Patient Pathway
From your first consultation to rehabilitation, we support you at every step.
Step-by-step pathway
Initial Consultation
Dr Dimitriu sees you at Clinique de l'Yvette. Bring your imaging (MRI, CT scan, X-rays) with CDs/DVDs, medical reports, and current medication list. The doctor performs a thorough clinical examination, analyzes your images, and clearly explains the diagnosis.
What to bring: Health insurance card, complementary insurance card, referral letter from your GP, recent imaging (MRI, CT, X-rays), previous consultation reports, medication list.
Additional Investigations
If necessary, Dr Dimitriu may request additional imaging (MRI, CT scan, dynamic X-rays, EMG) to refine the diagnosis. Diagnostic or therapeutic injections may also be proposed.
Shared Treatment Decision
Treatment is always discussed with you. Dr Dimitriu favors conservative treatment first (medication, physiotherapy, injections). Surgery is only proposed when medical treatment has failed or in case of neurological emergency.
Information: A detailed SFCR information sheet will be provided before any procedure. You will have sufficient time for reflection.
Anesthesia Consultation
The pre-anesthesia consultation is mandatory and must take place at least 48 hours before the procedure. The anesthesiologist assesses your general health, discusses anesthesia type, and informs you of risks.
Surgery
The procedure is performed at Clinique de l'Yvette by Dr Dimitriu. Hospital stay varies: from a few hours (outpatient surgery for disc herniation) to several days for more complex procedures.
Follow-up & Rehabilitation
Regular follow-up appointments are scheduled (1 month, 3 months, 6 months). Rehabilitation is tailored to each condition and patient. Dr Dimitriu remains available for any questions or concerns.
⚠️ Neurological Emergency
In case of neurological deficit (limb paralysis, foot drop, sphincter dysfunction, cauda equina syndrome), you must go to the nearest emergency department immediately. These situations require emergency surgical management. Do not wait for a consultation appointment.
Patient Information Sheets — SFCR
Before any procedure, an information sheet is provided. These sheets are published by the French Society of Spinal Surgery (SFCR) and validated by the scientific community.
Source: sfcr.fr — French Society of Spinal Surgery