{"id":21066,"date":"2025-07-24T02:40:17","date_gmt":"2025-07-24T06:40:17","guid":{"rendered":"https:\/\/sostourismemedical.com\/comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques\/"},"modified":"2025-07-24T17:01:12","modified_gmt":"2025-07-24T21:01:12","slug":"comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques","status":"publish","type":"post","link":"https:\/\/www.sostourismemedical.com\/en\/comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques\/","title":{"rendered":"How questionnaires and initial examinations improve clinical results"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Dans le domaine de la chirurgie du dos et du cou, notamment pour les patients qu\u00e9b\u00e9cois envisageant une intervention en France, la pr\u00e9cision de l\u2019\u00e9valuation initiale est indispensable pour optimiser les r\u00e9sultats cliniques. Depuis 2025, les avanc\u00e9es en mati\u00e8re de questionnaires standardis\u00e9s et d\u2019examens d\u00e9taill\u00e9s permettent non seulement d\u2019affiner la compr\u00e9hension de chaque cas, mais aussi d&rsquo;adapter les traitements de mani\u00e8re personnalis\u00e9e. Ces outils modernes, au c\u0153ur d\u2019un parcours transatlantique s\u00e9curis\u00e9 et int\u00e9gratif, renforcent la collaboration entre \u00e9quipes m\u00e9dicales qu\u00e9b\u00e9coises et fran\u00e7aises, r\u00e9duisent les d\u00e9lais gr\u00e2ce \u00e0 une meilleure pr\u00e9paration, et soutiennent le patient \u00e0 chaque \u00e9tape.<\/p>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Dans un contexte o\u00f9 la demande croissante en soins sp\u00e9cialis\u00e9s rencontre des contraintes de ressources, il devient imp\u00e9ratif d\u2019impliquer le patient dans son propre parcours. Les instruments comme les PROMs (Patient-reported outcomes measures) et PREMs (Patient-reported experience measures) fournissent des donn\u00e9es essentielles sur le v\u00e9cu, les capacit\u00e9s fonctionnelles, ainsi que l\u2019exp\u00e9rience ressentie lors des soins. Gr\u00e2ce \u00e0 eux, le dialogue th\u00e9rapeutique se transforme en un \u00e9change bilat\u00e9ral avec des d\u00e9cisions m\u00e9dicales plus adapt\u00e9es et partag\u00e9es. Ce mod\u00e8le, soutenu par des acteurs cl\u00e9s tels que Neuroth\u00e9rapie Montr\u00e9al, SOS Tourisme M\u00e9dical, Franchir et le Dr Sylvain Desforges chez TAGMED, garantit un suivi rigoureux des phases pr\u00e9op\u00e9ratoires et post-op\u00e9ratoires, int\u00e9grant \u00e0 la fois une approche scientifique rigoureuse et une dimension humaine empreinte d\u2019empathie.<\/p>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">L\u2019\u00e9valuation d\u00e9taill\u00e9e par questionnaires et examens d\u2019imagerie, combin\u00e9e \u00e0 la coordination experte internationale, marque une \u00e9volution concr\u00e8te vers une meilleure qualit\u00e9 de vie des patients confront\u00e9s \u00e0 des pathologies complexes comme les hernies discales, les my\u00e9lopathies ou la scoliose. En int\u00e9grant ces outils innovants, les professionnels contribuent \u00e0 diminuer significativement les incertitudes, \u00e0 renforcer la pertinence du traitement chirurgical, et \u00e0 am\u00e9liorer les perspectives fonctionnelles et cliniques apr\u00e8s l\u2019intervention. D\u00e9sormais, plus que jamais, mesurer la qualit\u00e9 des soins per\u00e7ue par le patient est une composante essentielle du succ\u00e8s th\u00e9rapeutique, prenant place aux c\u00f4t\u00e9s des techniques chirurgicales dernier cri, des implants dynamiques et des parcours sur-mesure propos\u00e9s au Canada et en France.<\/p>\r\n\r\n\r\n<h2 class=\"wp-block-heading\">\u00c9valuation m\u00e9dicale initiale approfondie pour un diagnostic pr\u00e9cis en chirurgie du dos et du cou<\/h2>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Le point de d\u00e9part de toute prise en charge chirurgicale optimale passe par une \u00e9valuation m\u00e9dicale rigoureuse. Chez Neuroth\u00e9rapie Montr\u00e9al, l\u2019\u00e9valuation des patients qu\u00e9b\u00e9cois s\u2019appuie sur un ensemble complet de d\u00e9marches cliniques permettant d\u2019\u00e9tablir un examen total de la situation. Cette \u00e9tape, cl\u00e9 pour identifier les crit\u00e8res d\u2019\u00e9ligibilit\u00e9, regroupe une s\u00e9rie de questionnaires valid\u00e9s scientifiquement, des examens d\u2019imagerie r\u00e9alis\u00e9s \u00e0 distance au Qu\u00e9bec, et un passage en revue des contre-indications potentielles pour orienter la meilleure strat\u00e9gie chirurgicale possible.