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Deux parcours, une décision : Choisissez la clarté et l’efficacité Introduction : comprendre l’enjeu derrière l’attente Vivre avec une pathologie vertébrale invalidante, c’est jongler au quotidien avec la douleur, la fatigue et l’incertitude. Si vous lisez ces lignes, vous avez sans doute déjà constaté que la route vers une intervention chirurgicale au Québec ressemble plus à un marathon administratif qu’à un véritable parcours de soins.
En clair, vous devez composer avec des listes d’attente interminables, des appels restés sans réponse et un manque flagrant de visibilité sur les délais réels. Cette accumulation d’obstacles engendre stress, anxiété et parfois même la détérioration de votre état clinique . Chez SOS Tourisme Médical, nous pensons que votre rétablissement ne devrait pas dépendre d’un numéro sur une file d’attente. Nous avons conçu un parcours patient fluide, transparent et personnalisé qui replace vos besoins au premier plan.
Dans cette page, nous analysons point par point les différences majeures entre :
Le parcours classique dans le système public québécois (“le labyrinthe d’attentes”).
Notre parcours accéléré et sur‑mesure en France (“la voie directe vers la guérison”).
Vous découvrirez :
Des explications détaillées, étape après étape.
Deux tableaux comparatifs pour visualiser d’un coup d’œil les écarts de temps, de coûts et de qualité d’accompagnement.
Des listes pratiques pour savoir quoi faire, quand et avec qui.
1. Le parcours patient typique au Québec : un labyrinthe d’attentes 1.1 Comment fonctionne réellement la chaîne publique ? Le système de santé québécois est reconnu pour sa couverture universelle, mais lorsqu’il s’agit de chirurgie élective du rachis, la réalité se résume souvent à : attendre, attendre… et encore attendre . Voici les grandes étapes :
Référence médicale : Votre médecin de famille rédige une demande de consultation spécialisée.
Trajet vers la clinique spécialisée : Votre dossier est trié par un centre de répartition (CRDS) avant d’être envoyé à un neurochirurgien ou un orthopédiste.
File d’attente pour la première consultation : 2 à 3 mois en moyenne, mais jusqu’à 9 mois dans certaines régions.
Examens complémentaires : Nouvelle IRM, tomodensitométrie ou électromyogramme — chaque rendez‑vous ajoute des semaines supplémentaires.
Début de la liste d’attente chirurgicale : une fois le diagnostic confirmé, vous recevez un « score de priorité » (P1 à P4). Les patients P3/P4 peuvent attendre plus de 12 mois .
Notification tardive : la date d’opération est souvent communiquée 48 heures à l’avance .
Suivi post‑opératoire minimaliste : Premier contrôle au bloc à 6 semaines, retrait des agrafes au CLSC, réadaptation communautaire sous‑financée.
1.2 Conséquences cliniques et psychosociales de l’attente D’un point de vue médical, le délai prolongé augmente le risque de dégénérescence discale, d’aggravation d’une sténose spinale ou d’apparition de douleurs neuropathiques irréversibles. Chaque mois supplémentaire peut nécessiter une intervention plus lourde, voire une fusion plutôt qu’une décompression simple.
Sur le plan psychosocial, l’incertitude chronique détériore la santé mentale : anxiété, dépression, absentéisme au travail et charges financières associées (médication, ergothérapie, aides à domicile). Le patient et sa famille s’épuisent, ce qui baisse encore l’adhérence aux traitements conservateurs .
1.3 Liste : Signes que l’attente vous met en danger Douleur croissante malgré la médication
Perte de force ou de sensation dans les membres
Limitation sévère des activités quotidiennes (habillage, escalier)
Troubles du sommeil à cause des symptômes
Détresse émotionnelle ou isolement social
2. Notre parcours patient en France : la voie rapide et transparente 2.1 Organisation en 6 étapes clés Prise de contact initiale : appel, courriel ou formulaire en ligne ; un conseiller médical dédié vous est assigné dans les 2 heures ouvrables.
Analyse multidisciplinaire express : dossier numérique évalué par un comité neuro‑orthopédique français sous 72 h.
Proposition chirurgicale détaillée : type d’intervention (TOPS™, IntraSPINE®, endoscopie), nom du chirurgien, clinique, coût global, calendrier.
Planification et démarches logistiques : billets d’avion, navettes, hébergement, traduction médicale, déclaration douanière de médicaments.
Séjour chirurgical : hospitalisation moyenne de 3 à 5 jours, chambre individuelle, physiothérapie sur place.
