La hernie discale cervicale
Transcription
La hernie discale cervicale
+(51,(',6&$/(&(59,&$/( ,1752'8&7,21 /LpHjXQHILVVXUDWLRQGHO¶DQQXOXVILEURVXVDYHFPLJUDWLRQG¶XQHSDUWLHGX QXFOHXVSXOSRVXVYHUVOHFDQDOUDFKLGLHQ/HVKHUQLHVSRVWpURODWpUDOHVVRQW jO¶RULJLQHGHFHUYLFREUDFKLDOJLHVOHVKHUQLHVPpGLDQHVSOXVUDUHV SURYRTXHQWXQHFRPSUHVVLRQPpGXOODLUH 1(95$/*,(6&(59,&2%5$&+,$/( $VVRFLDWLRQG¶XQHFHUYLFDOJLHHWG¶XQHUDGLFXODOJLHDXQLYHDXGXPHPEUH VXSpULHXU/DKHUQLHGLVFDOHPROOHHWODGLVFRXQFDUWKURVHGRPLQHQWOHFDGUH pWLRORJLTXH/¶DWWHLQWHGLVFDOHFRQFHUQHVXUWRXWOHVQLYHDX[&&HW&&$ FKDTXHUDFLQHFRUHVSRQGXQP\RWRPHXQGHUPDWRPHHWXQDUFUpIOH[H /HWURXGHFRQMXJDLVRQFHUYLFDOHVWOLPLWpHQDYDQWHWHQGHGDQVSDU O¶DUWLFXODWLRQXQFRYHUWpEUDOHTXLHPSrFKHODPLJUDWLRQH[WHUQHGXGLVTXH LQWHUGLVDQWODIRUPDWLRQG¶XQHKHUQLHGLVFDOHH[WUDIRUDPLQDOH )RUPHFOLQLTXHW\SH &HUYLFREUDFKLDOJLHPRQRUDGLFXODLUHGHGpEXWEUXWDORXUDSLGHPHQWSURJUHVVLI FKH]XQKRPPHGHPRLQVGHDQVGDQVGHVFDV8QIDFWHXU WUDXPDWLTXHRXXQIDFWHXUGpFOHQFKDQWQ¶HVWUHWURXYpHTXHGDQVGHV FDV,OV¶\DVVRFLHXQHGRXOHXUSURMHWpHLQWHUVFDSXORYHUWpEUDOHRXSHFWRUDOH KRPRODWpUDOHOLpHjODPLVHHQWHQVLRQGXOLJDPHQWYHUWpEUDOFRPPXQ SRVWpULHXU /HVGRXOHXUVVRQWLQWHQVHVDJJUDYpHVSDUOHGpFXELWXV&HFDUDFWqUH SRVLWLRQQHOSHXWrWUHLPSXWpjODVWDVHYHLQHXVHORFDOLVpHDX[SOH[XVLQWUD UDFKLGLHQVORUVGXGpFXELWXVDYHFDFFHQWXDWLRQQRFWXUQHGHVGRXOHXUV/HV GRXOHXUVVRQWVRXYHQWFDOPpHVSDUO¶H[WHQVLRQFHUYLFDOHPDLQGHUULqUHOD QXTXHEUDVHQpFKDUSH/¶LPSXOVLYLWpHVWLQFRQVWDQWH /¶H[DPHQUHFKHUFKHGpILFLWPRWHXUDP\RWURSKLHGpILFLWVHQVLWLIVRXYHQW GLVFUHWHWGLVWDODUpIOH[LHRVWpRWHQGLQHXVH/HVPDQ°XYUHVGHSURYRFDWLRQ VRQWG¶LQWpUrWLQpJDO PDQRHXYUHGHFUXFLIL[LRQFRQWUDULpHV¶RSSRVHUj O¶DEGXFWLRQDFWLYHGHVEUDVODPDQ°XYUHGH%LNLODVHVWUpDOLVpHSDUOD UpWURSXOVLRQHWODURWDWLRQH[WHUQHGXEUDVWrWHWRXUQpHGXF{WpVDLQ )RUPHFOLQLTXHSDUWLFXOLqUH ODKHUQLHGXUH 6XMHWVGHSOXVGHDQVDYHFGpEXWFOLQLTXHSURJUHVVLIHWpYROXWLRQIOXFWXDQWH GDQVOHWHPSV'RXOHXUVHWG\VHVWKpVLHVPDOV\VWpPDWLVpHVjSUpGRPLQDQFH GLVWDOHHWSOXULUDGLFXODLUH3OXW{WFDOPpHVSDUSRVLWLRQEUDVOHORQJGXFRUSV &2035(66,210('8//$,5(3$5+(51,(02//( 7pWUDSDUpVLHUDSLGH2ULJLQHWUDXPDWLTXHQ¶HVWUHWURXYpHTXHGDQVGHV FDV&HUYLFREUDFKLDOJLHHWWURXEOHVVSKLQFWpULHQVUDUHV/HGpILFLWPRWHXUHVW DXGHYDQWGHODVFqQHSUpGRPLQDQWjO¶H[WUpPLWpGHVPHPEUHV/HVWURXEOHV