{"id":8856,"date":"2024-04-08T15:42:58","date_gmt":"2024-04-08T13:42:58","guid":{"rendered":"http:\/\/www.neurochirurgie-lariboisiere.com\/narrow-lumbar-canal\/"},"modified":"2026-03-23T16:01:47","modified_gmt":"2026-03-23T15:01:47","slug":"narrow-lumbar-canal","status":"publish","type":"page","link":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/spine-surgery\/narrow-lumbar-canal\/","title":{"rendered":"Narrow lumbar canal"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8856\" class=\"elementor elementor-8856 elementor-7373\">\n\t\t\t\t<div class=\"elementor-element elementor-element-649c0255 e-flex e-con-boxed e-con e-parent\" data-id=\"649c0255\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3ecdab7e elementor-widget elementor-widget-shortcode\" data-id=\"3ecdab7e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\r\n    <style>\r\n    .bc-nav { display:flex; 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margin:0 8px; font-size:13px;\">\u203a<\/span><div class=\"bc-dropdown\"><button class=\"bc-dropdown-btn active\" onclick=\"bcToggle('bc-sub')\">Narrow lumbar canal<\/button><div class=\"bc-dropdown-list\" id=\"bc-sub\"><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/spine-surgery\/minimally-invasive-spine-surgery\/\">Minimally invasive spine surgery<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/spine-surgery\/spinal-tumors\/\">Spinal tumors<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/spine-surgery\/herniated-disc\/\">Herniated disc<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/spine-surgery\/narrow-lumbar-canal\/\" class=\"current\">Narrow lumbar canal<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/spine-surgery\/narrow-cervical-canal\/\">Narrow cervical canal<\/a><\/div><\/div><\/nav><\/div>\n\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-166f902a e-flex e-con-boxed e-con e-parent\" data-id=\"166f902a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-6f548e84 e-con-full e-flex e-con e-child\" data-id=\"6f548e84\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2ccc5987 elementor-widget elementor-widget-pix-vertical-tabs\" data-id=\"2ccc5987\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-vertical-tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"\"  ><div class=\"row pix-waiting pix_tabs_container\"><div class=\"col-12 col-md-4 d-inline-block\"><div class=\"sticky-top\" style=\"top:110px;\"><div class=\"nav pix_tabs_btns text-left flex-column nav-pills pix-pills-1\" role=\"tablist\" id=\"v-pills-tab\"  aria-orientation=\"vertical\" ><div class=\"nav-item\"><a class=\"nav-link pix-tabs-btn text-24 pix-px-25 d-flex align-items-center py-2 my-2 active font-weight-bold  secondary-font\" data-id=\"2ccc5987-7f6c346\" role=\"tab\" id=\"pix-tab-btn-2ccc5987-7f6c346\" data-toggle=\"pill\" href=\"#pix-tab-2ccc5987-7f6c346\"  aria-controls=\"pix-tab-2ccc5987-7f6c346\">What is it?<\/a><\/div><div class=\"nav-item\"><a class=\"nav-link pix-tabs-btn text-24 pix-px-25 d-flex align-items-center py-2 my-2  font-weight-bold  secondary-font\" data-id=\"2ccc5987-40dc23d\" role=\"tab\" id=\"pix-tab-btn-2ccc5987-40dc23d\" data-toggle=\"pill\" href=\"#pix-tab-2ccc5987-40dc23d\"  aria-controls=\"pix-tab-2ccc5987-40dc23d\">Symptoms<\/a><\/div><div class=\"nav-item\"><a class=\"nav-link pix-tabs-btn text-24 pix-px-25 d-flex align-items-center py-2 my-2  font-weight-bold  secondary-font\" data-id=\"2ccc5987-4569fe2\" role=\"tab\" id=\"pix-tab-btn-2ccc5987-4569fe2\" data-toggle=\"pill\" href=\"#pix-tab-2ccc5987-4569fe2\"  aria-controls=\"pix-tab-2ccc5987-4569fe2\">Further tests<\/a><\/div><div