<\/p>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Les questionnaires employ\u00e9s incluent notamment les PROMs, qui renseignent pr\u00e9cis\u00e9ment sur les sympt\u00f4mes, la douleur, la mobilit\u00e9, et l\u2019impact sur la qualit\u00e9 de vie. Ces outils, courts et r\u00e9p\u00e9tables, sont essentiels pour mesurer les <strong>clinical results<\/strong> attendus. Ils sont compl\u00e9t\u00e9s par les PREMs, qui refl\u00e8tent quant \u00e0 eux l&rsquo;exp\u00e9rience v\u00e9cue par le patient tout au long du parcours de soins. Ensemble, ces instruments favorisent une meilleure <strong>consultation efficace<\/strong>, enrichissant les \u00e9changes entre patient et professionnel de sant\u00e9, renfor\u00e7ant ainsi l&rsquo;adh\u00e9sion au traitement envisag\u00e9. Cette collaboration centr\u00e9e sur le patient correspond parfaitement \u00e0 la philosophie de l&rsquo;approche \u00ab\u00a0partage des d\u00e9cisions\u00a0\u00bb, aujourd\u2019hui valid\u00e9e dans de nombreuses \u00e9tudes internationales <a href=\"https:\/\/www.ghu-paris.fr\/fr\/actualites\/comment-ameliorer-les-resultats-et-lexperience-des-soins\" target=\"_blank\" rel=\"noopener\">source<\/a>.<\/p>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Sur le plan technique, un <strong>QCM Sant\u00e9<\/strong> adapt\u00e9 permet d\u2019\u00e9valuer les connaissances, habitudes et ant\u00e9c\u00e9dents m\u00e9dicaux du patient. Cette \u00e9tape de d\u00e9pistage est cruciale pour assurer que le candidat \u00e0 la chirurgie soit bien inform\u00e9 et pr\u00eat \u00e0 participer activement au processus. Cela \u00e9limine \u00e9galement certains risques inutiles en identifiant des contre-indications pr\u00e9coces.<\/p>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">En outre, Neuroth\u00e9rapie Montr\u00e9al ne r\u00e9alise pas les examens d\u2019imagerie en propre, mais coordonne l\u2019analyse d\u00e9taill\u00e9e des images fournies par les \u00e9tablissements qu\u00e9b\u00e9cois. Ainsi, l\u2019\u00e9quipe m\u00e9dicale combine ces donn\u00e9es \u00e0 celles des questionnaires pour garantir un <strong>diagnostic pr\u00e9cis<\/strong>, gage d\u2019une orientation chirurgicale adapt\u00e9e entre la France et le Qu\u00e9bec via le r\u00e9seau international.<\/p>\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n\t<li><strong>Questionnaires PROMs :<\/strong> mesure de la douleur, capacit\u00e9 fonctionnelle, qualit\u00e9 de vie<\/li>\r\n\r\n\r\n\t<li><strong>Questionnaires PREMs :<\/strong> \u00e9valuation de l\u2019exp\u00e9rience patient<\/li>\r\n\r\n\r\n\t<li><strong>QCM Sant\u00e9 :<\/strong> connaissance et pr\u00e9paration du patient<\/li>\r\n\r\n\r\n\t<li><strong>Analyse d\u2019imagerie :<\/strong> scanner, IRM, radiographies \u00e0 distance<\/li>\r\n\r\n\r\n\t<li><strong>Revue des contre-indications :<\/strong> \u00e9tat g\u00e9n\u00e9ral, pathologies associ\u00e9es<\/li>\r\n<\/ul>\r\n\r\n\r\n<figure class=\"wp-block-table\">\r\n<table>\r\n<thead>\r\n<tr>\r\n<th>\u00c9tape d\u2019\u00e9valuation<\/th>\r\n<th>Objective<\/th>\r\n<th>Manager<\/th>\r\n<\/tr>\r\n<\/thead>\r\n<tbody>\r\n<tr>\r\n<td>Collecte questionnaires PROMs\/PREMs<\/td>\r\n<td>Mesurer sympt\u00f4mes et v\u00e9cu<\/td>\r\n<td>Neurotherapy Montreal<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Analyse QCM sant\u00e9<\/td>\r\n<td>Pr\u00e9parer et informer le patient<\/td>\r\n<td>SOS Medical Tourism<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Revue d\u2019imagerie<\/td>\r\n<td>\u00c9tablir l\u2019\u00e9tat structurel<\/td>\r\n<td>Experts qu\u00e9b\u00e9cois<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Supervision des traitements conservateurs<\/td>\r\n<td>\u00c9valuation et suivi non invasif<\/td>\r\n<td>Dr Sylvain Desforges &#8211; TAGMED<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/figure>\r\n\r\n\r\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1024\" height=\"1024\" class=\"wp-image-21063\" src=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-1.png\" alt=\"d\u00e9couvrez comment les questionnaires et examens initiaux jouent un r\u00f4le essentiel dans l&#039;am\u00e9lioration des r\u00e9sultats cliniques. apprenez l&#039;importance de ces outils d&#039;\u00e9valuation pour optimiser le suivi des patients et personnaliser les traitements.\" title=\"\" srcset=\"https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-1.png 1024w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-1-500x500.png 500w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-1-300x300.png 300w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-1-768x768.png 768w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-1-360x360.png 360w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-1-150x150.png 150w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-1-75x75.png 75w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-1-480x480.png 480w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-1-100x100.png 100w\" sizes=\"(max-width:767px) 480px, (max-width:1024px) 100vw, 1024px\" \/><\/figure>\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Les \u00e9tapes cl\u00e9s de l\u2019organisation pr\u00e9op\u00e9ratoire pour une consultation efficace et un suivi personnalis\u00e9<\/h2>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Prendre la d\u00e9cision d\u2019une chirurgie du rachis \u00e0 l\u2019\u00e9tranger implique un parcours complexe, que nous simplifions gr\u00e2ce \u00e0 une organisation m\u00e9ticuleuse. Chaque patient b\u00e9n\u00e9ficie d\u2019un accompagnement humain sur mesure assur\u00e9 par Neuroth\u00e9rapie Montr\u00e9al, en partenariat avec SOS Tourisme M\u00e9dical et Franchir, leader dans l\u2019organisation transatlantique du s\u00e9jour chirurgical. La coordination entre ces acteurs permet de s\u00e9curiser les d\u00e9marches administratives, logistiques et cliniques et d\u2019assurer un lien constant entre le Qu\u00e9bec et les \u00e9tablissements fran\u00e7ais.