Suivi post‑opératoire connecté : télé‑consultations, plateforme sécurisée d’échange d’imagerie, kinésiologie partenaire au Québec .
2.2 Valeur ajoutée pour le patient Vous n’êtes jamais seul. Votre conseiller médical devient votre interlocuteur unique : il coordonne les chirurgiens, les assurances voyage et même les demandes de congé auprès de votre employeur. Cette approche 360° réduit le stress décisionnel.
Sur le plan clinique, nos partenaires français proposent des techniques de chirurgie préservant la mobilité qui ne sont pas encore courantes au Canada. Les temps opératoires sont plus courts, la perte sanguine réduite et la récupération fonctionnelle plus rapide — autant d’arguments qui améliorent les scores PROMs (Patient‑Reported Outcome Measures).
2.3 Liste : Services inclus dans notre forfait Accès prioritaire à l’IRM ou au scanner de contrôle pré‑opératoire
Assistance Visa Santé (si applicable)
Navette privée aéroport ↔ clinique
Traducteur médical certifié (français ↔ anglais)
Coaching de préparation physique (programme d’exercices pré‑hab)
Ligne d’urgence 24/7 pendant tout le séjour en Europe
3. Tableau comparatif des délais et étapes Étape Système public québécois SOS Tourisme Médical (France) Référence → Consultation spécialiste 2‑9 mois ≤ 14 jours Consultation → Date opératoire 6‑18 mois 4‑6 semaines Durée moyenne d’hospitalisation 5‑7 jours (selon complexité) 3‑5 jours (chambre individuelle) Notification officielle de la date 24‑48 h avant ≥ 30 jours avant (planning flexible) Premier suivi post‑op 6‑12 semaines 7 jours (télé‑suivi) + 6 semaines
Remarque : chiffres basés sur les rapports du MSSS 2024 et nos données internes 2023‑2025.
4. Tableau financier et garanties Item de coût Estimation Québec (privé) Forfait France Chirurgie endoscopique28 000 $ CAD (clinique privée) 18 000 € (~26 500 $ CAD) Prothèse discale LP‑ESP®Non disponible 22 000 € (~32 300 $ CAD) Arthrodèse multisegmentaireCouvert RAMQ, attente 12 mois 24 000 € (~35 300 $ CAD) Hébergement + logistique Non inclus Inclus (10 jours, 4★) Garantie reprise (24 mois) Variable Incluse
Bon à savoir : grâce à des accords négociés, nos tarifs incluent l’implant, le bloc opératoire, les honoraires chirurgicaux, l’anesthésie, l’hospitalisation, la kinésithérapie initiale et le suivi virtuel pendant 1 an.
5. FAQ : vos questions, nos réponses 5.1 Puis‑je me faire rembourser par mon assurance privée ? La majorité des assureurs canadiens offrent une protection pour les soins médicaux hors Canada lorsqu’ils sont jugés urgents par un spécialiste . Nous fournissons toutes les preuves cliniques et factures détaillées pour optimiser vos chances de remboursement.
5.2 Et si des complications surviennent ? Nos cliniques partenaires disposent d’unités de soins intensifs et d’équipes de réanimation affiliées aux CHU. De plus, notre forfait inclut une assurance complications couvrant les frais imprévus jusqu’à 50 000 €.
5.3 Quelles sont les technologies utilisées ?
6. Étude de cas : Marie, 52 ans, gestionnaire RH à Montréal Contexte : sténose lombaire L4‑L5, claudication neurogène, incapacité à marcher plus de 100 m.
Attente projetée au Québec : 14 mois pour une décompression + fusion.
Choix SOS Tourisme Médical : décompression endoscopique + implant IntraSPINE®.
Résultat : marche 1 km à 6 semaines, retour au travail à 8 semaines, Zéro opioïde à 3 mois.
7. Appel à l’action final Ne laissez pas une liste d’attente déterminer votre futur. Reprenez le contrôle :
Téléchargez notre guide PDF gratuit « 5 questions à poser avant toute chirurgie du dos ».
Planifiez un appel découverte de 15 min avec un conseiller médical.
Recevez votre analyse de dossier sous 72 h et avancez vers une vie sans douleur.
Vos Questions les Plus Fréquentes (FAQ) Logistique de l’organisation de la chirurgie du rachis
Combien de temps avant la chirurgie dois-je envoyer mes examens ?
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Idéalement entre 2 et 4 semaines avant la date prévue.
