{"id":8858,"date":"2024-04-08T15:45:01","date_gmt":"2024-04-08T13:45:01","guid":{"rendered":"http:\/\/www.neurochirurgie-lariboisiere.com\/narrow-cervical-canal\/"},"modified":"2026-03-23T16:07:37","modified_gmt":"2026-03-23T15:07:37","slug":"narrow-cervical-canal","status":"publish","type":"page","link":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/spine-surgery\/narrow-cervical-canal\/","title":{"rendered":"Narrow cervical canal"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8858\" class=\"elementor elementor-8858 elementor-7378\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7ea46c7f e-flex e-con-boxed e-con e-parent\" data-id=\"7ea46c7f\" 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-4854392e elementor-widget elementor-widget-shortcode\" data-id=\"4854392e\" 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 cervical 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\/\">Narrow lumbar canal<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/spine-surgery\/narrow-cervical-canal\/\" class=\"current\">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-3ca7f83f e-flex e-con-boxed e-con e-parent\" data-id=\"3ca7f83f\" 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-28674124 e-con-full e-flex e-con e-child\" data-id=\"28674124\" 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-5672cfc3 elementor-widget elementor-widget-pix-vertical-tabs\" data-id=\"5672cfc3\" 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=\"5672cfc3-7f6c346\" role=\"tab\" id=\"pix-tab-btn-5672cfc3-7f6c346\" data-toggle=\"pill\" href=\"#pix-tab-5672cfc3-7f6c346\"  aria-controls=\"pix-tab-5672cfc3-7f6c346\">Causes<\/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=\"5672cfc3-40dc23d\" role=\"tab\" id=\"pix-tab-btn-5672cfc3-40dc23d\" data-toggle=\"pill\" href=\"#pix-tab-5672cfc3-40dc23d\"  aria-controls=\"pix-tab-5672cfc3-40dc23d\">How does it manifest itself?<\/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=\"5672cfc3-4569fe2\" role=\"tab\" id=\"pix-tab-btn-5672cfc3-4569fe2\" data-toggle=\"pill\" href=\"#pix-tab-5672cfc3-4569fe2\"  aria-controls=\"pix-tab-5672cfc3-4569fe2\">What tests should be performed?<\/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=\"5672cfc3-49fe413\" role=\"tab\" id=\"pix-tab-btn-5672cfc3-49fe413\" data-toggle=\"pill\" href=\"#pix-tab-5672cfc3-49fe413\"  aria-controls=\"pix-tab-5672cfc3-49fe413\">Surgical procedure<\/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-5672cfc3-7f6c346\" data-bold=\"font-weight-bold\" data-italic=\"\" data-secondary=\"secondary-font\" data-id=\"5672cfc3-7f6c346\" data-icon=\"\" data-title=\"Causes\" aria-labelledby=\"pix-tab-5672cfc3-7f6c346\"><p>When the spinal canal is narrowed in the cervical region (neck), the spinal cord and the nerves emerging from it can become compressed.<\/p><h4>Causes<\/h4><p>The most common cause is osteoarthritis. Osteoarthritis is a well-known phenomenon that deforms joints over time, as can be seen in elderly people's hand joints, for example. The same phenomenon in the joints of the cervical spine can lead to compression of the spinal cord and nerves passing between these joints. Other causes are possible: a constitutional cause, i.e. linked to the development of the spinal column, or a tumoral cause in the case of tumors located in the cervical vertebrae.<\/p><h4>What happens after the operation?<\/h4><p>After the operation, the patient is taken to the recovery room to be monitored before returning to the room, usually two to four hours later.<\/p><p>You can get up for the first time on the day of the operation or the following morning. The physiotherapist is on hand in the days following the operation to help the patient resume activity and give advice on what to do next.<\/p><p>Pain is generally very moderate, but painkillers are given both as a preventive measure and in case of pain.<\/p><p>Post-operatively, the drain, when present, is retained for 24 to 48 hours.<\/p><p>This surgical procedure requires hospitalization for a few days and temporary immobilization with a foam cervical collar.<\/p><p>Very often, the skin is closed using an intradermal overjet, which is absorbable (the threads are under the skin). There are no wires to remove.<\/p><p><strong>Driving must be suspended during the convalescence period until the follow-up consultation, which generally takes place 4 to 6 weeks after the operation.  <\/strong><\/p><\/div><div class=\"tab-pane   show \" role=\"tabpanel\" id=\"pix-tab-5672cfc3-40dc23d\" data-bold=\"font-weight-bold\" data-italic=\"\" data-secondary=\"secondary-font\" data-id=\"5672cfc3-40dc23d\" data-icon=\"\" data-title=\"How does it manifest itself?\" aria-labelledby=\"pix-tab-5672cfc3-40dc23d\"><p>This pathology causes compression of the spinal cord and the nerves that exit the spinal column between the vertebrae (spinal nerves), in the direction of the arms. This can lead to pain in the arms, tingling sensations, weakness in the arms and hands, problems with balance and walking due to compression of the spinal cord, or problems with urinary and faecal continence.<\/p><\/div><div class=\"tab-pane   show \" role=\"tabpanel\" id=\"pix-tab-5672cfc3-4569fe2\" data-bold=\"font-weight-bold\" data-italic=\"\" data-secondary=\"secondary-font\" data-id=\"5672cfc3-4569fe2\" data-icon=\"\" data-title=\"What tests should be performed?\" aria-labelledby=\"pix-tab-5672cfc3-4569fe2\"><p>The radiological workup consists of a CT scan and MRI of the cervical spine.<\/p><div id=\"attachment_3688\" class=\"wp-caption load-finished alignleft\"><p><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-3688\" src=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/Capture-d%E2%80%99%C3%A9cran-2020-04-30-%C3%A0-01.02.03.png\" sizes=\"(max-width: 421px) 100vw, 421px\" srcset=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/Capture-d\u2019\u00e9cran-2020-04-30-\u00e0-01.02.03.png 574w, https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/Capture-d\u2019\u00e9cran-2020-04-30-\u00e0-01.02.03-228x300.png 228w\" alt=\"\" width=\"421\" height=\"553\" aria-describedby=\"caption-attachment-3688\"><\/p><p id=\"caption-attachment-3688\" class=\"wp-caption-text\">C3-C4 and C4-C5 cervico-arthrosic myelopathy leading to spinal cord compression and suffering.<\/p><\/div><p><img decoding=\"async\" class=\"wp-image-3691 alignleft load-finished\" src=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/Image-my%C3%A9lopathie-cervico-arthrosique-.png\" alt=\"\" width=\"310\" height=\"563\"><\/p><p>The surgeon will sometimes ask for a dynamic MRI in flexion and extension to see if compression is accentuated in certain positions.<\/p><p>An electromyogram can also be performed to assess nerve conduction in the nerves of the upper limbs.<\/p><p><a id=\"ait-sc-button-1\" class=\"ait-sc-button aligncenter buticon-left simple\" href=\"https:\/\/www.ffn-neurologie.fr\/grand-public\/explorations-neurologiques\/electromyogramme\" target=\"_blank\" rel=\"noopener\"> <span class=\"container\"> <span class=\"wrap\"> <span class=\"text\"> <span class=\"title\">  More information on EMG electromyography  <\/span> <\/span> <\/span> <\/span> <\/a><\/p><p>In cases of suspected spinal cord compression, somaesthetic and motor evoked potentials are also performed to measure the speed of conduction of information in the spinal cord from the brain to the limbs (motor evoked potentials) and from the limbs to the brain (somaesthetic evoked potentials).<\/p><p><a id=\"ait-sc-button-2\" class=\"ait-sc-button aligncenter buticon-left simple\" href=\"https:\/\/www.ffn-neurologie.fr\/grand-public\/explorations-neurologiques\/potentiels-%C3%A9voqu%C3%A9s\" target=\"_blank\" rel=\"noopener\"> <span class=\"container\"> <span class=\"wrap\"> <span class=\"text\"> <span class=\"title\">  More information on evoked potentials  <\/span> <\/span> <\/span> <\/span> <\/a><\/p><p>X-rays of the shoulder are sometimes performed, as osteoarthritis of the shoulder can give rise to similar symptoms in the arms.<\/p><\/div><div class=\"tab-pane   show \" role=\"tabpanel\" id=\"pix-tab-5672cfc3-49fe413\" data-bold=\"font-weight-bold\" data-italic=\"\" data-secondary=\"secondary-font\" data-id=\"5672cfc3-49fe413\" data-icon=\"\" data-title=\"Surgical procedure\" aria-labelledby=\"pix-tab-5672cfc3-49fe413\"><p>Following radiological and electrophysiological assessment, surgical treatment may be proposed to decompress the cervical spinal cord and\/or nerves. Surgery is sometimes urgently required in cases of rapid neurological deterioration, as neurological recovery in cases of severe spinal cord injury is uncertain. The main purpose of surgery is to prevent further worsening, but it cannot lead to systematic recovery. The procedure is performed under general anaesthetic, and most often requires a urinary catheter to be inserted once the patient is asleep, which is usually removed the day after the operation. There are several possible surgical modalities, depending on the type of involvement on CT and MRI scans.