class=\"nav-item\"><a class=\"nav-link pix-tabs-btn text-24 pix-px-25 d-flex align-items-center py-2 my-2  font-weight-bold  secondary-font\" data-id=\"2ccc5987-49fe413\" role=\"tab\" id=\"pix-tab-btn-2ccc5987-49fe413\" data-toggle=\"pill\" href=\"#pix-tab-2ccc5987-49fe413\"  aria-controls=\"pix-tab-2ccc5987-49fe413\">Traiteent m\u00e9dical<\/a><\/div><\/div><\/div><\/div><div class=\"col-12 col-md-8 d-inline-block\"><div class=\"pix_tabs_content\"><div class=\"tab-content \"><div class=\"tab-pane active fade show \" role=\"tabpanel\" id=\"pix-tab-2ccc5987-7f6c346\" data-bold=\"font-weight-bold\" data-italic=\"\" data-secondary=\"secondary-font\" data-id=\"2ccc5987-7f6c346\" data-icon=\"\" data-title=\"What is it?\" aria-labelledby=\"pix-tab-2ccc5987-7f6c346\"><p><strong>It's a common pathology that most often develops gradually, secondary to vertebral osteoarthritis which narrows the vertebral canal through which the nerves for the lower limbs and sphincters pass.<\/strong><\/p><p>The spinal column, also known as the rachis, is made up of 24 vertebrae stacked one on top of the other. They are connected by three joints: The intervertebral disc, which acts as a shock absorber between the vertebral bodies, and two posterior joints. Each vertebra has a hole in its center. Through this hole, also known as the spinal canal, pass the spinal cord and the nerves that control the sensations and movements of the whole body below the level of the head.<\/p><p><iframe title=\"The simplified spine and the typical vertebra\" src=\"https:\/\/www.youtube.com\/embed\/TvOSAWc1l5o?feature=oembed\" width=\"500\" height=\"450\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/p><p>The size of the lumbar canal can be reduced by arthrosis linked to aging (wear and tear) of the joints. The same phenomenon occurs in the finger joints of the elderly. These tend to enlarge due to osteoarthritis, reducing the size of the spinal canal through which the nerves pass.<\/p><p>Other factors can narrow the canal, such as slipped vertebrae (spondylolisthesis), but this is rarer.<\/p><p>The nerves that transmit the movement commands sent by the brain to the various parts of the body circulate in this canal. The blood vessels supplying the nerves may also be compressed and no longer supply them with blood. Nerves can then become progressively damaged.<\/p><p>If a nerve is compressed, you may limp when walking, feel tired or have a tingling sensation in your legs after walking a certain distance.<\/p><h4>Surgical treatment of narrow lumbar canal<\/h4><p>The standard procedure<strong>(laminectomy<\/strong>) involves opening the vertebral canal by removing the elements that close off the spinal canal at the back: the spinous processes, the vertebral laminae and the yellow ligament that connect them.<\/p><p>Today, we use minimally invasive techniques, which involve making small incisions to re-calibrate the canal from the inside, without opening it completely and without removing the blades, spinous processes and all the ligaments. Only the compressive part is removed:<\/p><ul><li>Laminotomy<\/li><li>Multi-stage windows<\/li><li>Unilateral approach<\/li><li>Trans-spinous approach<\/li><\/ul><p>Our department specializes in these minimally invasive techniques.<\/p><p>Sometimes stability is compromised, for example in the case of spondylolisthesis (stair-step offset between 2 adjacent vertebrae). In such cases, the surgeon may propose arthrodesis (metal fixation).