Comment organiser le suivi post-opératoire à distance ?
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Par téléconsultation avec le chirurgien ou un rapport médical envoyé à votre médecin traitant.
Est-ce que les frais hospitaliers sont inclus dans le devis ?
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Oui, un devis complet comprend honoraires, frais de bloc, implants et hospitalisation.
Est-ce que les frais d’anesthésie sont inclus dans le devis ?
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Oui, le devis global inclut l’anesthésiste, sauf mention contraire.
Comment se déroule la sortie de l’hôpital ?
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Elle est validée par le chirurgien après évaluation clinique et recommandations de sortie.
Est-ce que je peux consulter le chirurgien à distance avant l’opération ?
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Oui, une téléconsultation peut être organisée pour valider le dossier et répondre à vos questions.
Qui m’expliquera le protocole avant la chirurgie ?
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Une infirmière, un coordonnateur ou le chirurgien lui-même vous remettra une fiche de préparation détaillée.
Qui m’expliquera le protocole avant la chirurgie ?
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Une infirmière, un coordonnateur ou le chirurgien lui-même vous remettra une fiche de préparation détaillée.
Est-ce que les chirurgies sont toutes pratiquées dans le même centre ?
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Non, plusieurs centres partenaires peuvent être proposés selon la spécialité et la localisation géographique.
Puis-je garder une copie de mes imageries médicales utilisées pour l’opération ?
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Oui, sur demande, vos IRM ou scanners peuvent être copiés sur support numérique.
Le chirurgien est-il disponible pour répondre aux questions après l’opération ?
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Oui, une consultation de suivi ou un contact téléphonique est prévu selon le protocole établi.
Le suivi postopératoire est-il inclus dans le tarif de la chirurgie ?
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Un ou deux suivis sont généralement inclus. Les consultations supplémentaires peuvent être facturées.
Comment débute le processus pour organiser une chirurgie du rachis ?
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Le processus commence par une évaluation médicale avec analyse des imageries et des antécédents.
Puis-je choisir la date de ma chirurgie ?
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Oui, dans la mesure des disponibilités du bloc opératoire et de l’équipe chirurgicale.
Dois-je être accompagné pour la chirurgie ?
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Oui, il est fortement recommandé d’avoir un accompagnant, surtout pour le retour à domicile.
Est-ce que les frais hospitaliers sont inclus dans le devis ?
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Oui, un devis complet comprend honoraires, frais de bloc, implants et hospitalisation.
Comment se déroule la sortie de l’hôpital ?
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Elle est validée par le chirurgien après évaluation clinique et recommandations de sortie.
Comment est organisée la coordination entre les spécialistes impliqués ?
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Un coordinateur médical gère la communication entre le chirurgien, l’anesthésiste et les autres intervenants.
Puis-je être opéré sans avoir arrêté de fumer ?
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Il est fortement recommandé d’arrêter de fumer au moins 4 semaines avant l’intervention pour optimiser la cicatrisation.
Comment organiser le suivi postopératoire si je vis à l’extérieur ?
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Un suivi par téléconsultation ou un rapport médical transmis à votre professionnel local est prévu.
Encore plus de FAQ +
Vos Questions les Plus Fréquentes (FAQ) Évaluation pré-opératoire à la chirurgie du rachis
Est-ce que je dois prévoir un accompagnateur pour le retour à la maison ?
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Oui, surtout si vous êtes opéré en ambulatoire.
Dois-je subir un dépistage de l’infection urinaire avant l’opération ?
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Oui, si vous avez des symptômes urinaires, un ECBU est réalisé pour traiter une infection avant la chirurgie.
Faut-il évaluer le statut infectieux (CRP, VS) avant l’opération ?
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Oui, pour s’assurer de l’absence d’infection active et reporter la chirurgie si nécessaire.
Dois-je faire un bilan immunologique avant la chirurgie ?
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Non systématiquement, sauf en cas d’immunodépression connue.
Dois-je passer un bilan ostéopathique avant l’opération ?
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Non obligatoire, mais une évaluation ostéopathique peut aider à optimiser l’alignement rachidien préopératoire.
Faut-il une évaluation de la fragilité (score G8) chez les patients âgés ?
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Oui, pour ajuster le suivi et réduire le risque de complications postopératoires.
Dois-je faire des examens avant ma chirurgie du rachis ?
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Oui, votre équipe médicale vous prescrira une prise de sang, un ECG, et parfois un bilan respiratoire ou cardiaque selon votre état de santé.