<\/p><ul><li><strong>Objective: <\/strong>the aim is to decompress the spinal cord and nerves while ensuring spinal stability.<\/li><\/ul><ul><li><strong>Surgical <\/strong>approach Depending on the type, location and extent of spinal cord compression, an <strong>anterior<\/strong> approach, on the front of the neck, or a <strong>posterior approach,<\/strong> on the back of the neck, may be proposed. To increase the safety of the procedure, this neurological release can be performed under neurophysiological control of the spinal cord. Electrodes are placed on the skull and limbs, and a computer continuously monitors the passage of weak electrical impulses through the spinal cord.<\/li><\/ul><ul><li><strong>Vertebral fusion or \"arthrodesis\": <\/strong>Vertebral fusion is most often proposed in cases of anterior decompression. This involves fusing the two vertebrae together, after removing the intervertebral disc. Removal of the intervertebral disc is then necessary to decompress the spinal cord and nerves. The impact on mobility is usually very slight, as the spine is often already very stiff due to osteoarthritis, reducing neck flexibility.<\/li><\/ul><ul><li><strong>Disc prosthesis:<\/strong> In certain special cases, a disc prosthesis can be used instead of fused vertebrae to maintain some mobility<strong>.<\/strong><\/li><\/ul><p>A drain is sometimes inserted at the end of the procedure to prevent the formation of a postoperative cervical hematoma.<\/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-5023346b e-flex e-con-boxed e-con e-parent\" data-id=\"5023346b\" 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-4edd0c1e e-con-full e-flex e-con e-child\" data-id=\"4edd0c1e\" 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data-widget_type=\"pix-text.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pix-el-text w-100 text-center \" ><div class=\"d-inline-block\" style=\"max-width:500px;\"><p class=\" resp-option text-light-opacity-7 text-center \" ><span class=\"text-light-opacity-7 animate-in d-inline-block\" data-anim-delay=\"150\" data-anim-type=\"fade-in-down\">Your stay is our priority, and we have established a patient pathway program for your surgical schedule, admission\n and intervention, through to your discharge. 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-73e1748e elementor-widget elementor-widget-pix-button\" data-id=\"73e1748e\" 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-f3f94e7 e-con-full e-flex e-con e-child\" data-id=\"f3f94e7\" 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-468978b2 e-con-full bg-dark-blur e-flex e-con e-child\" data-id=\"468978b2\" 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-69396470 elementor-widget elementor-widget-pix-feature\" data-id=\"69396470\" 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-69396470\" 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-47747bea e-con-full bg-dark-blur e-flex e-con e-child\" data-id=\"47747bea\" 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-1d8e38bf elementor-widget elementor-widget-pix-feature\" data-id=\"1d8e38bf\" 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-1d8e38bf\" 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-2806ee8 e-con-full bg-dark-blur e-flex e-con e-child\" data-id=\"2806ee8\" 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-13c19b07 elementor-widget elementor-widget-pix-feature\" data-id=\"13c19b07\" 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-13c19b07\" 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>CausesHow does it manifest itself?What tests should be performed?Surgical procedure When the spinal canal is narrowed in the cervical region (neck), the spinal cord and the nerves emerging from it can become compressed. Causes The most common cause is osteoarthritis&#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-8858","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/8858","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=8858"}],"version-history":[{"count":3,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/8858\/revisions"}],"predecessor-version":[{"id":662004,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/8858\/revisions\/662004"}],"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=8858"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}