<\/p>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Les \u00e9tapes pr\u00e9alables \u00e0 la mise en salle d\u2019op\u00e9ration combinent :<\/p>\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n\t<li>Un bilan complet de sant\u00e9 et un examen d\u00e9taill\u00e9 par les \u00e9quipes fran\u00e7aises, choisi selon l\u2019analyse initiale.<\/li>\r\n\r\n\r\n\t<li>La validation de l\u2019\u00e9ligibilit\u00e9 \u00e0 la chirurgie, chirurgie simple, arthrod\u00e8se\/fusion, ou motion (dispositifs dynamiques comme TOPS, Intraspine).<\/li>\r\n\r\n\r\n\t<li>L\u2019organisation pratique du s\u00e9jour en France, avec assistance pour le vol, h\u00e9bergement et transferts, orchestr\u00e9e par Franchir.<\/li>\r\n\r\n\r\n\t<li>Des \u00e9changes conviviaux mais rigoureux entre patients et chirurgiens, dans une d\u00e9marche transparente et rassurante.<\/li>\r\n\r\n\r\n\t<li>La pr\u00e9paration du retour au Canada avec un suivi post-op\u00e9ratoire assur\u00e9 par Neuroth\u00e9rapie Montr\u00e9al, garantissant la poursuite des soins et la r\u00e9adaptation fonctionnelle.<\/li>\r\n<\/ul>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">En plus des \u00e9valuations physiques, Neuroth\u00e9rapie Montr\u00e9al emploie des technologies avanc\u00e9es telles que le <strong>biofeedback<\/strong> et le <strong>neurofeedback<\/strong> qui permettent un suivi personnalis\u00e9 de la r\u00e9\u00e9ducation du syst\u00e8me nerveux autonome. Cette innovation, combin\u00e9e aux bilans cliniques, favorise une <strong>am\u00e9lioration clinique<\/strong> notable et une r\u00e9duction du temps de convalescence.<\/p>\r\n\r\n\r\n<figure class=\"wp-block-table\">\r\n<table>\r\n<thead>\r\n<tr>\r\n<th>Phase pr\u00e9op\u00e9ratoire<\/th>\r\n<th>D\u00e9tail<\/th>\r\n<th>Partner<\/th>\r\n<\/tr>\r\n<\/thead>\r\n<tbody>\r\n<tr>\r\n<td>R\u00e9ception et analyse du dossier<\/td>\r\n<td>\u00c9valuation compl\u00e8te des donn\u00e9es m\u00e9dicales<\/td>\r\n<td>Neurotherapy Montreal<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Orientation vers chirurgien<\/td>\r\n<td>S\u00e9lection selon pathologie et technologie privil\u00e9gi\u00e9e<\/td>\r\n<td>Cross<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Organisation logistique<\/td>\r\n<td>R\u00e9servation vol, h\u00e9bergement, transferts<\/td>\r\n<td>Cross<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Support administratif et information<\/td>\r\n<td>Conseils sur les d\u00e9marches et attentes<\/td>\r\n<td>SOS Medical Tourism<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Postoperative follow-up<\/td>\r\n<td>Contr\u00f4le et r\u00e9habilitation personnalis\u00e9e<\/td>\r\n<td>Neurotherapy Montreal<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/figure>\r\n\r\n\r\n<figure class=\"is-provider-youtube is-type-video wp-block-embed wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\">\r\n<div class=\"wp-block-embed__wrapper\">https:\/\/www.youtube.com\/watch?v=Nfka0wefOUg<\/div>\r\n<\/figure>\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Prise en charge int\u00e9gr\u00e9e : technologie et approche pluridisciplinaire au service du patient<\/h2>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Le succ\u00e8s clinique d\u2019une chirurgie complexe repose autant sur la ma\u00eetrise chirurgicale que sur la qualit\u00e9 des soins multidisciplinaires avant et apr\u00e8s l\u2019op\u00e9ration. La prise en charge int\u00e9gr\u00e9e d\u00e9velopp\u00e9e entre Neuroth\u00e9rapie Montr\u00e9al, SOS Tourisme M\u00e9dical, Franchir et le Dr Sylvain Desforges chez TAGMED combine le savoir-faire scientifique et la coordination experte avec un accompagnement humain de proximit\u00e9.<\/p>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">La mise en \u0153uvre des technologies de pointe telles que le <strong>neurofeedback<\/strong>, les \u00e9valuations neurofonctionnelles quantitatives et le <strong>biofeedback<\/strong> permettent d\u2019adapter les protocoles de r\u00e9habilitation selon la r\u00e9ponse sp\u00e9cifique de chaque patient. Cette approche dynamique s\u2019appuie sur des analyses continues r\u00e9alis\u00e9es via des questionnaires r\u00e9p\u00e9tables et des bilans fonctionnels d\u00e9taill\u00e9s pour ajuster les soins \u00e0 la vol\u00e9e. L\u2019objectif est d\u2019optimiser la r\u00e9cup\u00e9ration motrice et sensorielle tout en renfor\u00e7ant le syst\u00e8me nerveux autonome par un coaching neurophysiologique personnalis\u00e9.