-surgery-team-operating-in-moern-hospital--360x240.jpg 360w, https:\/\/media.sostourismemedical.com\/2025\/07\/close-up-of-surgery-team-operating-in-moern-hospital--113x75.jpg 113w, https:\/\/media.sostourismemedical.com\/2025\/07\/close-up-of-surgery-team-operating-in-moern-hospital--480x320.jpg 480w, https:\/\/media.sostourismemedical.com\/2025\/07\/close-up-of-surgery-team-operating-in-moern-hospital--150x100.jpg 150w, https:\/\/media.sostourismemedical.com\/2025\/07\/close-up-of-surgery-team-operating-in-moern-hospital-.jpg 2000w\" sizes=\"(max-width:767px) 480px, (max-width:1200px) 100vw, 1200px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>Chaque patient est unique, et le <a href=\"https:\/\/sostourismemedical.com\/guide-pratique-pour-patients-en-chirurgie-en-france\/\" title=\"Guide pratique du patient qu\u00e9b\u00e9cois \u2013 FAQ &#038; Parcours de soins\" data-wpil-monitor-id=\"2229\">type de chirurgie<\/a> le plus adapt\u00e9 d\u00e9pend de nombreux facteurs : sympt\u00f4mes, diagnostics d&rsquo;imagerie, \u00e2ge, degr\u00e9 d&rsquo;usure, objectifs de vie, etc. Cette page vous guide \u00e0 travers les 3 grandes d\u00e9cisions chirurgicales : le <strong>type de chirurgie<\/strong>, la <strong>voie d\u2019abord<\/strong>, et le <strong>type d\u2019implant<\/strong>.<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection.png\"><img decoding=\"async\" class=\"grey-image aligncenter wp-image-8383 size-full\" title=\"Quel Type de Chirurgie du cou ou du bas du dos comment choisir visual selection\" src=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection.png\" alt=\"Quel Type de Chirurgie du cou ou du bas du dos comment choisir visual selection\" width=\"648\" height=\"744\" srcset=\"https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection.png 648w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-435x500.png 435w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-261x300.png 261w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-360x413.png 360w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-65x75.png 65w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-480x551.png 480w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-87x100.png 87w\" sizes=\"(max-width:767px) 480px, 648px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<div class=\"page-chirurgie\">\n<p id=\"cervical\">\u00a0<\/p>\n<h2 style=\"text-align: center\"><strong>Chirurgie du cou (rachis cervical)<\/strong><\/h2>\n<div class=\"button_align align_center\"><a class=\"button  button_size_2\" href=\"#lombaire\"     style=\"background-color:#007aff!important;color:white;\"     title=\"\"><span class=\"button_label\">Type de Chirurgie du bas du dos<\/span><\/a><\/div>\n\n<p>&nbsp;<\/p>\n<p><strong>Chaque patient atteint de douleurs cervicales, d\u2019hernies discales, de <a href=\"https:\/\/sostourismemedical.com\/techniques-specifiques\/\" title=\"Techniques Sp\u00e9cifiques\" data-wpil-monitor-id=\"1513\">st\u00e9nose<\/a> ou de my\u00e9lopathie cervicale n\u00e9cessite une \u00e9valuation minutieuse.<\/strong> Le rachis cervical est une r\u00e9gion anatomiquement complexe, dont la mobilit\u00e9 et la proximit\u00e9 avec la moelle \u00e9pini\u00e8re imposent un haut niveau de pr\u00e9cision. Les <a href=\"https:\/\/sostourismemedical.com\/chirurgie-robotique-innovation-chirurgie-vertebrale\/\" title=\"Chirurgie robotique et guid\u00e9e par navigation 3D\" data-wpil-monitor-id=\"5251\">techniques employ\u00e9es visent \u00e0 soulager la compression<\/a> nerveuse tout en maintenant (quand possible) une mobilit\u00e9 fonctionnelle optimale.