{"id":1060,"date":"2026-10-27T17:36:27","date_gmt":"2026-10-27T17:36:27","guid":{"rendered":"https:\/\/vitolavanga.it\/?p=1060"},"modified":"2026-11-03T10:36:07","modified_gmt":"2026-11-03T10:36:07","slug":"stenosi-lombare-grave-schizas-testimonianza","status":"publish","type":"post","link":"https:\/\/vitolavanga.it\/en\/stenosi-lombare-grave-schizas-testimonianza\/","title":{"rendered":"Stenosi lombare grave (Schizas D): la storia del Sig. Tosetti, entrato in sedia a rotelle e uscito camminando"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Il Sig. Giorgio Tosetti \u00e8 entrato nel mio ambulatorio in sedia a rotelle. Non perch\u00e9 le gambe non funzionassero, ma perch\u00e9 dopo pochi passi il dolore lo costringeva a fermarsi. Oggi cammina sul lungomare con i suoi bastoncini da Nordic walking, e ha voluto raccontarlo in un breve video. Lo ringrazio, perch\u00e9 la sua storia spiega meglio di molte parole che cos&#8217;\u00e8 una <strong>stenosi lombare<\/strong> grave e perch\u00e9, nei casi giusti, l&#8217;intervento pu\u00f2 restituire la possibilit\u00e0 di camminare.<\/p>\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-9-16 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Entrato in sedia a rotelle, uscito camminando: stenosi lombare grave (Schizas D)\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/YAoYd7psmkA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption class=\"wp-element-caption\">La testimonianza del Sig. Giorgio Tosetti (video pubblicato con il suo consenso).<\/figcaption><\/figure>\n\n\n<p class=\"wp-block-paragraph\">In questo articolo Le spiego che cosa significa stenosi lombare, che cos&#8217;\u00e8 la claudicatio neurogena, come si legge la gravit\u00e0 della stenosi sulla risonanza con la classificazione di Schizas e come ragiono quando devo decidere se operare.<\/p>\n\n\n<h2 class=\"wp-block-heading\">Che cos&#8217;\u00e8 la stenosi lombare<\/h2>\n\n\n<p class=\"wp-block-paragraph\">Nella colonna lombare i nervi che vanno alle gambe passano dentro un canale, il canale vertebrale, avvolti in un sacco pieno di liquido (il sacco durale, con il liquor). Con gli anni le articolazioni si ispessiscono, i dischi si abbassano e sporgono, i legamenti diventano pi\u00f9 spessi. Il risultato \u00e8 che lo spazio per i nervi si riduce: \u00e8 la <strong>stenosi del canale lombare<\/strong>.<\/p>\n\n\n<p class=\"wp-block-paragraph\">A volte si aggiunge una <strong>spondilolistesi<\/strong>, cio\u00e8 lo scivolamento in avanti di una vertebra sull&#8217;altra, che restringe ancora di pi\u00f9 il canale. \u00c8 proprio la situazione del Sig. Tosetti: stenosi serrata in L4-L5 con spondilolistesi.<\/p>\n\n\n<h2 class=\"wp-block-heading\">La claudicatio neurogena: quando sono le gambe a fermarsi<\/h2>\n\n\n<p class=\"wp-block-paragraph\">Il sintomo tipico non \u00e8 tanto il mal di schiena, ma il dolore, la pesantezza o il formicolio alle gambe che compaiono camminando e costringono a fermarsi. Si chiama <strong>claudicatio neurogena<\/strong>. Alcuni segni la riconoscono bene:<\/p>\n\n\n<ul class=\"wp-block-list\">\n\n<li>il dolore compare dopo una certa distanza, che con il tempo tende ad accorciarsi;<\/li>\n\n\n<li>migliora sedendosi o piegandosi in avanti, per esempio appoggiandosi al carrello della spesa;<\/li>\n\n\n<li>stare a lungo in piedi diritti peggiora i sintomi, perch\u00e9 in estensione il canale si stringe ancora;<\/li>\n\n\n<li>nei casi pi\u00f9 gravi la distanza percorribile si riduce a pochi metri, fino a dipendere da una carrozzina negli spostamenti.