{"id":6715,"date":"2024-10-18T13:05:43","date_gmt":"2024-10-18T11:05:43","guid":{"rendered":"https:\/\/www.vnh.org\/?p=6715"},"modified":"2024-10-18T13:05:45","modified_gmt":"2024-10-18T11:05:45","slug":"stenose-du-canal-lombaire-la-chirurgie-reparatrice","status":"publish","type":"post","link":"https:\/\/www.vnh.org\/indexphp\/stenose-du-canal-lombaire-la-chirurgie-reparatrice","title":{"rendered":"St\u00e9nose du canal lombaire, la chirurgie r\u00e9paratrice"},"content":{"rendered":"\n

La colonne vert\u00e9brale lombaire est compos\u00e9e de 5 vert\u00e8bres et de leurs disques intervert\u00e9braux respectifs. Elle relie le squelette humain au bassin, assure l’essentiel de la mobilit\u00e9 du tronc, permet la station debout et supporte la charge quotidienne de l’\u00eatre humain. C’est donc la partie de la colonne vert\u00e9brale qui souffre le plus au fil du temps. Des \u00e9tudes de population ont montr\u00e9 qu’\u00e0 partir de 65 ans, en raison d’un processus d\u00e9g\u00e9n\u00e9ratif li\u00e9 \u00e0 l’\u00e2ge, environ 40 % des personnes peuvent pr\u00e9senter une forme de st\u00e9nose de la colonne lombaire.<\/p>\n\n\n\n

Probl\u00e8mes et sympt\u00f4mes courants<\/h2>\n\n\n\n

Les sympt\u00f4mes les plus courants sont des probl\u00e8mes de marche, des douleurs, des fourmillements ou des engourdissements dans les jambes. Il convient de savoir que l’un des sympt\u00f4mes r\u00e9v\u00e9lateurs de cette pathologie est le soulagement ressenti par le patient lorsqu’il se penche en avant, \u00e9largissant ainsi naturellement le diam\u00e8tre de son canal et r\u00e9duisant la pression sur les racines nerveuses. Une op\u00e9ration du canal lombaire \u00e9troit<\/a> est tout \u00e0 fait r\u00e9alisable pour soigner la cause. Chirurgie Rachidienne, dont le cabinet se trouve au 43 Rue de France 06000 NICE, est en mesure d\u2019appliquer des techniques de d\u00e9compression pour agrandir le canal lombaire. Il suffit d\u2019appeler le num\u00e9ro 04 93 16 19 40 ou 06 49 45 98 90 pour prendre rendez-vous.<\/p>\n\n\n\n

Traitement de la st\u00e9nose lombaire<\/h2>\n\n\n\n

Les sympt\u00f4mes peuvent g\u00e9n\u00e9ralement \u00eatre trait\u00e9s par de bonnes habitudes de vie, telles que l’exercice pour renforcer les muscles de la colonne vert\u00e9brale, le maintien d’un poids sain ou l’absence de tabagisme. Ces habitudes peuvent n\u00e9cessiter une physioth\u00e9rapie, des injections, des m\u00e9dicaments ou d’autres modalit\u00e9s de traitement non invasives. Mais dans certains cas, et lorsque la maladie est plus avanc\u00e9e, qu’elle provoque une forte douleur et alt\u00e8re de mani\u00e8re significative et irr\u00e9versible la qualit\u00e9 de vie du patient une intervention chirurgicale sera recommand\u00e9e.<\/p>\n\n\n\n