<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-2.png\"><img decoding=\"async\" class=\"grey-image aligncenter wp-image-8384 size-full\" title=\"Quel Type de Chirurgie du cou ou du bas du dos comment choisir visual selection (2)\" src=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-2.png\" alt=\"Quel Type de Chirurgie du cou ou du bas du dos comment choisir visual selection (2)\" width=\"841\" height=\"600\" srcset=\"https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-2.png 841w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-2-500x357.png 500w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-2-300x214.png 300w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-2-768x548.png 768w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-2-360x257.png 360w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-2-105x75.png 105w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-2-480x342.png 480w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-2-140x100.png 140w\" sizes=\"(max-width:767px) 480px, (max-width:841px) 100vw, 841px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<div class=\"page-chirurgie\">\n<p>&nbsp;<\/p>\n<h3>1. Choisir le type de chirurgie<\/h3>\n<p>La premi\u00e8re d\u00e9cision consiste \u00e0 d\u00e9terminer s\u2019il est pr\u00e9f\u00e9rable de lib\u00e9rer les structures nerveuses tout en conservant le mouvement (technique dite \u00ab motion \u00bb) ou de stabiliser d\u00e9finitivement un segment par fusion. Ce choix d\u00e9pend du degr\u00e9 d&rsquo;usure, de la <a href=\"https:\/\/sostourismemedical.com\/alternatives-fusion-chirurgie-rachis-guide\/\" title=\"Alternatives \u00e0 la fusion \u2013 Chirurgie du rachis sans arthrod\u00e8se\" data-wpil-monitor-id=\"5252\">stabilit\u00e9 vert\u00e9brale et des sympt\u00f4mes du patient<\/a>.<\/p>\n<ul>\n<li>LIB\u00c9RATION avec MOTION (pr\u00e9servation du mouvement)<\/li>\n<li>Alternative : FUSION cervicale (blocage)<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-3.png\"><img decoding=\"async\" class=\"grey-image aligncenter wp-image-8385 size-full\" title=\"Quel Type de Chirurgie du cou ou du bas du dos comment choisir visual selection (3)\" src=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-3.png\" alt=\"Quel Type de Chirurgie du cou ou du bas du dos comment choisir visual selection (3)\" width=\"1020\" height=\"672\" srcset=\"https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-3.png 1020w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-3-500x329.png 500w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-3-300x198.png 300w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-3-768x506.png 768w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-3-360x237.png 360w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-3-114x75.png 114w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-3-480x316.png 480w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-3-152x100.png 152w\" sizes=\"(max-width:767px) 480px, (max-width:1020px) 100vw, 1020px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<div class=\"page-chirurgie\">\n<p>&nbsp;<\/p>\n<h3>2. Choisir la voie d&rsquo;abord<\/h3>\n<p>Le choix de la voie d\u2019abord \u2013 ant\u00e9rieure ou post\u00e9rieure \u2013 d\u00e9pend de la localisation de la compression, de l\u2019objectif de la <a href=\"https:\/\/sostourismemedical.com\/chirurgie\/comprendre-chirurgie-simple-rachidienne\/\" title=\"Simple\" data-wpil-monitor-id=\"1677\">chirurgie et de l\u2019exp\u00e9rience du chirurgien<\/a>. La voie ant\u00e9rieure est la plus fr\u00e9quente, mais la voie post\u00e9rieure peut \u00eatre envisag\u00e9e dans certaines situations sp\u00e9cifiques.