<\/li>\n\n<\/ul>\n\n\n<p class=\"wp-block-paragraph\">La claudicatio neurogena va distinta da quella vascolare, dovuta a un problema delle arterie delle gambe: per questo la visita \u00e8 sempre il primo passo.<\/p>\n\n\n<h2 class=\"wp-block-heading\">La classificazione di Schizas: i gradi A, B, C e D<\/h2>\n\n\n<p class=\"wp-block-paragraph\">Sulla risonanza magnetica non basta dire &#8220;c&#8217;\u00e8 una stenosi&#8221;. Nel 2010 il chirurgo svizzero Constantin Schizas e i suoi colleghi hanno proposto, sulla rivista <em>Spine<\/em>, una classificazione semplice e riproducibile, basata sull&#8217;aspetto del sacco durale nelle sezioni assiali, cio\u00e8 le &#8220;fette&#8221; orizzontali della risonanza. Si guarda quanto liquor resta attorno alle radici nervose e se il grasso epidurale posteriore \u00e8 ancora visibile.<\/p>\n\n\n<ul class=\"wp-block-list\">\n\n<li><strong>Grado A \u2013 nessuna stenosi o stenosi minima:<\/strong> il liquor \u00e8 ben visibile e le radici nervose sono chiaramente distinguibili all&#8217;interno del sacco.<\/li>\n\n\n<li><strong>Grado B \u2013 stenosi moderata:<\/strong> le radici riempiono il sacco, ma si riconoscono ancora una per una; resta un po&#8217; di liquor.<\/li>\n\n\n<li><strong>Grado C \u2013 stenosi severa:<\/strong> le radici non si distinguono pi\u00f9, il sacco appare omogeneo; il grasso epidurale posteriore \u00e8 per\u00f2 ancora visibile.<\/li>\n\n\n<li><strong>Grado D \u2013 stenosi estrema:<\/strong> le radici non sono distinguibili e anche il grasso epidurale posteriore \u00e8 scomparso. \u00c8 il grado pi\u00f9 severo.<\/li>\n\n<\/ul>\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img decoding=\"async\" src=\"https:\/\/orthonext.it\/wp-content\/uploads\/2026\/10\/tosetti1027\/schizas-infografica-tosetti.jpg\" alt=\"Infografica della classificazione di Schizas: gradi A, B, C e D della stenosi lombare, con il grado D evidenziato\" style=\"max-width:480px;width:100%\"\/><figcaption class=\"wp-element-caption\">I quattro gradi della classificazione di Schizas. Nel referto del Sig. Tosetti la stenosi era di grado D.<\/figcaption><\/figure>\n\n\n<p class=\"wp-block-paragraph\">Perch\u00e9 questa classificazione \u00e8 utile? Nello studio originale i pazienti con stenosi di grado C e D rispondevano meno spesso alla terapia conservativa rispetto a quelli con grado A e B. Non \u00e8 una regola automatica, perch\u00e9 una risonanza da sola non decide mai un intervento, ma \u00e8 un&#8217;informazione preziosa da mettere accanto ai sintomi e alla visita.<\/p>\n\n\n<h2 class=\"wp-block-heading\">Il caso del Sig. Tosetti<\/h2>\n\n\n<p class=\"wp-block-paragraph\">Quando l&#8217;ho visitato, il quadro era chiaro: claudicatio neurogena grave, distanza percorribile ridotta a pochi passi, terapia conservativa gi\u00e0 tentata senza risultati. La risonanza mostrava una stenosi lombare serrata in L4-L5, associata a spondilolistesi, di <strong>grado D di Schizas<\/strong>. Sintomi, esame clinico e immagini andavano nella stessa direzione.<\/p>\n\n\n<p class=\"wp-block-paragraph\">Abbiamo quindi eseguito una <strong>decompressione con artrodesi lombare per via posteriore<\/strong>: con la decompressione si libera il canale e si restituisce spazio ai nervi; con l&#8217;artrodesi si fissano tra loro le vertebre interessate, perch\u00e9 in presenza di spondilolistesi la sola decompressione pu\u00f2 non bastare. Oggi il Sig. Tosetti cammina di nuovo, e lo fa all&#8217;aria aperta, con i bastoncini da Nordic walking.