La chirurgie est majoritairement \u00e9lective, car les personnes atteintes de st\u00e9nose canalaire ne pr\u00e9sentent g\u00e9n\u00e9ralement pas de d\u00e9ficits neurologiques et leur capacit\u00e9 \u00e0 tol\u00e9rer la douleur est tr\u00e8s variable. Le fait que le patient soit confin\u00e9 \u00e0 un fauteuil roulant est rare en raison de ses sympt\u00f4mes. La st\u00e9nose rachidienne lombaire est la chirurgie rachidienne la plus fr\u00e9quente chez les personnes \u00e2g\u00e9es. Jusqu’\u00e0 20-30 % de tous les patients qui consultent pour une st\u00e9nose cliniquement manifeste finissent par devoir \u00eatre op\u00e9r\u00e9s en raison de la persistance de leurs sympt\u00f4mes et des limitations fonctionnelles qu’ils entra\u00eenent.<\/p>\n\n\n\n

En quoi consiste l’op\u00e9ration ?<\/h2>\n\n\n\n

L’op\u00e9ration consiste \u00e0 \u00e9largir le canal rachidien pour d\u00e9comprimer les nerfs. Il s’agit d’une op\u00e9ration tr\u00e8s s\u00fbre, qui ne dure souvent pas plus d’une heure. Elle est le plus souvent r\u00e9alis\u00e9e par voie post\u00e9rieure, de la mani\u00e8re la moins invasive possible, parfois m\u00eame au microscope. Dans certains cas, il peut n\u00e9anmoins \u00eatre n\u00e9cessaire de fixer certaines vert\u00e8bres pour assurer la stabilisation de la colonne vert\u00e9brale. Dans ce cas, la p\u00e9riode postop\u00e9ratoire peut \u00eatre plus longue.<\/p>\n\n\n\n

La claudication peut \u00e9galement \u00eatre due \u00e0 d’autres pathologies coexistantes telles que, pour n’en citer que quelques-unes, un trouble de l’irrigation sanguine des jambes d\u00fb \u00e0 une pathologie vasculaire ou une alt\u00e9ration de la fonction nerveuse due \u00e0 des troubles m\u00e9taboliques, tels que le diab\u00e8te. C’est pourquoi le diagnostic, un bon diagnostic, est essentiel. Des examens tels que la radiographie, l’IRM ou la tomodensitom\u00e9trie indiquent le r\u00e9tr\u00e9cissement du canal rachidien, mais ils doivent \u00eatre combin\u00e9s \u00e0 une bonne \u00e9valuation du patient dans son ensemble.<\/p>\n","protected":false},"excerpt":{"rendered":"

La colonne vert\u00e9brale lombaire est compos\u00e9e de 5 vert\u00e8bres et de leurs disques intervert\u00e9braux respectifs. Elle relie le squelette humain au bassin, assure l’essentiel de la mobilit\u00e9 du tronc, permet la station debout et supporte la charge quotidienne de l’\u00eatre humain. C’est donc la partie de la colonne vert\u00e9brale qui souffre le plus au fil…<\/p>\n","protected":false},"author":4,"featured_media":6716,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-6715","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","vs-blog blog-single"],"yoast_head":"\nComment se passe une op\u00e9ration des lombaires ?<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vnh.org\/indexphp\/stenose-du-canal-lombaire-la-chirurgie-reparatrice\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Comment se passe une op\u00e9ration des lombaires ?\" \/>\n<meta property=\"og:description\" content=\"La colonne vert\u00e9brale lombaire est compos\u00e9e de 5 vert\u00e8bres et de leurs disques intervert\u00e9braux respectifs. 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C’est donc la partie de la colonne vert\u00e9brale qui souffre le plus au fil...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.vnh.org\/indexphp\/stenose-du-canal-lombaire-la-chirurgie-reparatrice\" \/>\n<meta property=\"og:site_name\" content=\"https:\/\/www.vnh.org\/\" \/>\n<meta property=\"article:published_time\" content=\"2024-10-18T11:05:43+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-10-18T11:05:45+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.vnh.org\/wp-content\/uploads\/2024\/10\/operation-des-lombaires.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"500\" \/>\n\t<meta property=\"og:image:height\" content=\"333\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"habitat\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"habitat\" \/>\n\t<meta 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