<\/p>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Cette m\u00e9thode pluridisciplinaire implique :<\/p>\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n\t<li>Des neurochirurgiens et sp\u00e9cialistes en chirurgie rachidienne en France, proposant des implants avanc\u00e9s (proth\u00e8se discale, arthrod\u00e8se, TOPS, Intraspine).<\/li>\r\n\r\n\r\n\t<li>Des \u00e9valuateurs sp\u00e9cialis\u00e9s \u00e0 Montr\u00e9al supervisant la phase conservatrice et la phase postop\u00e9ratoire.<\/li>\r\n\r\n\r\n\t<li>Une \u00e9quipe de neuroth\u00e9rapeutes experts en neurofeedback et biofeedback pour la r\u00e9habilitation sensorimotrice.<\/li>\r\n\r\n\r\n\t<li>Un personnel d\u2019accompagnement rassurant, d\u00e9di\u00e9 au bien-\u00eatre psychologique du patient et \u00e0 l\u2019\u00e9ducation th\u00e9rapeutique.<\/li>\r\n<\/ul>\r\n\r\n\r\n<figure class=\"wp-block-table\">\r\n<table>\r\n<thead>\r\n<tr>\r\n<th>Technical<\/th>\r\n<th>Avantage principal<\/th>\r\n<th>Impact sur la r\u00e9cup\u00e9ration<\/th>\r\n<\/tr>\r\n<\/thead>\r\n<tbody>\r\n<tr>\r\n<td>Disc prosthesis<\/td>\r\n<td>Maintien de la mobilit\u00e9 articulaire<\/td>\r\n<td>R\u00e9duction des douleurs, pr\u00e9servation des fonctions<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Arthrodesis (fusion)<\/td>\r\n<td>Stabilit\u00e9 accrue du rachis<\/td>\r\n<td>R\u00e9duction des risques de rechute<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Dynamic stabilization (TOPS, Intraspine)<\/td>\r\n<td>Conservation partielle de la mobilit\u00e9<\/td>\r\n<td>Am\u00e9lioration fonctionnelle et qualit\u00e9 de vie<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Neurofeedback \/ biofeedback<\/td>\r\n<td>Optimisation des circuits nerveux<\/td>\r\n<td>Meilleur contr\u00f4le musculaire, r\u00e9cup\u00e9ration neurologique<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/figure>\r\n\r\n\r\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1536\" height=\"1024\" class=\"wp-image-21064\" src=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-2.png\" alt=\"d\u00e9couvrez comment l&#039;utilisation de questionnaires et d&#039;examens initiaux peut optimiser les r\u00e9sultats cliniques. cette approche permet d&#039;\u00e9valuer efficacement les besoins des patients, d&#039;adapter les traitements et d&#039;am\u00e9liorer la qualit\u00e9 des soins. apprenez-en plus sur l&#039;importance de ces outils dans la pratique m\u00e9dicale moderne.\" title=\"\" srcset=\"https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-2.png 1536w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-2-500x333.png 500w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-2-1200x800.png 1200w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-2-300x200.png 300w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-2-768x512.png 768w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-2-360x240.png 360w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-2-113x75.png 113w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-2-480x320.png 480w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-2-150x100.png 150w\" sizes=\"(max-width:767px) 480px, (max-width:1536px) 100vw, 1536px\" \/><\/figure>\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Acc\u00e8s privil\u00e9gi\u00e9 \u00e0 des chirurgiens experts en France et aux innovations implants modernes<\/h2>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Une force majeure du parcours offert aux patients qu\u00e9b\u00e9cois r\u00e9side dans l\u2019acc\u00e8s rapide et s\u00e9curis\u00e9 \u00e0 un r\u00e9seau rigoureux de plus de 20 chirurgiens fran\u00e7ais renomm\u00e9s. Ces experts sont \u00e0 la pointe des innovations, utilisant des implants reconnus mondialement tels que TOPS et Intraspine, offrant aux patients des options th\u00e9rapeutiques souvent indisponibles ou avec des d\u00e9lais tr\u00e8s longs au Qu\u00e9bec.<\/p>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Cet avantage sans \u00e9gal permet d\u2019acc\u00e9der \u00e0 des techniques mini-invasives, avec un suivi personnalis\u00e9 d\u00e8s le milieu qu\u00e9b\u00e9cois. Les implants dynamiques comme TOPS sont con\u00e7us pour garantir la mobilit\u00e9 post-op\u00e9ratoire tout en assurant la stabilit\u00e9, ce qui am\u00e9liore consid\u00e9rablement la qualit\u00e9 de vie agricole et professionnelle des patients apr\u00e8s l\u2019op\u00e9ration.<\/p>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Cette collaboration franco-canadienne, supervis\u00e9e par des experts comme Marcel Mazaltarim, directeur chez Neuroth\u00e9rapie Montr\u00e9al, assure la fluidit\u00e9 du dossier, la s\u00e9curit\u00e9 et la prise en charge compl\u00e8te du patient, tout en respectant un \u00e9thique rigoureuse et un accompagnement humain constant.