<\/p><\/div><div class=\"tab-pane   show \" role=\"tabpanel\" id=\"pix-tab-2ccc5987-40dc23d\" data-bold=\"font-weight-bold\" data-italic=\"\" data-secondary=\"secondary-font\" data-id=\"2ccc5987-40dc23d\" data-icon=\"\" data-title=\"Symptoms\" aria-labelledby=\"pix-tab-2ccc5987-40dc23d\"><p>These are <strong>pains<\/strong>, most often cramp-like, and a <strong>feeling of fatigue<\/strong> in the lower limbs when walking, sometimes with the impression that they will give out if walking continues. There is often <strong>associated lumbar pain<\/strong>. These cramps occur over <strong>increasingly shorter distances<\/strong>, forcing you to stop before you can resume walking<strong>(intermittent claudication)<\/strong>. To limit these cramps, the patient spontaneously leans forward, thus artificially increasing the diameter of the vertebral canal. This is the \"caddy\" sign. While shopping, the patient spontaneously leans forward on his caddy, relieving pressure by opening the lumbar canal and foramen. Finally, if the narrowing of the canal becomes major, the patient may present neurological disorders (sensory, motor, urinary), but these generally appear gradually and insidiously. Patients with blocked arteries in the lower limbs (inferior limb arteritis) may present similar symptoms, but the patient's examination, history and further tests will help to distinguish the difference. In this case, cramps are most often nocturnal.<\/p><\/div><div class=\"tab-pane   show \" role=\"tabpanel\" id=\"pix-tab-2ccc5987-4569fe2\" data-bold=\"font-weight-bold\" data-italic=\"\" data-secondary=\"secondary-font\" data-id=\"2ccc5987-4569fe2\" data-icon=\"\" data-title=\"Further tests\" aria-labelledby=\"pix-tab-2ccc5987-4569fe2\"><ul><li><strong>Static and dynamic lumbar X-rays<\/strong>: confirm vertebral osteoarthritis and show the stability or instability of the vertebrae in relation to each other.<\/li><li><strong>CT scan <\/strong>: confirms the diagnosis and the number of vertebral levels affected by the disease. CT scans are particularly good at visualizing bone.<\/li><li><strong>Myeloscanner or radiculography<\/strong>: If an MRI is not feasible (e.g. pacemaker), the surgeon may order a radiculography, which involves injecting contrast medium via a lumbar puncture and then performing an X-ray or CT scan. This test is rarely requested, as MRI has almost completely replaced it.<\/li><li><strong>MRI <\/strong>: the<strong>test of choice<\/strong>. It provides all the information from the CT scan, but also shows the direct impact on the nerves, as well as the proportion of shrinkage related to bony structures and soft tissues (thickened ligaments, vertebral discs).<\/li><\/ul><p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-3210 load-finished\" src=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/CLE.jpg\" sizes=\"(max-width: 2344px) 100vw, 2344px\" srcset=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/CLE.jpg 2344w, https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/CLE-300x165.jpg 300w, https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/CLE-768x421.jpg 768w, https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/CLE-1024x562.jpg 1024w\" alt=\"\" width=\"2344\" height=\"1286\"><\/p><h3> <\/h3><\/div><div class=\"tab-pane   show \" role=\"tabpanel\" id=\"pix-tab-2ccc5987-49fe413\" data-bold=\"font-weight-bold\" data-italic=\"\" data-secondary=\"secondary-font\" data-id=\"2ccc5987-49fe413\" data-icon=\"\" data-title=\"Traiteent m\u00e9dical\" aria-labelledby=\"pix-tab-2ccc5987-49fe413\"><p>In the early stages of the disease, when symptoms are fairly discreet and the spinal canal is not very narrow, treatment can be medical. It combines analgesics, rehabilitation and, if necessary, the use of a lumbar belt. Local anti-inflammatory injections can also be used. At a more advanced stage, when the disability becomes major and the spinal canal extremely narrow, the treatment is surgical.