<\/p>\n<table>\n<thead>\n<tr>\n<th><a class=\"wpil_keyword_link\" href=\"https:\/\/sostourismemedical.com\/quelle-voie-dabord\/\" title=\"Quelle Voie d&rsquo;Abord ?\" data-wpil-keyword-link=\"linked\" data-wpil-monitor-id=\"54878\">Voie d&rsquo;abord<\/a><\/th>\n<th>Description<\/th>\n<th>Avantages<\/th>\n<th>Exemples<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Ant\u00e9rieure<\/strong><\/td>\n<td>Par l&rsquo;avant du cou<\/td>\n<td>Pr\u00e9serve les muscles post\u00e9rieurs<\/td>\n<td>LP-ESP, CP-ESP<\/td>\n<\/tr>\n<tr>\n<td><strong>Post\u00e9rieure<\/strong><\/td>\n<td>Cas sp\u00e9cifiques (st\u00e9noses \u00e9tendues)<\/td>\n<td>Vue directe sur les nerfs post\u00e9rieurs<\/td>\n<td>Foraminotomie<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>\u00a0<\/h3>\n<h3>3. Choisir le type d&rsquo;implant<\/h3>\n<p>Le <a href=\"https:\/\/sostourismemedical.com\/quel-type-dimplants\/\" title=\"Quel Type d&#8217;Implants ?\" data-wpil-monitor-id=\"1720\">type d\u2019implant cervical<\/a> est choisi en fonction du geste chirurgical : si une fusion est envisag\u00e9e, des cages rigides avec greffe osseuse seront privil\u00e9gi\u00e9es. Si l\u2019objectif est de conserver la mobilit\u00e9, des proth\u00e8ses discales cervicales seront utilis\u00e9es.<\/p>\n<ul>\n<li>Fusion : cages PEEK\/titane, vis, greffe osseuse<\/li>\n<li>Motion : proth\u00e8ses LP-ESP, <a class=\"wpil_keyword_link\" href=\"https:\/\/sostourismemedical.com\/chirurgie\/motion\/cp-esp\/\" title=\"CP-ESP\u00ae\" data-wpil-keyword-link=\"linked\" data-wpil-monitor-id=\"50333\">CP-ESP<\/a><\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<hr \/>\n<div class=\"page-chirurgie\">\n<p id=\"lombaire\">\u00a0<\/p>\n<h2 style=\"text-align: center\"><strong>Chirurgie du bas du dos (rachis lombaire)<\/strong><\/h2>\n<div class=\"button_align align_center\"><a class=\"button  button_size_2\" href=\"#cervical\"     style=\"background-color:#007aff!important;color:white;\"     title=\"\"><span class=\"button_label\">Type de Chirurgie du cou<\/span><\/a><\/div>\n\n<p>&nbsp;<\/p>\n<p><strong>La <a href=\"https:\/\/sostourismemedical.com\/processus\/\" title=\"Processus\" data-wpil-monitor-id=\"5249\">chirurgie<\/a> lombaire vise \u00e0 soulager des douleurs s\u00e9v\u00e8res et invalidantes, li\u00e9es \u00e0 des hernies discales, des st\u00e9noses, un spondylolisth\u00e9sis ou une instabilit\u00e9 chronique.<\/strong> Trois grandes d\u00e9cisions orientent le choix th\u00e9rapeutique : le type de chirurgie (lib\u00e9ration vs fusion), la voie d\u2019abord (post\u00e9rieure, ant\u00e9rieure, lat\u00e9rale), et le type d\u2019implant (rigide ou dynamique).<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-4.png\"><img decoding=\"async\" class=\"grey-image aligncenter wp-image-8386 size-full\" title=\"Quel Type de Chirurgie du cou ou du bas du dos comment choisir visual selection (4)\" src=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-4.png\" alt=\"Quel Type de Chirurgie du cou ou du bas du dos comment choisir visual selection (4)\" width=\"841\" height=\"480\" srcset=\"https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-4.png 841w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-4-500x285.png 