Puis-je monter les escaliers après la chirurgie ?
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Oui, mais prudemment et selon les instructions du personnel médical.
Faut-il dépister une hépatite ou VIH avant l’intervention ?
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Oui, un dépistage peut être proposé pour adapter les précautions universelles et la gestion peropératoire.
Faut-il dépister l’hémochromatose avant la chirurgie ?
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Non routinièrement, seulement si des anomalies biologiques le suggèrent.
Faut-il vérifier le statut vaccinal contre le tétanos avant l’opération ?
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Oui, si votre dernier rappel date de plus de 10 ans.
Faut-il faire un test de dépistage de la maladie de Lyme en zone endémique ?
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Oui, si vous avez présenté des symptômes ou un historique de morsure de tique.
Dois-je fournir un bilan allergologique complet (latex, antibiotiques) avant la chirurgie ?
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Oui, si vous avez des antécédents allergiques, un bilan spécifique est réalisé pour éviter tout choc anaphylactique.
Dois-je passer une IRM ou un scanner avant l’opération ?
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Oui, une imagerie récente est essentielle pour planifier la chirurgie.
Dois-je m’entraîner physiquement avant l’opération ?
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Faire de l’exercice doux peut améliorer votre récupération postopératoire.
Dois-je faire un bilan ostéodensitométrique si je suis à risque d’ostéoporose ?
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Oui, un T-score permet d’évaluer la densité osseuse et de prévoir la fixation des implants.
Dois-je consulter un diabétologue avant la chirurgie si je suis diabétique ?
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Oui, pour optimiser le contrôle glycémique et réduire le risque de complications infectieuses.
Dois-je effectuer un test respiratoire pour la bronchite chronique ?
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Oui, une spirométrie est souvent prescrite pour ajuster l’anesthésie en cas de BPCO.
Dois-je réaliser une évaluation de la douleur chronique avant la chirurgie ?
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Oui, pour adapter le protocole analgésique postopératoire et prévenir la douleur chronique.
Faut-il un examen ORL pour dépister une obstruction nasale avant l’anesthésie ?
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Oui, un bilan ORL est parfois nécessaire pour planifier l’intubation et éviter les complications.
Encore plus de FAQ +
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WorldRemit. (n.d.).
Virement international Desjardins : frais & taux .
https://www.worldremit.com Wise. (n.d.).
Virement international avec Desjardins : tarifs et frais .
https://www.wise.com Voyages Manuvie. (n.d.).
Régime d’assurance Voyage unique – Soins médicaux d’urgence pour les Canadiens .
https://www.voyagemanuvie.ca Pôle santé Oréliance. (n.d.).
Livret d’accueil .
https://www.oreliance.com Pôle santé Oréliance. (n.d.).
Chirurgie du Dos et du Rachis .
https://www.oreliance.com Periop One. (n.d.).
Quel complément alimentaire prendre ou éviter avant et après une opération ? https://www.periop-one.com Pôle santé Oréliance. (n.d.).
Accueil .
https://www.oreliance.com Pharmapro. (n.d.).
Médicaments en période périopératoire, que faire? https://www.pharmpic.ch OncoCentre. (n.d.).
Pré-habilitation en Onco-Gériatrie .
https://www.oncocentre.org Newsweek. (2024).
World’s Best Specialized Hospitals 2024 - Neurosurgery .
https://www.newsweek.com/rankings Newsweek. (2024).
World’s Best Specialized Hospitals 2024 .
https://www.newsweek.com/rankings MAPAR. (n.d.).
Antiplaquettaires et péri-opératoire : nouvelles propositions du GIHP .
https://www.mapar.org KNR Traduction. (n.d.).
Accueil .
https://www.knrtraduction.ca International Patient Paris. (n.d.).
Cellule internationale .
https://www.international-patient-paris.com GHU Paris psychiatrie & neurosciences. (n.d.).
Jeûne - pré-opératoire .
https://www.ghu-paris.fr HosmaT. (2004).
Gestion pré-opératoire du risque infectieux .
https://www.hosmat.fr France Diplomatie. (n.d.).
Getting medical treatment .
https://www.diplomatie.gouv.fr Desjardins. (n.d.).
International Money Transfers .
https://www.desjardins.com Desjardins. (n.d.).
Transfert SWIFT et virement international aux entreprises .
https://www.desjardins.com Clinique TAGMED. (n.d.).
Maux de dos .
https://www.cliniquetagmed.com 
