{"id":327,"date":"2025-11-10T11:35:07","date_gmt":"2025-11-10T10:35:07","guid":{"rendered":"https:\/\/www.chu-tours.fr\/neurochirurgie\/?page_id=327"},"modified":"2026-03-18T15:49:53","modified_gmt":"2026-03-18T14:49:53","slug":"rachis-cervical-degeneratif","status":"publish","type":"page","link":"https:\/\/www.chu-tours.fr\/neurochirurgie\/degeneratif\/rachis-cervical-degeneratif\/","title":{"rendered":"Rachis cervical d\u00e9g\u00e9n\u00e9ratif"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"327\" class=\"elementor elementor-327\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3409196 e-con-full e-flex e-con e-parent\" data-id=\"3409196\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9ed761e elementor-widget elementor-widget-global elementor-global-220 elementor-widget-html\" data-id=\"9ed761e\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<!-- FIL D\u2019ARIANE DYNAMIQUE - CHRU TOURS (VERSION JAVASCRIPT\/CHEVRONS) -->\r\n<div id=\"breadcrumb-js\" class=\"breadcrumb\"><\/div>\r\n\r\n<style>\r\n    .breadcrumb {\r\n        font-size: 14px;\r\n        font-family: \"Segoe UI\", sans-serif;\r\n        margin-bottom: 20px;\r\n        color: #555;\r\n        display: flex;\r\n        flex-wrap: wrap;\r\n        gap: 0.5em;\r\n        align-items: center;\r\n        background: #f4f6f8;       \/* fond gris clair (modifiable ou \u00e0 supprimer) *\/\r\n        padding: 8px 12px;\r\n        border-radius: 4px;\r\n    }\r\n\r\n    .breadcrumb a {\r\n        text-decoration: none;\r\n        color: #008c9e;            \/* couleur des liens cliquables *\/\r\n        font-weight: 600;\r\n        text-transform: capitalize;\r\n    }\r\n\r\n    .breadcrumb span {\r\n        color: #0d3182;            \/* couleur du dernier \u00e9l\u00e9ment (page active) *\/\r\n        font-weight: 600;\r\n        text-transform: capitalize;\r\n    }\r\n\r\n    .breadcrumb .separator {\r\n        font-weight: normal;\r\n        color: #888;\r\n        margin: 0 4px;\r\n    }\r\n<\/style>\r\n\r\n<script>\r\n    document.addEventListener(\"DOMContentLoaded\", function () {\r\n        const path = window.location.pathname.split(\"\/\").filter(p => p);\r\n        if (path.length === 0) return;\r\n\r\n        let html = '';\r\n        let fullPath = \"\";\r\n\r\n        path.forEach((segment, index) => {\r\n            fullPath += \"\/\" + segment;\r\n            const label = decodeURIComponent(segment.replace(\/[-_]\/g, \" \"))\r\n            .toLowerCase()\r\n            .replace(\/^\\w\/, c => c.toUpperCase());\r\n\r\n            if (index < path.length - 1) {\r\n                html += `<span class=\"separator\">\u203a<\/span><a href=\"${fullPath}\">${label}<\/a>`;\r\n            } else {\r\n                html += `<span class=\"separator\">\u203a<\/span><span>${label}<\/span>`;\r\n            }\r\n        });\r\n\r\n        const container = document.getElementById(\"breadcrumb-js\");\r\n        if (container) container.innerHTML = html;\r\n    });\r\n\r\n    \/*\r\n\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\r\n\ud83c\udfa8 ASTUCES DE PERSONNALISATION (\u00e0 modifier au besoin)\r\n\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\r\n\r\n1. Modifier la couleur du dernier niveau (page courante) :\r\n\u2192 dans le CSS : change `color: #0d3182;` dans `.breadcrumb span`\r\n\r\n2. Modifier la couleur ou le style des liens :\r\n\u2192 dans `.breadcrumb a`, tu peux ajuster :\r\n- color (ex: #0073aa)\r\n- font-weight\r\n- text-transform\r\n\r\n3. Supprimer le fond gris clair :\r\n\u2192 supprime `background: #f4f6f8;` dans `.breadcrumb`\r\n\r\n4. Centrer le fil d\u2019Ariane :\r\n\u2192 ajoute `justify-content: center;` dans `.breadcrumb`\r\n\r\n5. Changer le s\u00e9parateur :\r\n\u2192 remplace `\u203a` dans le code HTML g\u00e9n\u00e9r\u00e9 (`.separator`)\r\nPar exemple : `&raquo;` (pour \u00bb) ou `\/`\r\n\r\n6. Supprimer \"Accueil\" du d\u00e9but :\r\n\u2192 commente ou supprime : `let html = '<a href=\"\/\">Accueil<\/a>';`\r\n\r\n7. Ajouter une classe sp\u00e9cifique au dernier segment :\r\n\u2192 tu peux remplacer `<span>` par `<span class=\"current\">` et styler `.current` comme tu veux\r\n\r\n8. Forcer un affichage responsive encore plus propre :\r\n\u2192 dans `.breadcrumb`, tu peux ajouter `flex-wrap: wrap;` et g\u00e9rer