500w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-4-300x171.png 300w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-4-768x438.png 768w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-4-360x205.png 360w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-4-131x75.png 131w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-4-480x274.png 480w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-4-175x100.png 175w\" sizes=\"(max-width:767px) 480px, (max-width:841px) 100vw, 841px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<div class=\"page-chirurgie\">\n<p>&nbsp;<\/p>\n<h3>1. Choisir le type de chirurgie<\/h3>\n<p>Comme pour la colonne cervicale, on choisira entre une lib\u00e9ration simple, une <a href=\"https:\/\/sostourismemedical.com\/le-systeme-tops-bougez-sans-douleur\/\" title=\"Le Syst\u00e8me TOPS&#x2122; : Bougez sans douleur\" data-wpil-monitor-id=\"5250\">chirurgie de pr\u00e9servation du mouvement<\/a> (motion) ou une fusion d\u00e9finitive selon l\u2019anatomie, la stabilit\u00e9 et la chronicit\u00e9 de la douleur.<\/p>\n<ul>\n<li>Simple lib\u00e9ration nerveuse ou Motion<\/li>\n<li>Alternative : Fusion vert\u00e9brale lombaire<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-5.png\"><img decoding=\"async\" class=\"grey-image aligncenter wp-image-8387 size-full\" title=\"Quel Type de Chirurgie du cou ou du bas du dos comment choisir visual selection (5)\" src=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-5.png\" alt=\"Quel Type de Chirurgie du cou ou du bas du dos comment choisir visual selection (5)\" width=\"636\" height=\"660\" srcset=\"https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-5.png 636w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-5-482x500.png 482w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-5-289x300.png 289w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-5-360x374.png 360w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-5-72x75.png 72w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-5-480x498.png 480w, https:\/\/media.sostourismemedical.com\/2025\/07\/Quel-Type-de-Chirurgie-du-cou-ou-du-bas-du-dos-_-comment-choisir-_-visual-selection-5-96x100.png 96w\" sizes=\"(max-width:767px) 480px, 636px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<div class=\"page-chirurgie\">\n<h3>2. Choisir la voie d&rsquo;abord<\/h3>\n<p>Le choix de la voie d\u2019abord lombaire d\u00e9pend du segment atteint, de la pr\u00e9sence d\u2019une instabilit\u00e9 ou d\u2019un glissement vert\u00e9bral, et du type d\u2019implant \u00e0 poser. La <a href=\"https:\/\/sostourismemedical.com\/conditions-chirurgicales\/arthrose-facettaire-severe\/\" title=\"Arthrose facettaire s\u00e9v\u00e8re\" data-wpil-monitor-id=\"5247\">voie post\u00e9rieure<\/a> est la plus classique, mais les approches ant\u00e9rieures et lat\u00e9rales permettent parfois une chirurgie plus cibl\u00e9e et moins invasive.<\/p>\n<table>\n<thead>\n<tr>\n<th>Voie d&rsquo;abord<\/th>\n<th>Description<\/th>\n<th>Avantages<\/th>\n<th>Exemples<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Post\u00e9rieure<\/strong><\/td>\n<td>Acc\u00e8s direct aux \u00e9l\u00e9ments post\u00e9rieurs<\/td>\n<td>Visualisation compl\u00e8te<\/td>\n<td><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=\"5246\" target=\"_blank\" rel=\"noopener\">TLIF<\/a>, PLIF, TOPS&#x2122;, IntraSPINE\u00ae<\/td>\n<\/tr>\n<tr>\n<td><strong>Ant\u00e9rieure<\/strong><\/td>\n<td>Par l&rsquo;abdomen<\/td>\n<td>\u00c9vite les muscles