<\/p>\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n\t<li>Plus de 20 chirurgiens partenaires en France, s\u00e9lectionn\u00e9s pour leur expertise en chirurgie rachidienne.<\/li>\r\n\r\n\r\n\t<li>Implants innovants certifi\u00e9s qualit\u00e9 \u00ab\u00a0Clinique Avantage\u00a0\u00bb favorisant maintien fonctionnel.<\/li>\r\n\r\n\r\n\t<li>R\u00e9duction des d\u00e9lais op\u00e9ratoires face aux contraintes du syst\u00e8me qu\u00e9b\u00e9cois.<\/li>\r\n\r\n\r\n\t<li>Organisation s\u00e9curis\u00e9e du parcours complet, avec un interlocuteur unique par patient.<\/li>\r\n\r\n\r\n\t<li>Accompagnement de bout en bout : coordination, suivi post-op\u00e9ratoire personnalis\u00e9.<\/li>\r\n<\/ul>\r\n\r\n\r\n<figure class=\"wp-block-table\">\r\n<table>\r\n<thead>\r\n<tr>\r\n<th>Implant\/Technique<\/th>\r\n<th>Features<\/th>\r\n<th>B\u00e9n\u00e9fice cl\u00e9<\/th>\r\n<\/tr>\r\n<\/thead>\r\n<tbody>\r\n<tr>\r\n<td>TOPS<\/td>\r\n<td>Dynamic stabilization<\/td>\r\n<td>Preserved mobility, reduced pain<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Intraspine<\/td>\r\n<td>Syst\u00e8me biom\u00e9canique avanc\u00e9<\/td>\r\n<td>Restauration fonctionnelle optimale<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Disc prosthesis<\/td>\r\n<td>Remplacement du disque ab\u00eem\u00e9<\/td>\r\n<td>Maintien long terme de la mobilit\u00e9<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Minimally invasive surgery<\/td>\r\n<td>Moins de traumatismes tissulaires<\/td>\r\n<td>Convalescence acc\u00e9l\u00e9r\u00e9e<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/figure>\r\n\r\n\r\n<figure class=\"is-provider-youtube is-type-video wp-block-embed wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\">\r\n<div class=\"wp-block-embed__wrapper\">https:\/\/www.youtube.com\/watch?v=5HNlqud-wEs<\/div>\r\n<\/figure>\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Pathologies cibl\u00e9es et crit\u00e8res d\u2019\u00e9ligibilit\u00e9 : une s\u00e9lection rigoureuse pour un traitement adapt\u00e9<\/h2>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">La chirurgie du rachis propos\u00e9e via ce parcours s\u2019adresse \u00e0 un vaste spectre de pathologies invalidantes, notamment :<\/p>\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n\t<li><strong>Herniated disc<\/strong> : compression nerveuse souvent responsable de douleurs irradiantes ou de sciatique.<\/li>\r\n\r\n\r\n\t<li><strong>Spinal stenosis<\/strong> : r\u00e9tr\u00e9cissement du canal rachidien entravant la moelle \u00e9pini\u00e8re ou les racines nerveuses.<\/li>\r\n\r\n\r\n\t<li><strong>Spondylolisthesis<\/strong> : glissement d\u2019une vert\u00e8bre sur une autre entra\u00eenant une instabilit\u00e9 vert\u00e9brale.<\/li>\r\n\r\n\r\n\t<li><strong>Scoliose<\/strong> : d\u00e9formation tridimensionnelle de la colonne vert\u00e9brale n\u00e9cessitant parfois une fusion ou stabilisation.<\/li>\r\n\r\n\r\n\t<li><strong>My\u00e9lopathies<\/strong> : atteintes de la moelle \u00e9pini\u00e8re n\u00e9cessitant une intervention pour pr\u00e9venir la perte fonctionnelle.<\/li>\r\n<\/ul>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Selon la nature et la s\u00e9v\u00e9rit\u00e9 de la pathologie, diff\u00e9rentes techniques sont propos\u00e9es, depuis la chirurgie conservatrice et mini-invasive jusqu\u2019aux interventions de fusion ou d\u2019implantation de dispositifs dynamiques. La s\u00e9lection des patients repose sur :<\/p>\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n\t<li>Les r\u00e9sultats des questionnaires PROMs\/PREMs et examens d\u2019imagerie.<\/li>\r\n\r\n\r\n\t<li>La prise en compte de l\u2019\u00e9tat g\u00e9n\u00e9ral et des comorbidit\u00e9s.<\/li>\r\n\r\n\r\n\t<li>La possibilit\u00e9 d\u2019opter pour une technique pr\u00e9servant mobilit\u00e9 et fonction.<\/li>\r\n\r\n\r\n\t<li>La capacit\u00e9 du patient \u00e0 s\u2019engager dans un suivi postop\u00e9ratoire adapt\u00e9.<\/li>\r\n<\/ul>\r\n\r\n\r\n<figure class=\"wp-block-table\">\r\n<table>\r\n<thead>\r\n<tr>\r\n<th>Pathology<\/th>\r\n<th>Technique chirurgicale recommand\u00e9e<\/th>\r\n<th>Avantage th\u00e9rapeutique<\/th>\r\n<\/tr>\r\n<\/thead>\r\n<tbody>\r\n<tr>\r\n<td>Herniated disc<\/td>\r\n<td>Proth\u00e8se discale ou chirurgie mini-invasive<\/td>\r\n<td>D\u00e9compression nerveuse rapide, r\u00e9cup\u00e9ration acc\u00e9l\u00e9r\u00e9e<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Spinal stenosis<\/td>\r\n<td>Arthrod\u00e8se ou stabilisation dynamique<\/td>\r\n<td>Soulagement durable et maintien fonctionnel<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Spondylolisthesis<\/td>\r\n<td>Spinal fusion<\/td>\r\n<td>Correction de la stabilit\u00e9 rachidienne<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Scoliose<\/td>\r\n<td>Correction\/vue tridimensionnelle et