les `gap` ou marges\r\n\r\n\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\r\n*\/\r\n<\/script>\r\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9d353d3 e-con-full e-flex e-con e-parent\" data-id=\"9d353d3\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-84ec62c elementor-widget elementor-widget-heading\" data-id=\"84ec62c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h1 class=\"elementor-heading-title elementor-size-default\">Hernie discale cervicale \/ cervicarthrose<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c6ff247 elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"c6ff247\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<h2 style=\"text-align: justify;\">Qu\u2019est-ce qu\u2019une hernie discale cervicale ?<\/h2><p style=\"text-align: justify;\">La colonne vert\u00e9brale cervicale est constitu\u00e9e de <strong>7 vert\u00e8bres<\/strong> empil\u00e9es\u00a0 (nomm\u00e9es de C1 \u00e0 C7) et s\u00e9par\u00e9es par <strong>des disques<\/strong> (sauf entre C1 et C2). Celles-ci forment un <strong>canal rachidien<\/strong> qui permet la <strong>protection de la moelle \u00e9pini\u00e8re<\/strong>. Entre chaque vert\u00e8bre une <strong>racine nerveuse<\/strong> (=nerf) quitte le canal pour chacun innerver une partie des membres sup\u00e9rieurs.<\/p><p style=\"text-align: justify;\">Le disque intervert\u00e9bral est compos\u00e9 d\u2019un anneau fibreux et d\u2019un noyau.<\/p><p style=\"text-align: justify;\">La hernie discale correspond \u00e0 une d\u00e9gradation de l\u2019anneau fibreux avec une <strong>migration du noyau vers la racine nerveuse ou vers la moelle \u00e9pini\u00e8re.<\/strong><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9e8d893 elementor-widget elementor-widget-image\" data-id=\"9e8d893\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"768\" height=\"526\" src=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/03\/arthrodese-cervicale-768x526.jpg\" class=\"attachment-medium_large size-medium_large wp-image-577\" alt=\"arthrod\u00e8se cervicale\" srcset=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/03\/arthrodese-cervicale-768x526.jpg 768w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/03\/arthrodese-cervicale-300x205.jpg 300w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/03\/arthrodese-cervicale-1024x701.jpg 1024w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/03\/arthrodese-cervicale.jpg 1521w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Figure 1. Arthrod\u00e8se cervicale<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c0efb83 elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"c0efb83\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h2 style=\"text-align: justify;\">Qu\u2019est-ce qu\u2019une cervicarthrose\u00a0?<\/h2><p style=\"text-align: justify;\">La cervicarthrose correspond \u00e0 la pr\u00e9sence d\u2019une arthrose cervicale qui se d\u00e9veloppe progressivement jusqu\u2019\u00e0 <strong>r\u00e9duire le diam\u00e8tre du canal cervical<\/strong>.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-425514f e-flex e-con-boxed e-con e-parent\" data-id=\"425514f\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5ba6428 elementor-widget elementor-widget-image\" data-id=\"5ba6428\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/cervicarthrose-.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"cervicarthrose\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTM1LCJ1cmwiOiJodHRwczpcL1wvd3d3LmNodS10b3Vycy5mclwvbmV1cm9jaGlydXJnaWVcL3dwLWNvbnRlbnRcL3VwbG9hZHNcL3NpdGVzXC8xOFwvMjAyNVwvMTBcL2NlcnZpY2FydGhyb3NlLS5qcGcifQ%3D%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"768\" height=\"480\" src=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/cervicarthrose--768x480.jpg\" class=\"attachment-medium_large size-medium_large wp-image-135\" alt=\"cervicarthrose\" srcset=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/cervicarthrose--768x480.jpg 768w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/cervicarthrose--300x188.jpg 300w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/cervicarthrose-.jpg 979w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Figure 1. Image provenant du livre \"Essentials of Interventional Techniques in Managing Chronic Pain\" par