du dos<\/td>\n<td>ALIF, LP-ESP lombaire<\/td>\n<\/tr>\n<tr>\n<td><strong>Lat\u00e9rale<\/strong><\/td>\n<td>Par le flanc (voie transpsoas)<\/td>\n<td>Moins invasive pour certaines pathos<\/td>\n<td>XLIF, LLIF<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>\u00a0<\/h3>\n<h3>3. Choisir le type d&rsquo;implant<\/h3>\n<p>Les implants choisis pour le bas du <a href=\"https:\/\/sostourismemedical.com\/chirurgie-colonne-vertebrale-guide-patient\/\" title=\"Guide Patient sur la Chirurgie de la Colonne Vert\u00e9brale\" data-wpil-monitor-id=\"2119\">dos peuvent \u00eatre rigides<\/a> (cages + vis pour fusion) ou dynamiques (dispositifs qui amortissent les contraintes tout en maintenant une certaine mobilit\u00e9). Le choix repose sur la mobilit\u00e9 du segment, l\u2019anatomie, et les <a href=\"https:\/\/sostourismemedical.com\/chirurgie-du-dos-pourquoi-chercher-une-alternative\/\" title=\"Chirurgie du dos, pourquoi chercher une alternative\u202f?\" data-wpil-monitor-id=\"1995\">objectifs \u00e0 long terme du patient<\/a>.<\/p>\n<ul>\n<li>Fusion : cages, vis, tiges, greffe osseuse<\/li>\n<li>Motion : TOPS&#x2122;, IntraSPINE\u00ae, LP-ESP\u00ae, <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=\"5245\">B-Dyn<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Une approche personnalis\u00e9e<\/h2>\n<p>Chez <strong>SOS <\/strong><a href=\"https:\/\/sostourismemedical.com\/a-propos\/notre-equipe\/erik-boulard\/\" title=\"\u00c9rik Boulard\" data-wpil-monitor-id=\"5248\">Tourisme M\u00e9dical, chaque patient<\/a> b\u00e9n\u00e9ficie d\u2019une \u00e9valuation approfondie par un comit\u00e9 de sp\u00e9cialistes en France.<\/p>\n<ul>\n<li>Analyse d\u2019imagerie et du dossier m\u00e9dical<\/li>\n<li>Choix de la technique la plus adapt\u00e9e<\/li>\n<li>Acc\u00e8s \u00e0 des technologies de pointe, m\u00eame non disponibles au Canada<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Notre objectif : une chirurgie innovante, adapt\u00e9e et durable dans un environnement m\u00e9dical de haut niveau.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Pr\u00eat \u00e0 faire \u00e9valuer votre cas ?<\/strong> <a href=\"\/formulaire-evaluation\">Remplissez notre formulaire de pr\u00e9-\u00e9valuation ici<\/a> pour obtenir une proposition personnalis\u00e9e.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; &nbsp; Quel Type de Chirurgie du cou ou du bas du dos : comment choisir ? &nbsp; &nbsp; Chaque patient est unique, et le type<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":8031,"parent":0,"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],"tags":[930,405,792,376,574,318,1081,571,275,631,1345,170,555,1902,629,522,994,545,1660,520,212,1144,1062,554,634,561,1093,342,788,642,90,1871,208,879,819,221,1627,1757,656,1355,741,394,6,229,936,94,952,220,1030,1619,696,743,247,95,217,948,1071,1881,997,287,281,1096,717,362,248,633,1825,483,488,524,1846,747,1891,240,345,93,204,624,308,476,506,978,1005,1840,878,472,1735,1095,92,599,1038,1645,379,928,643,491,967,783,426,1711,209,278,16,1863,1074,1852,411,1022,781,1094,1698,1145,1246,1313,798,855,1267,681,640,645,474,581,1009,749,330,319,627,475,528,1134,1073,385,478,182,1568,432,237,758,846,1148,496,558,751,470,1347,329,167,226,1726,620,1059,13,685,557,1857,477,931,1903,515,283,1092,1091,553,794,393,1063,955,1072,1076],"class_list":["post-8280","page","type-page","status-publish","has-post-thumbnail","hentry","category-chirurgie-du-rachis","tag-acces","tag-age","tag-alternative","tag-am","tag-analyse","