fusion<\/td>\r\n<td>Am\u00e9lioration de la posture, r\u00e9duction des douleurs<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>My\u00e9lopathies<\/td>\r\n<td>D\u00e9compression et stabilisation<\/td>\r\n<td>Protection neurologique et r\u00e9cup\u00e9ration fonctionnelle<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/figure>\r\n\r\n\r\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1024\" height=\"1024\" class=\"wp-image-21065\" src=\"https:\/\/sostourismemedical.com\/wp-content\/uploads\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-3.png\" alt=\"d\u00e9couvrez comment l&#039;utilisation de questionnaires et d&#039;examens initiaux peut transformer les r\u00e9sultats cliniques. cette approche contribue \u00e0 un diagnostic plus pr\u00e9cis, une personnalisation des traitements et une meilleure satisfaction des patients. am\u00e9liorez vos pratiques m\u00e9dicales gr\u00e2ce \u00e0 des outils d&#039;\u00e9valuation efficace.\" title=\"\" srcset=\"https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-3.png 1024w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-3-500x500.png 500w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-3-300x300.png 300w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-3-768x768.png 768w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-3-360x360.png 360w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-3-150x150.png 150w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-3-75x75.png 75w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-3-480x480.png 480w, https:\/\/media.sostourismemedical.com\/2025\/07\/Comment-questionnaires-et-examens-initiaux-ameliore-les-resultats-cliniques-3-100x100.png 100w\" sizes=\"(max-width:767px) 480px, (max-width:1024px) 100vw, 1024px\" \/><\/figure>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">&nbsp;<\/p>\r\n\r\n\r\n<h2 class=\"wp-block-heading\">FAQ &#8211; Questions fr\u00e9quentes sur l\u2019\u00e9valuation initiale et l\u2019am\u00e9lioration des r\u00e9sultats cliniques en chirurgie du rachis<\/h2>\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n\t<li><strong>Quels sont les b\u00e9n\u00e9fices des questionnaires PROMs et PREMs dans le parcours pr\u00e9op\u00e9ratoire ?<\/strong><br \/>\r\nCes questionnaires permettent de mieux comprendre l\u2019impact de la pathologie sur la vie du patient, d\u2019adapter les traitements en fonction de ses priorit\u00e9s et d\u2019am\u00e9liorer la communication avec les \u00e9quipes m\u00e9dicales, garantissant une <strong>am\u00e9lioration clinique<\/strong> tangible.<\/li>\r\n\r\n\r\n\t<li><strong>Comment se d\u00e9roule la coordination entre les \u00e9quipes qu\u00e9b\u00e9coises et fran\u00e7aises ?<\/strong><br \/>\r\nGr\u00e2ce \u00e0 une collaboration \u00e9troite entre Neuroth\u00e9rapie Montr\u00e9al, SOS Tourisme M\u00e9dical, Franchir et le Dr Sylvain Desforges chez TAGMED, chaque \u00e9tape est suivie avec soin, assurant une continuit\u00e9 des soins et une prise en charge s\u00e9curis\u00e9e.<\/li>\r\n\r\n\r\n\t<li><strong>Quels documents dois-je fournir pour une premi\u00e8re \u00e9valuation ?<\/strong><br \/>\r\nLes patients doivent fournir leurs examens d\u2019imagerie r\u00e9cents, les bilans m\u00e9dicaux disponibles, et remplir les questionnaires PROMs\/PREMs fournis par Neuroth\u00e9rapie Montr\u00e9al ou SOS Tourisme M\u00e9dical.<\/li>\r\n\r\n\r\n\t<li><strong>Qui d\u00e9cide de la technique chirurgicale la plus adapt\u00e9e ?<\/strong><br \/>\r\nApr\u00e8s \u00e9valuation compl\u00e8te, l\u2019\u00e9quipe pluridisciplinaire, incluant les chirurgiens en France et les coordinateurs au Qu\u00e9bec, d\u00e9termine la m\u00e9thode id\u00e9ale en prenant en compte la pathologie, l\u2019\u00e9tat du patient et les innovations disponibles.<\/li>\r\n\r\n\r\n\t<li><strong>Est-ce que le suivi post-op\u00e9ratoire est assur\u00e9 au Qu\u00e9bec ?<\/strong><br \/>\r\nOui, Neuroth\u00e9rapie Montr\u00e9al garantit un suivi personnalis\u00e9 et continu d\u00e8s le retour du patient, avec un accompagnement en neuroth\u00e9rapie et r\u00e9habilitation sp\u00e9cialis\u00e9.<\/li>\r\n<\/ul>\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Vous souhaitez savoir si vous \u00eates un bon candidat pour une chirurgie du rachis en France ?<\/strong> <a href=\"https:\/\/www.sostourismemedical.com\/en\/contact\/\" target=\"_blank\" rel=\"noopener\">Remplissez notre formulaire d\u2019\u00e9valuation personnalis\u00e9e ici<\/a>.<\/p>\r\n\n\n<h2>References<\/h2><div class='cgr-references'><p>1. Dagenais, S., Caro, J., &amp; Haldeman, S. (2008). A systematic review of low back pain cost of illness studies in the United States and internationally. The Spine Journal, 8(1), 8-20. https:\/\/doi.org\/10.1016\/j.spinee.2007.10.005<\/p>\n<p>2. Mannion, A. F., &amp; Porchet, F. (2015). The quality of spine surgery from the patient&rsquo;s perspective. European Spine Journal, 24(6), 1219-1221. https:\/\/doi.org\/10.1007\/s00586-015-3926-1<\/p>\n<p>3. Stein, J., &amp; Luppa, M. (2015). Chirurgie du rachis &#8211; Quels crit\u00e8res de succ\u00e8s ? Le point de vue du patient. Revue M\u00e9dicale Suisse, 11(462), 1553-1555.