David. Schultz<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6345610 e-con-full e-flex e-con e-parent\" data-id=\"6345610\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8f30c42 elementor-widget elementor-widget-image\" data-id=\"8f30c42\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1136\" height=\"473\" src=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/02\/Rachis-cervical-c5c6.jpg\" class=\"attachment-full size-full wp-image-556\" alt=\"Hernie discale cervicale C5-C6 avant et apr\u00e8s ex\u00e9r\u00e8se avec pose de proth\u00e8se discale cervicale\" srcset=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/02\/Rachis-cervical-c5c6.jpg 1136w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/02\/Rachis-cervical-c5c6-300x125.jpg 300w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/02\/Rachis-cervical-c5c6-1024x426.jpg 1024w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/02\/Rachis-cervical-c5c6-768x320.jpg 768w\" sizes=\"(max-width: 1136px) 100vw, 1136px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f19a3b6 elementor-widget elementor-widget-text-editor\" data-id=\"f19a3b6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p style=\"text-align: center;\"><span style=\"font-size: 14pt; color: #333333;\"><em><strong>Hernie discale cervicale C5-C6 avant et apr\u00e8s ex\u00e9r\u00e8se avec pose de proth\u00e8se discale cervicale<br \/><\/strong><\/em><\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fa2de42 elementor-widget elementor-widget-spacer\" data-id=\"fa2de42\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-eea2356 e-flex e-con-boxed e-con e-parent\" data-id=\"eea2356\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-31a8745 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"31a8745\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h2 style=\"text-align: justify;\">Quels sont les sympt\u00f4mes\u00a0?<\/h2><p style=\"text-align: justify;\">Les diff\u00e9rents sympt\u00f4mes sont regroup\u00e9s sous le terme <strong>n\u00e9vralgie cervico-brachiale<\/strong>.<\/p><p style=\"text-align: justify;\">Par le d\u00e9g\u00e9n\u00e9rescence du disque et\/ou la pr\u00e9sence d\u2019arthrose, il peut donc exister des <strong>douleurs cervicales.<\/strong><\/p><p style=\"text-align: justify;\">S\u2019il existe une c<strong>ompression des nerfs<\/strong> (atteinte radiculaire)\u00a0: des sympt\u00f4mes \u00e0 type de brulures \/ d\u00e9charges \u00e9lectriques dans les bras peuvent survenir. Il peut \u00e9galement existe des troubles de la sensibilit\u00e9 et\/ou de la motricit\u00e9.<\/p><p style=\"text-align: justify;\">En cas de <strong>compression de la moelle \u00e9pini\u00e8re<\/strong> (hernie discale cervicale volumineuse \/ cervicarthrose s\u00e9v\u00e8re)\u00a0: il peut exister des sympt\u00f4mes au niveau des membres sup\u00e9rieurs mais \u00e9galement des membres inf\u00e9rieurs (malhabilet\u00e9 \/ trouble de marche \/ trouble de la sensibilit\u00e9 \/ trouble de la motricit\u00e9).<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3673416 e-flex e-con-boxed e-con e-parent\" data-id=\"3673416\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d9b4ea1 elementor-widget elementor-widget-text-editor\" data-id=\"d9b4ea1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h2 style=\"text-align: justify;\">Quelles sont les prises en charge possibles\u00a0?<\/h2><h3 style=\"text-align: justify;\">Traitement m\u00e9dical<\/h3><p style=\"text-align: justify;\">En cas de n\u00e9vralgie cervico brachiale, la plupart des sympt\u00f4mes peuvent s\u2019am\u00e9liorer avec le traitement m\u00e9dical. Celui-ci comporte des <strong>antalgiques<\/strong>, de la <strong>kin\u00e9sith\u00e9rapie <\/strong>et des <strong>infiltrations<\/strong>.<\/p><h3 style=\"text-align: justify;\">Traitement chirurgical<\/h3><p style=\"text-align: justify;\">Une chirurgie peut \u00eatre r\u00e9alis\u00e9e en cas d\u2019<strong>\u00e9chec du traitement m\u00e9dical<\/strong> (bien conduit, suffisamment prolong\u00e9), avec persistance d\u2019une douleur invalidante que le patient ne peut plus endurer.<\/p><p style=\"text-align: justify;\">Elle peut \u00eatre r\u00e9alis\u00e9e \u00e9galement en cas de <strong>compression m\u00e9dullaire.