<\/p><\/div><\/div><\/div><\/div><\/div><\/div>\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<div class=\"elementor-element elementor-element-386f26e6 e-flex e-con-boxed e-con e-parent\" data-id=\"386f26e6\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-60295336 e-con-full e-flex e-con e-child\" data-id=\"60295336\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-50639f62 e-con-full e-flex e-con e-child\" data-id=\"50639f62\" data-element_type=\"container\" 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800ms;\">s<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 36.363636363636ms;transition-duration: 800ms;\">p<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 45.454545454545ms;transition-duration: 800ms;\">e<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 54.545454545455ms;transition-duration: 800ms;\">c<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 63.636363636364ms;transition-duration: 800ms;\">t<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 72.727272727273ms;transition-duration: 800ms;\">i<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 81.818181818182ms;transition-duration: 800ms;\">v<\/span><span 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Please do not hesitate to contact us if you have any questions.<\/span><\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-259cc78e elementor-widget elementor-widget-pix-button\" data-id=\"259cc78e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a href=\"https:\/\/8f1e-11d1aafe0b85.wptiger.fr\/votre-sejour-parcourspatient\/\" class=\"btn m-0      text-heading-default btn-white d-inline-flex align-items-center pix-hover-item       animate-in btn-md\" data-anim-type=\"fade-in-down\" data-anim-delay=\"300\" target=\"_blank\" rel=\"noopener\"><span class=\"font-weight-bold \" >Your stay<\/span><svg class=\"pixfort-icon font-weight-bold  pix-hover-right  ml-2\" width=\"24\" height=\"24\"  data-name=\"Duotone\/pixfort-icon-arrow-right-circle-2\" viewBox=\"2 2 20 20\"><g fill=\"none\" fill-rule=\"evenodd\"><path fill=\"var(--pf-icon-color)\" fill-opacity=\".25\" d=\"M12,2 C6.4771525,2 2,6.4771525 2,12 C2,17.5228475 6.4771525,22 12,22 C17.5228475,22 22,17.5228475 22,12 C22,6.4771525 17.5228475,2 12,2 Z\"\/><path fill=\"var(--pf-icon-color)\" d=\"M11.2071068,7.29289322 L15.2071068,11.2928932 C15.5976311,11.6834175 15.5976311,12.3165825 15.2071068,12.7071068 L11.2071068,16.7071068 C10.8165825,17.0976311 10.1834175,17.0976311 9.79289322,16.7071068 C9.40236893,16.3165825 9.40236893,15.6834175 9.79289322,15.2928932 L13.085,12 L9.79289322,8.70710678 C9.40236893,8.31658249 9.40236893,7.68341751 9.79289322,7.29289322 C10.1834175,6.90236893 10.8165825,6.90236893 11.2071068,7.29289322 Z\"\/><\/g><\/svg><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-60c408f4 e-con-full e-flex e-con e-child\" data-id=\"60c408f4\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t<div class=\"pix-base-transition elementor-element elementor-element-3cb2fef7 e-con-full bg-dark-blur e-flex e-con e-child\" data-id=\"3cb2fef7\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3bb613df elementor-widget elementor-widget-pix-feature\" data-id=\"3bb613df\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-feature.