VHQVLWLIVSUpVHQWVVLFDQDOFHUYLFDOpWURLWDVVRFLp /¶H[DPHQGHUpIpUHQFHHVWO¶,50 /HWUDLWHPHQWFKLUXUJLFDOHVWXUJHQW ',$*1267,&',))(5(17,(/ 1&%VHFRQGDLUHV jGHVFDV &DXVHVLQWUDFDQDODLUHV WXPHXUVLQWUDPpGXOODLUHVV\ULQJRP\pOLH UDUHPHQW WXPHXUVH[WUDPpGXOODLUHVLQWUDGXUDOHVPpQLQJLRPHV QHXULQRPHVVRQWjO¶RULJLQHGHGRXOHXUVLQWHQVHVQRFWXUQHVVDQVSRVLWLRQ DQWDOJLTXH/HVWXPHXUVH[WUDGXUDOHVQHXULQRPHVPpQLQJLRPHVHWDXVVL pSLGXULWHVQpRSODVLTXHVHWO\PSKRPDWHXVHV &DXVHVYHUWpEUDOHV WXPHXUVUDFKLGLHQQHVPpWDVWDVHVWXPHXUV RVVHXVHVSULPLWLYHVP\pORPHVO\PSKRPHVVSRQG\ORGLVFLWHVDYHF SUpGRPLQDQFHGXV\QGURPHUDFKLGLHQDYHFV\QGURPHPpGXOODLUH8QH1&% SHXWVXUYHQLUDXGpFRXUVG¶XQWUDXPDWLVPHUDFKLGLHQHWGRLWIDLUHUHFKHUFKHU XQHOX[DWLRQRXIUDFWXUHDUWLFXODLUH'HVUKXPDWLVPHVLQIODPPDWRLUHV H[FHSWLRQQHOV 5DGLFXOLWHV =RQDUDGLFXOLWHj9,+PDODGLHGH/\PH /pVLRQVQHXURORJLTXHVjH[SUHVVLRQSVHXGRUDGLFXODLUH &DXVHVSOH[XHOOHV V\QGURPHGH3DQFRDVW7RELDVV\QGURPHGH&ODXGH%HUQDUG +RUQHUDYHF1&%&SDUWXPHXUGHO¶DSH[SXOPRQDLUH SOH[LWHUDGLTXH V\QGURPHGXGpILOpWKRUDFREUDFKLDO 1&%&DJJUDYpHVSDU WUDFWLRQFHUYLFDOHWURXEOHVYDVRPRWHXUV V\QGURPHGH3DUVRQDJHHW7XUQHU DSUqVGRXOHXUVVFDSXODLUHVj LUUDGLDWLRQ&V¶LQVWDOOHXQHDP\RWURSKLHGHO¶pSDXOH &DXVHVWURQFXODLUHV V\QGURPHGXFDQDOFDUSLHQSRXUOHPpGLDQ(0* V\QGURPHGXFDQDOGH*X\RQSRXUOHFXELWDO(0* &DXVHVGHSVHXGRUDGLFXODOJLHVQRQQHXURORJLTXHV 36+pSLFRQG\OLWH (;$0(16&203/(0(17$,5(6 ([DPHQVUDGLRORJLTXHV 5[VWDQGDUGV 7'0GXUDFKLVFHUYLFDODYHFLQMHFWLRQ 0\pORJUDSKLHHWP\pORVFDQQHU ,50 (0* 6LGLVVRFLDWLRQUDGLRFOLQLTXHRXVLDWWHLQWHSOH[XHOOHRXWURQFXODLUH ([DPHQVELRORJLTXHV 75$,7(0(17 7UDLWHPHQWPpGLFDO 5HSRVDQWDOJLTXHV$,16P\RUHOD[DQWVPLQHUYH &RUWLFRWKpUDSLHWUDFWLRQGRXFHFHUYLFDOHLQILOWUDWLRQV 7UDLWHPHQWSHUFXWDQp &KLPLRQXFOpRO\VH 1XFOpRWRPLH 7UDLWHPHQWFKLUXUJLFDO 'LVFHFWRPLHSDUYRLHDQWpURODWpUDOHDUWKURGqVHDOpDWRLUHDYHF DYDQWDJHWKpRULTXHG¶pODUJLUOHIRUDPHQpYLWHUODF\SKRVHUDGLRORJLTXH %RQVUpVXOWDWVGDQVjGHVFDV 'pFRPSUHVVLRQSDUYRLHSRVWpULHXUH UpVHFWLRQGHODSDUWLHLQWHUQHGX PDVVLIDUWLFXODLUHSRXUFRQWU{OHUODUDFLQH,QVWDELOLWpVLUpVHFWLRQpWHQGXHRXj SOXVLHXUVQLYHDX[
Documents pareils
Les névralgies sciatiques
(Q FDV GH SHUVLVWDQFH GH OD VFLDWLTXH PDOJUp XQ WUDLWHPHQW PpGLFDO ELHQ
FRQGXLWXQWUDLWHPHQWFKLUXUJLFDOHVWLQGLTXp