<\/p>\n<p>4. H\u00fcttner, F. J., &amp; Ulrich, N. H. (2019). Patient-Reported Outcome Measures in Surgery: A Systematic Review. Journal of Surgical Research, 236, 129-139. https:\/\/doi.org\/10.1016\/j.jss.2018.11.045<\/p>\n<p>5. Greenhalgh, J., Dalkin, S., &amp; Gibbons, E. (2018). How do patient reported outcome measures (PROMs) support clinician-patient communication and patient care? A realist synthesis. Journal of Patient-Reported Outcomes, 2(42). https:\/\/doi.org\/10.1186\/s41687-018-0061-6<\/p>\n<p>6. L\u00e9gar\u00e9, F., Stacey, D., &amp; Turcotte, S. (2014). Le partage des d\u00e9cisions en sant\u00e9 : une approche \u00e9clair\u00e9e est-elle pr\u00e9f\u00e9rable ? Canadian Medical Association Journal, 186(2), E81-E82.<\/p>\n<p>7. Marshall, S., Haywood, K., &amp; Fitzpatrick, R. (2006). Impact on the individual: Development of a patient-reported outcome measure (PROM). Quality of Life Research, 15(1), 19-41. https:\/\/doi.org\/10.1007\/s11136-006-9158-x<\/p>\n<p>8. Jaeschke, R., Singer, J., &amp; Guyatt, G. H. (1989). Measurement of health status. Ascertaining the minimal clinically important difference. Controlled Clinical Trials, 10(4), 407-415. https:\/\/doi.org\/10.1016\/0197-2456(89)90005-6<\/p>\n<p>9. Gagn\u00e9, C., &amp; Lapointe, J. (2015). Exp\u00e9rience patient : vers une mesure plus fine et pertinente. Gestion, 40(1), 36-43.<\/p>\n<p>10. Hoffman, T. C., Montori, V. M., &amp; Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295-1296. https:\/\/doi.org\/10.1001\/jama.2014.10186<\/p>\n<p>11. L\u00e9gar\u00e9, F., Kearing, S., &amp; Clay, K. (2010). Are you SURE?: Assessing patient decisional conflict with a 4-item screening test. Canadian Family Physician, 56(8), e308-e314.<\/p>\n<p>12. Wetzels, R., Harmsen, M., &amp; Van Weel, C. (2007). Interventions for improving older patients&rsquo; involvement in primary care episodes. Cochrane Database of Systematic Reviews, 1(4), CD004273. https:\/\/doi.org\/10.1002\/14651858.CD004273.pub2<\/p>\n<p>13. Desomer, A., Vanhaecht, K., &amp; Panella, M. (2013). Process and outcome indicators for the integrated care of vulnerable older adults in the community setting. International Journal of Quality in Health Care, 25(3), 272-282. https:\/\/doi.org\/10.1093\/intqhc\/mzt016<\/p>\n<p>14. Gagn\u00e9, A., &amp; L\u00e9gar\u00e9, F. (2018). Prise de d\u00e9cision partag\u00e9e en sant\u00e9 : concept, enjeux et outils. P\u00e9dagogie M\u00e9dicale, 19(4), 237-248.<\/p>\n<p>15. Elwyn, G., Frosch, D. L., &amp; Kobrin, S. (2016). Implementing shared decision-making: Consider all the consequences. Implementation Science, 11(114). https:\/\/doi.org\/10.1186\/s13012-016-0506-3<\/p>\n<p>16. L\u00e9gar\u00e9, F., H\u00e9bert, J., &amp; Goh, L. (2018). Do interventions to support shared decision-making reduce health inequalities? A systematic review and meta-analysis. PLoS ONE, 13(6), e0199027. https:\/\/doi.org\/10.1371\/journal.pone.0199027<\/p>\n<p>17. H\u00e4rter, M., Moumjid, N., &amp; Cornuz, J. (2017). Shared decision making in 2017: International accomplishments in policy, research and implementation. Zeitschrift f\u00fcr Evidenz, Fortbildung und Qualit\u00e4t im Gesundheitswesen, 123-124, 1-5. https:\/\/doi.org\/10.1016\/j.zefq.2017.08.010<\/p>\n<p>18. L\u00e9gar\u00e9, F., Ratt\u00e9, S., &amp; Gravel, K. (2008). Barriers and facilitators to implementing shared decision-making in clinical practice: Update of a systematic review of health professionals&rsquo; perceptions. Patient Education and Counseling, 73(3), 526-535. https:\/\/doi.org\/10.1016\/j.pec.2008.07.018<\/p>\n<p>19. Stacey, D., L\u00e9gar\u00e9, F., &amp; Lewis, K. (2017). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, 4, CD001431. https:\/\/doi.org\/10.1002\/14651858.CD001431.pub5<\/p>\n<p>20. L\u00e9gar\u00e9, F., Witteman, H. O., &amp; Gigu\u00e8re, A. (2012). Predictors of practitioners&rsquo; intentions to adopt a patient decision aid for Down syndrome screening: A theoretical approach. Implementation Science, 7(10). https:\/\/doi.org\/10.1186\/1748-5908-7-10<\/p>\n<\/div><style>\r\n.lwrp.link-whisper-related-posts{\r\n            \r\n            margin-top: 40px;\nmargin-bottom: 30px;\r\n        }\r\n        .lwrp .lwrp-title{\r\n            \r\n            \r\n        }.lwrp .lwrp-description{\r\n            \r\n            \r\n\r\n        }\r\n        .lwrp .lwrp-list-container{\r\n        }\r\n        .lwrp .lwrp-list-multi-container{\r\n            display: flex;\r\n        }\r\n        .lwrp .lwrp-list-double{\r\n            width: 48%;\r\n        }\r\n        .lwrp .lwrp-list-triple{\r\n            width: 32%;\r\n        }\r\n        .lwrp .lwrp-list-row-container{\r\n            