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a href=\"\/patient\/informations-pratiques\/\" ><div id=\"pix-feature-3bb613df\" class=\"pix-feature-el  text-custom \"><div class=\"pix-feature-icon d-inline-block mw-100 text-white \"   style=\"aspect-ratio:1\/1 !important;position:relative;text-align:center;font-size:1px;line-height:1px;\"><svg class=\"pixfort-icon \" width=\"24\" height=\"24\"  data-name=\"Duotone\/pixfort-icon-information-circle-1\" viewBox=\"2 2 20 20\"><g fill=\"none\" fill-rule=\"evenodd\"><path fill=\"var(--pf-icon-color)\" fill-opacity=\".25\" d=\"M12,2 C6.4771525,2 2,6.4771525 2,12 C2,17.5228475 6.4771525,22 12,22 C17.5228475,22 22,17.5228475 22,12 C22,6.4771525 17.5228475,2 12,2 Z\"\/><path fill=\"var(--pf-icon-color)\" d=\"M12.15,8.475 L11.85,8.475 C11.2977153,8.475 10.85,8.02728475 10.85,7.475 L10.85,7.025 C10.85,6.47271525 11.2977153,6.025 11.85,6.025 L12.15,6.025 C12.7022847,6.025 13.15,6.47271525 13.15,7.025 L13.15,7.475 C13.15,8.02728475 12.7022847,8.475 12.15,8.475 Z M12,18 C12.5522847,18 13,17.5522847 13,17 L13,10.5 C13,9.94771525 12.5522847,9.5 12,9.5 C11.4477153,9.5 11,9.94771525 11,10.5 L11,17 C11,17.5522847 11.4477153,18 12,18 Z\"\/><\/g><\/svg><\/div><h5 class=\"pix-feature-title  font-weight-bold   text-white \" style=\"padding-top:20px;\"  >Practical Information<\/h5><div class=\"pix-feature-content text-body-default      \" style=\"\"  ><\/div><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"pix-base-transition elementor-element elementor-element-13ecc6f9 e-con-full bg-dark-blur e-flex e-con e-child\" data-id=\"13ecc6f9\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-44975d28 elementor-widget elementor-widget-pix-feature\" data-id=\"44975d28\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-feature.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a href=\"\/prendre-un-rdv\/\" ><div id=\"pix-feature-44975d28\" class=\"pix-feature-el  text-custom \"><div class=\"pix-feature-icon d-inline-block mw-100 text-white \"   style=\"aspect-ratio:1\/1 !important;position:relative;text-align:center;font-size:1px;line-height:1px;\"><svg class=\"pixfort-icon \" width=\"24\" height=\"24\"  data-name=\"Duotone\/pixfort-icon-calendar-3\" viewBox=\"2 2 20 20\"><g fill=\"none\" fill-rule=\"evenodd\"><path fill=\"var(--pf-icon-color)\" fill-opacity=\".25\" d=\"M2,10 L2,18.7857143 C2,20.5609153 3.34314575,22 5,22 L19,22 C20.6568542,22 22,20.5609153 22,18.7857143 L22,10 L2,10 Z\"\/><path fill=\"var(--pf-icon-color)\" d=\"M14,17 C14.5522847,17 15,17.4477153 15,18 C15,18.5522847 14.5522847,19 14,19 L7,19 C6.44771525,19 6,18.5522847 6,18 C6,17.4477153 6.44771525,17 7,17 L14,17 Z M17,13 C17.5522847,13 18,13.4477153 18,14 C18,14.5522847 17.5522847,15 17,15 L7,15 C6.44771525,15 6,14.5522847 6,14 C6,13.4477153 6.44771525,13 7,13 L17,13 Z M19,4 C20.6568542,4 22,5.34314575 22,7 L22,9 L2,9 L2,7 C2,5.34314575 3.34314575,4 5,4 L6,4 L6,6 C6,6.49091978 6.17687516,6.94052815 6.47037492,7.28857455 L6.58578644,7.41421356 C6.94771525,7.77614237 7.44771525,8 8,8 C8.55228475,8 9.05228475,7.77614237 9.41421356,7.41421356 C9.77614237,7.05228475 10,6.55228475 10,6 L10,4 L14,4 L14,6 C14,6.49091978 14.1768752,6.94052815 14.4703749,7.28857455 L14.5857864,7.41421356 C14.9477153,7.77614237 15.4477153,8 16,8 C16.5522847,8 17.0522847,7.77614237 17.4142136,7.41421356 C17.7761424,7.05228475 18,6.55228475 18,6 L18,4 L19,4 Z M8,2 C8.55228475,2 9,2.44771525 9,3 L9,6 C9,6.55228475 8.55228475,7 8,7 C7.44771525,7 7,6.55228475 7,6 L7,3 C7,2.44771525 7.44771525,2 8,2 Z M16,2 C16.5522847,2 17,2.44771525 17,3 L17,6 C17,6.55228475 16.5522847,7 16,7 C15.4477153,7 15,6.55228475 15,6 L15,3 C15,2.44771525 15.4477153,2 16,2 Z\"\/><\/g><\/svg><\/div><h5 class=\"pix-feature-title  font-weight-bold   text-white \" style=\"padding-top:20px;\"  >Make an appointment<\/h5><div class=\"pix-feature-content text-body-default      \" style=\"\"  ><\/div><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"pix-base-transition elementor-element elementor-element-528e2a4a e-con-full bg-dark-blur e-flex e-con e-child\" data-id=\"528e2a4a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-450bd861 elementor-widget elementor-widget-pix-feature\" data-id=\"450bd861\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-feature.