<\/strong><\/p><p style=\"text-align: justify;\">Une chirurgie est \u00e9galement propos\u00e9e <strong>en urgence\u00a0<\/strong>:<\/p><ul><li style=\"text-align: justify;\">En cas de <strong>n\u00e9vralgie cervicobrachiale hyperalgique <\/strong>(r\u00e9sistante aux traitements par morphiniques)<\/li><li style=\"text-align: justify;\">En cas de <strong>n\u00e9vralgie cervicobrachiale paralysante<\/strong> (d\u00e9ficit moteur)<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-53ef688 e-flex e-con-boxed e-con e-parent\" data-id=\"53ef688\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8387ba9 elementor-widget elementor-widget-text-editor\" data-id=\"8387ba9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h2 style=\"text-align: justify;\">Principe du traitement chirurgical<\/h2><h3 style=\"text-align: justify;\">En cas de compression radiculaire ou m\u00e9dullaire ant\u00e9rieure<\/h3><p style=\"text-align: justify;\">Le patient est vu en consultation pour expliquer les principes de la chirurgie, de l\u2019hospitalisation et les risques de la chirurgie.<\/p><ul style=\"text-align: justify;\"><li>La chirurgie se d\u00e9roule par une incision dans la partie ant\u00e9rieure du cou permettant l\u2019acces au disque intervertebral.<\/li><li>Le disque est ensuite retir\u00e9 pour permettre l\u2019ex\u00e9r\u00e8se de la hernie discale et\/ou l\u2019ablation des tissus arthrosiques.<\/li><li>Par le suite le disque est remplac\u00e9 par <strong>une cage et \/ou proth\u00e8se discale<\/strong>.<\/li><\/ul><p style=\"text-align: justify;\">Ensuite le patient b\u00e9n\u00e9ficie d\u2019une <strong>radiographie de contr\u00f4le<\/strong> le lendemain de l\u2019intervention et peut retourner \u00e0 domicile par la suite.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-69807db elementor-widget elementor-widget-image\" data-id=\"69807db\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"711\" height=\"753\" src=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/radio-de-controle_v2.jpg\" class=\"attachment-full size-full wp-image-237\" alt=\"radio de controle\" srcset=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/radio-de-controle_v2.jpg 711w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/radio-de-controle_v2-283x300.jpg 283w\" sizes=\"(max-width: 711px) 100vw, 711px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-89e2a1b e-flex e-con-boxed e-con e-parent\" data-id=\"89e2a1b\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e9e3c6b elementor-widget elementor-widget-text-editor\" data-id=\"e9e3c6b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3 style=\"text-align: justify;\">En cas de compression m\u00e9dullaire post\u00e9rieure<\/h3><p style=\"text-align: justify;\">Le patient est vu en consultation pour expliquer les principes de la chirurgie, de l\u2019hospitalisation et les risques de la chirurgie.<\/p><ul style=\"text-align: justify;\"><li>La chirurgie se d\u00e9roule par une cicatrice au niveau de la nuque et une laminectomie\u00a0: c\u2019est-\u00e0-dire une d\u00e9compression du canal rachidien par <strong>l\u2019ablation de la partie post\u00e9rieure du canal rachidien<\/strong>.<\/li><\/ul><p style=\"text-align: justify;\">Le patient est hospitalis\u00e9 durant 2 ou 3 nuits et regagne ensuite son domicile.<\/p><p style=\"text-align: justify;\">Un centre de r\u00e9\u00e9ducation peut \u00eatre n\u00e9cessaire en fonction de l\u2019autonomie pr\u00e9-op\u00e9ratoire.<\/p><h2 style=\"text-align: justify;\">Dans les suites de l\u2019intervention<\/h2><p style=\"text-align: justify;\">Ce qu\u2019il ne faut pas faire durant les 6 semaines post-op\u00e9ratoires\u00a0:<\/p><ul style=\"text-align: justify;\"><li>\u00c9viter le port de charge lourde<\/li><li>\u00c9viter le sport et les efforts en g\u00e9n\u00e9ral<\/li><\/ul><p style=\"text-align: justify;\">Il faut mener une vie normale, une r\u00e9\u00e9ducation avec un kin\u00e9sith\u00e9rapeute est tr\u00e8s souvent prescrite.<\/p><p style=\"text-align: justify;\">Une <strong>consultation post-op\u00e9ratoire<\/strong> sera pr\u00e9vue avec votre neurochirurgien <strong>2 \u00e0 3 mois apr\u00e8s la chirurgie<\/strong>.