display: flex;\r\n            justify-content: space-between;\r\n        }\r\n        .lwrp .lwrp-list-row-container .lwrp-list-item{\r\n            width: calc(25% - 20px);\r\n        }\r\n        .lwrp .lwrp-list-item:not(.lwrp-no-posts-message-item){\r\n            \r\n            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intervention en France, la pr\u00e9cision de l\u2019\u00e9valuation initiale<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":5,"featured_media":21062,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","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":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[480],"tags":[1226,930,1061,587,210,323,376,574,297,298,304,571,631,691,680,277,1345,1244,933,223,219,479,522,977,889,1584,614,994,545,1660,520,212,1450,1144,525,516,1223,655,512,619,1101,561,742,242,203,342,869,788,610,205,90,279,591,208,879,270,243,819,1153,29,791,786,715,221,280,1588,1627,668,672,656,1665,695,825,6,305,936,94,952,1644,996,823,1231,220,1030,743,247,95,1351,1453,285,948,1071,997,1194,710,519,606,287,735,521,281,377,293,969,300,1647,294,1597,717,550,202,1045,362,166,248,1333,483,941,488,524,430,886,189,240,345,72,93,204,573,624,308,1330,476,986,506,978,644,1005,1114,663,222,578,500,760,609,1501,1124,878,472,527,11,504,92,588,1371,533,1363,1499,513,1294,1645,379,1105,526,643,1125,491,209,905,707,1358,538,537,534,998,1620,714,827,701,1600,780,565,1441,282,1270,1188,1327,839,570,1210,626,356,1173,16,267,1159,1056,1074,1254,942,1149,781,834,352,1145,1246,1313,821,855,91,567,518,1293,1267,679,383,273,15,681,815,640,645,474,683,1117,1011,418,449,162,1287,187,1511,1025,1596,1646,611,330,319,884,401,738,528,215,1211,335,1247,1569,441,331,336,569,673,826,572,385,198,402,218,560,1324,172,1585,766,195,589,756,462,325,1568,432,237,758,973,846,1148,496,558,990,492,751,470,249,329,306,332,1155,689,1609,932,193,167,542,775,226,620,1059,1285,1377,639,1002,493,13,685,963,557,1495,1309,523,227,931,515,283,882,1228,12,1241,32,328,272,1659,728,1181,1150,1152,553,1621,794],"class_list":["post-21066","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chirurgie-du-rachis","tag-1226","tag-acces","tag-accompagn","tag-accompagnement","tag-active","tag-adaptation","tag-am","tag-analyse","tag-anteced","tag-antecedents-med","tag-antecedents-medicaux","tag-approche","tag-arthrodese","tag-assistance","tag-attente","tag-attentes","tag-av","tag-avancees","tag-back-pain","tag-bien-etre","tag-biome","tag-biomecanique","tag-canada","tag-canal-rach","tag-canal-rachidien","tag-capacite","tag-certitude","tag-chir","tag-chirurg","tag-chirurgica","tag-chirurgicales","tag-chirurgie","tag-chirurgie-conservatrice","tag-chirurgie-du","tag-chirurgie-du-dos","tag-chirurgie-du-rachis","tag-chirurgie-mini","tag-chirurgie-mini-invasive","tag-chirurgie-r","tag-chirurgie-rachidienne","tag-chirurgie-simple","tag-chirurgien","tag-chirurgiens","tag-clinique","tag-cliniques","tag-co","tag-collaboration","tag-colonne","tag-colonne-vert","tag-colonne-vertebrale","tag-comment","tag-communication","tag-comprehension","tag-compression","tag-compression-nerveuse","tag-conseils","tag-consultation","tag-contr","tag-contre-indic","tag-contre-indications","tag-convales","tag-convalescence","tag-coordination","tag-cou","tag-criteres","tag-criteres-deligibilite","tag-d","tag-decisions-medica","tag-decisions-medicales","tag-decompression","tag-delais","tag-demande","tag-depart","tag-diagnostic","tag-diagnostic-prec","tag-disc","tag-discales","tag-dispositif","tag-dispositifs-dynamiques","tag-disque","tag-documents","tag-donnees","tag-dos","tag-dossier","tag-dou","tag-douleur","tag-douleurs","tag-dr-sylvain-des","tag-dr-sylvain-desf","tag-dr-sylvain-desforges","tag-dynamique","tag-dynamiques","tag-eff","tag-efficace","tag-equipe","tag-equipe-d","tag-equipe-pluridisciplinaire","tag-et","tag-etranger","tag-europe","tag-evaluation","tag-evaluation-initiale","tag-evaluation-medicale","tag-evolution","tag-examens","tag-examens-detailles","tag-examens-d","tag-examens-initiaux","tag-experience","tag-expert","tag-expertise","tag-experts","tag-fa","tag-faq","tag-fonction","tag-formation","tag-france","tag-franchir","tag-fusion","tag-fusion-vertebrale","tag-gestion","tag-health","tag-hebergement","tag-hern","tag-hernie","tag-hernie-discale","tag-hernies","tag-hernies-discales","tag-humaine","tag-im","tag-imagerie","tag-impact","tag-implant","tag-implantation","tag-implants","tag-implants-dynamiques","tag-implants-innovants","tag-in","tag-indications","tag-information","tag-innovation","tag-innovations","tag-instabilite-vertebrale","tag-interlocuteur","tag-intervention","tag-intervention-en-france","tag-interventions","tag-intra","tag-intraspine","tag-invasives","tag-irm","tag-leader","tag-les","tag-logistique","tag-maintien","tag-marcel-mazaltarim","tag-mecan","tag-medi","ta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