tag-anatomie","tag-anterieure","tag-approche","tag-approche-personnalisee","tag-arthrodese","tag-av","tag-avantages","tag-bas-du-dos","tag-bil","tag-cages","tag-canada","tag-chir","tag-chirurg","tag-chirurgica","tag-chirurgicales","tag-chirurgie","tag-chirurgie-du","tag-chirurgie-du-bas-du-dos","tag-chirurgie-du-cou","tag-chirurgie-lombaire","tag-chirurgien","tag-choix","tag-co","tag-colonne","tag-colonne-cervicale","tag-comment","tag-complexe","tag-compression","tag-compression-nerveuse","tag-contr","tag-cou","tag-d","tag-decision","tag-decompression","tag-defi","tag-degene","tag-degenerescence","tag-diagnostic","tag-diagnostics","tag-disc","tag-discales","tag-dispositif","tag-dos","tag-dossier","tag-dossier-med","tag-dossier-medical","tag-dou","tag-douleur","tag-douleurs","tag-douleurs-cervicales","tag-dynamique","tag-dynamiques","tag-e","tag-eff","tag-et","tag-evaluation","tag-evaluation-appro","tag-experience","tag-fa","tag-fonction","tag-foramin","tag-formulaire","tag-france","tag-fusion","tag-fusion-vertebrale","tag-g","tag-guide","tag-he","tag-hern","tag-hernie","tag-hernies","tag-hernies-discales","tag-im","tag-imagerie","tag-implant","tag-implants","tag-implants-dynamiques","tag-in","tag-innovante","tag-intra","tag-intraspine","tag-invalidantes","tag-laterale","tag-les","tag-liberte","tag-lombaire","tag-mobilit","tag-mobilite","tag-mobilite-naturelle","tag-moelle-epiniere","tag-motion","tag-mouvement","tag-muscle","tag-muscles","tag-nerfs","tag-nerve","tag-objectifs","tag-patient","tag-personnalise","tag-personnalisee","tag-po","tag-podcast","tag-polyester","tag-post","tag-posterieure","tag-pr","tag-pre","tag-precision","tag-prem","tag-preservation-du-mouvement","tag-pression","tag-pro","tag-prot","tag-prothe","tag-prothese","tag-prothese-discale","tag-prothese-posterieure-dynamique","tag-protheses","tag-protheses-discales","tag-r","tag-rachis","tag-rachis-cervical","tag-rachis-lombaire","tag-re","tag-region","tag-rigides","tag-risques","tag-silicone","tag-site","tag-special","tag-specialiste","tag-specialistes","tag-spine","tag-spondylolist","tag-spondylolisthes","tag-spondylolisthesis","tag-st","tag-stabilite","tag-stenose","tag-stenoses","tag-su","tag-symptomes","tag-t","tag-techn","tag-technique","tag-techniques","tag-technologie","tag-technologies","tag-technologies-de-pointe","tag-therapeutique","tag-titane","tag-tour","tag-tourisme-med","tag-tourisme-medical","tag-tra","tag-type-dimplant","tag-type-de-chirurgie","tag-v","tag-vertebre","tag-vertebres","tag-vis-pediculaires","tag-voie-anterieure","tag-voie-dabord","tag-voie-posterieure"],"_links":{"self":[{"href":"https:\/\/www.sostourismemedical.com\/en\/wp-json\/wp\/v2\/pages\/8280","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.sostourismemedical.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.sostourismemedical.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.sostourismemedical.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sostourismemedical.com\/en\/wp-json\/wp\/v2\/comments?post=8280"}],"version-history":[{"count":79,"href":"https:\/\/www.sostourismemedical.com\/en\/wp-json\/wp\/v2\/pages\/8280\/revisions"}],"predecessor-version":[{"id":110239,"href":"https:\/\/www.sostourismemedical.com\/en\/wp-json\/wp\/v2\/pages\/8280\/revisions\/110239"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.sostourismemedical.com\/en\/wp-json\/wp\/v2\/media\/8031"}],"wp:attachment":[{"href":"https:\/\/www.sostourism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