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a href=\"\/le-service\/\" ><div id=\"pix-feature-450bd861\" class=\"pix-feature-el  text-custom \"><div class=\"pix-feature-icon d-inline-block mw-100 text-white \"   style=\"aspect-ratio:1\/1 !important;position:relative;text-align:center;font-size:1px;line-height:1px;\"><svg class=\"pixfort-icon \" width=\"24\" height=\"24\"  data-name=\"Duotone\/pixfort-icon-users-2\" viewBox=\"2 2 20 20\"><g fill=\"none\" fill-rule=\"evenodd\"><path fill=\"var(--pf-icon-color)\" fill-opacity=\".25\" d=\"M8.5,3 C10.9852814,3 13,5.01471863 13,7.5 C13,9.98528137 10.9852814,12 8.5,12 C6.01471863,12 4,9.98528137 4,7.5 C4,5.01471863 6.01471863,3 8.5,3 Z M15.5,3 C17.9852814,3 20,5.01471863 20,7.5 C20,9.98528137 17.9852814,12 15.5,12 C14.4476244,12 13.4796227,11.6387526 12.7132352,11.0334979 C13.5168958,10.078042 14,8.84543853 14,7.5 C14,6.15456147 13.5168958,4.92195798 12.7146919,3.96619398 C13.4796227,3.36124744 14.4476244,3 15.5,3 Z\"\/><path fill=\"var(--pf-icon-color)\" d=\"M8.4,13 C5.798822,13 3.75396103,14.1726441 2.37901154,16.444405 C2.09548025,16.9101552 1.94454731,17.4473717 1.94370085,17.9953861 C1.9411563,19.6522375 3.28223338,20.9974471 4.9390849,21 L11.859375,21 C12.4084564,20.9991532 12.9453208,20.8484782 13.4133368,20.5642998 C14.8296962,19.7042892 15.2805792,17.8588724 14.4200494,16.4428566 C13.046039,14.1726441 11.001178,13 8.4,13 Z M15.4,13 C18.001178,13 20.046039,14.1726441 21.4200494,16.4428566 C22.2805792,17.8588724 21.8296962,19.7042892 20.4133368,20.5642998 C19.9453208,20.8484782 19.4084564,20.9991532 18.859375,21 L14.8368013,21.0013558 C16.2550737,19.8357918 16.6377146,17.7748139 15.656601,16.1603756 C14.946022,14.9863196 14.0919073,14.0471004 13.1043953,13.3493638 C13.8104463,13.117273 14.5774052,13 15.4,13 Z\"\/><\/g><\/svg><\/div><h6 class=\"pix-feature-title  font-weight-bold   text-white \" style=\"padding-top:20px;\"  >Service<\/h6><div class=\"pix-feature-content text-body-default      \" style=\"\"  ><\/div><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\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>What is it?SymptomsFurther testsTraiteent m\u00e9dical It&#8217;s a common pathology that most often develops gradually, secondary to vertebral osteoarthritis which narrows the vertebral canal through which the nerves for the lower limbs and sphincters pass. The spinal column, also known as&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":8895,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-8856","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/8856","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/comments?post=8856"}],"version-history":[{"count":7,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/8856\/revisions"}],"predecessor-version":[{"id":662003,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/8856\/revisions\/662003"}],"up":[{"embeddable":true,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/8895"}],"wp:attachment":[{"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/media?parent=8856"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}