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Operating techniques
About the treatment
Lumbar disc prosthesis
Procedure
Lumbar disc prosthesis is an alternative to spinal fusion for treating pain associated with a worn or degenerative lumbar disc. It involves removing the affected disc and replacing it with a mobile prosthesis that maintains the mobility of the lumbar spine while eliminating pain.
The procedure is performed under general anesthesia, via an anterior incision in the lower abdomen. It requires specific preparation and is performed by a surgical team experienced in this technique.
Steps and Benefits
- Preservation of lumbar mobility thanks to a prosthesis that reproduces natural movement.
- Relieves lower back and sciatic pain through effective decompression.
- No bone fusion: avoids vertebral blockage and allows natural movement.
- Reduced stress on adjacent discs, limiting secondary degeneration.
- Quick return to daily and professional activities.
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Hospitalisation
Lumbar prosthetic surgery: short hospital stay (1 to 2 nights).
Mobilization the next day with the help of the nursing team.
Back home
Discharge within 48 hours depending on progress.
Accompanied return (car or VSL). Lumbar belt prescribed if necessary.
Post-operative care
Monitoring of lower back pain, analgesics as required.
Simple scar care, no complex stapling.
Back to school or back to work
Gradual resumption between 2 and 6 weeks, depending on the type of activity.
Rehabilitation / Physiotherapy
Start: 2 to 4 weeks after surgery.
Duration: 1 to 3 months.
Pace: 2 to 3 sessions/week, daily exercises recommended.
Objective: lumbar mobility, muscle tone, posture.
Wear lumbar belt as indicated.
Neurological complications: Less than 5%.
There is a risk of nerve damage, resulting in neuropathic pain, muscle weakness or, very rarely, partial paralysis. This is due to the proximity of the nerve structures manipulated during the procedure.
Infection: Less than 1%
Une infection post-opératoire est rare (<1 %), elle peut concerner la cicatrice ou le site opératoire profond. En cas d’infection, un traitement antibiotique est instauré, parfois avec réintervention pour nettoyage ou remplacement de la prothèse.
Hemorrhagic complications
Bleeding may occur during or after the procedure. Significant hemorrhage requiring transfusion is rare. A compressive hematoma may lead to pain or neurological disorders, which may require reoperation.
Migration or wear of the prosthesis
The prosthesis may shift or wear over time, leading to pain or loss of mobility. Re-operation may be required to reposition or replace the implant.
Persistence or Recurrence of Symptoms
Some pain may persist despite surgery, or reappear over time. Regular follow-up allows us to adapt the treatment and consider other options if necessary.
FAQ
Answers for our patients
If you have any further questions, please do not hesitate to contact us.
How can I make an appointment?
You can book an appointment directly on our website or by telephone on 04 72 43 03 43 (choice 1).
How long does it take to get an appointment?
Appointments take around 1 to 2 months. In an emergency, your GP can contact us directly by email.
How does the first consultation work?
At your first consultation, you will complete an iPad questionnaire in the waiting room so the doctor has your information in advance. The consultation will then determine whether surgical or non-surgical treatment is needed.
What documents should I bring to my visit?
Please bring your carte vitale, your GP's referral letter, and any radiological examinations already carried out.