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1fe6f427 e-flex e-con-boxed e-con e-parent\" data-id=\"1fe6f427\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f7d118c elementor-widget elementor-widget-toggle\" data-id=\"f7d118c\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-toggle{text-align:start}.elementor-toggle .elementor-tab-title{font-weight:700;line-height:1;margin:0;padding:15px;border-bottom:1px solid #d5d8dc;cursor:pointer;outline:none}.elementor-toggle .elementor-tab-title .elementor-toggle-icon{display:inline-block;width:1em}.elementor-toggle .elementor-tab-title .elementor-toggle-icon svg{margin-inline-start:-5px;width:1em;height:1em}.elementor-toggle .elementor-tab-title .elementor-toggle-icon.elementor-toggle-icon-right{float:right;text-align:right}.elementor-toggle .elementor-tab-title .elementor-toggle-icon.elementor-toggle-icon-left{float:left;text-align:left}.elementor-toggle .elementor-tab-title .elementor-toggle-icon .elementor-toggle-icon-closed{display:block}.elementor-toggle .elementor-tab-title .elementor-toggle-icon .elementor-toggle-icon-opened{display:none}.elementor-toggle .elementor-tab-title.elementor-active{border-bottom:none}.elementor-toggle .elementor-tab-title.elementor-active .elementor-toggle-icon-closed{display:none}.elementor-toggle .elementor-tab-title.elementor-active .elementor-toggle-icon-opened{display:block}.elementor-toggle .elementor-tab-content{padding:15px;border-bottom:1px solid #d5d8dc;display:none}@media (max-width:767px){.elementor-toggle .elementor-tab-title{padding:12px}.elementor-toggle .elementor-tab-content{padding:12px 10px}}.e-con-inner>.elementor-widget-toggle,.e-con>.elementor-widget-toggle{width:var(--container-widget-width);--flex-grow:var(--container-widget-flex-grow)}<\/style>\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2591\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2591\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-caret-right\" viewBox=\"0 0 192 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 384.662V127.338c0-17.818 21.543-26.741 34.142-14.142l128.662 128.662c7.81 7.81 7.81 20.474 0 28.284L34.142 398.804C21.543 411.404 0 402.48 0 384.662z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-caret-up\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M288.662 352H31.338c-17.818 0-26.741-21.543-14.142-34.142l128.662-128.662c7.81-7.81 20.474-7.81 28.284 0l128.662 128.662c12.6 12.599 3.676 34.142-14.142 34.142z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Bibliographie<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2591\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2591\"><ol><li>Are There Still Any Benefits to Drainage for Anterior Cervical Arthrodesis\/Arthroplasty by Cervicotomy?, Aggad M, Terrier LM, Nidal Salah C, Zemmoura I, Planty-Bonjour A, Francois P, Amelot A. Spine (Phila Pa 1976). 2024 Aug 1;49(15):1092-1097.<\/li><li>Vertebral body replacement using patient-specific three\u2013dimensional-printed polymer implants in cervical spondylotic myelopathy: an encouraging preliminary report, Amelot, Aymeric et al. The Spine Journal, Volume 18, Issue 5, 892 &#8211; 899<\/li><\/ol><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Hernie discale cervicale \/ cervicarthrose Qu\u2019est-ce qu\u2019une hernie discale cervicale ? La colonne vert\u00e9brale cervicale est constitu\u00e9e de 7 vert\u00e8bres empil\u00e9es\u00a0 (nomm\u00e9es de C1 \u00e0 C7) et s\u00e9par\u00e9es par des disques (sauf entre C1 et C2). Celles-ci forment un canal rachidien qui permet la protection de la moelle \u00e9pini\u00e8re. Entre chaque vert\u00e8bre une racine nerveuse [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":325,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"publishpress_future_action":{"enabled":false,"date":"2026-04-26 21:29:22","action":"change-status","newStatus":"draft","terms":[],"taxonomy":""},"_links":{"self":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/327"}],"collection":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/comments?post=327"}],"version-history":[{"count":18,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/327\/revisions"}],"predecessor-version":[{"id":621,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/327\/revisions\/621"}],"up":[{"embeddable":true,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/325"}],"wp:attachment":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/media?parent=327"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}