<\/p>\n\n\n<h2 class=\"wp-block-heading\">Quando si opera e quando no<\/h2>\n\n\n<p class=\"wp-block-paragraph\">La stenosi lombare non \u00e8 sempre una malattia chirurgica. Molte persone con forme lievi o moderate stanno bene con esercizio, fisioterapia e, se serve, terapie per il dolore. Io propongo l&#8217;intervento quando:<\/p>\n\n\n<ul class=\"wp-block-list\">\n\n<li>la claudicatio limita in modo importante la vita quotidiana;<\/li>\n\n\n<li>la terapia conservativa ben condotta non ha dato risultati;<\/li>\n\n\n<li>la risonanza mostra una stenosi coerente con i sintomi, spesso di grado C o D;<\/li>\n\n\n<li>compaiono deficit di forza o di sensibilit\u00e0 che peggiorano.<\/li>\n\n<\/ul>\n\n\n<p class=\"wp-block-paragraph\">La letteratura scientifica sostiene questo approccio. Lo studio SPORT, pubblicato sul <em>New England Journal of Medicine<\/em>, ha osservato che nei pazienti con stenosi sintomatica selezionati per l&#8217;intervento la chirurgia dava miglioramenti maggiori di dolore e funzione rispetto alle cure non chirurgiche. In presenza di spondilolistesi degenerativa, uno studio randomizzato pubblicato sulla stessa rivista ha riportato risultati clinici migliori aggiungendo l&#8217;artrodesi alla decompressione. Ogni caso, per\u00f2, va valutato singolarmente.<\/p>\n\n\n<h2 class=\"wp-block-heading\">Domande frequenti<\/h2>\n\n\n<h3 class=\"wp-block-heading\">La stenosi lombare peggiora sempre?<\/h3>\n\n\n<p class=\"wp-block-paragraph\">No. In molte persone i sintomi restano stabili per anni. Quando per\u00f2 la distanza che si riesce a percorrere si accorcia progressivamente, \u00e8 il momento di una valutazione specialistica.<\/p>\n\n\n<h3 class=\"wp-block-heading\">Che cosa vuol dire grado D di Schizas nel mio referto?<\/h3>\n\n\n<p class=\"wp-block-paragraph\">Significa che sulla risonanza la stenosi \u00e8 nella forma pi\u00f9 severa: le radici nervose non si distinguono pi\u00f9 e il grasso epidurale posteriore \u00e8 scomparso. Non vuol dire automaticamente che serva un intervento: conta sempre il confronto con i sintomi e con la visita.<\/p>\n\n\n<h3 class=\"wp-block-heading\">Il referto non riporta la classificazione di Schizas: \u00e8 un problema?<\/h3>\n\n\n<p class=\"wp-block-paragraph\">No. Non tutti i radiologi la usano. Durante la visita guardo direttamente le immagini della risonanza, comprese le sezioni assiali, e valuto io il grado della stenosi.<\/p>\n\n\n<h3 class=\"wp-block-heading\">Dopo l&#8217;intervento si torna a camminare?<\/h3>\n\n\n<p class=\"wp-block-paragraph\">L&#8217;obiettivo dell&#8217;intervento \u00e8 proprio questo: liberare i nervi e permettere di camminare pi\u00f9 a lungo e con meno dolore. Il recupero richiede tempo e un percorso di riabilitazione, e i risultati variano da persona a persona.<\/p>\n\n\n<h2 class=\"wp-block-heading\">Prenoti una valutazione<\/h2>\n\n\n<p class=\"wp-block-paragraph\">Se ha una diagnosi di stenosi lombare, o se dopo pochi passi le gambe La costringono a fermarsi, possiamo valutare insieme la Sua risonanza e i Suoi sintomi. Mi scriva su WhatsApp al <a href=\"https:\/\/wa.me\/393923991841?text=Buongiorno%20Dottore%2C%20ho%20una%20diagnosi%20di%20stenosi%20lombare\" target=\"_blank\" rel=\"noopener\">392 39 91 841<\/a>, oppure scriva <a href=\"https:\/\/wa.me\/393315032553?text=GUIDA\" target=\"_blank\" rel=\"noopener\">GUIDA<\/a> per ricevere la guida.<\/p>\n\n\n<p class=\"wp-block-paragraph\"><em>Esperienza individuale: i risultati possono variare da paziente a paziente. Le informazioni di questo articolo hanno scopo divulgativo e non sostituiscono una visita medica. In presenza di disturbi a urinare o a trattenere le feci, o di perdita di sensibilit\u00e0 nella zona dell&#8217;inguine, si rivolga subito al Pronto Soccorso. Il video e il nome del paziente sono pubblicati con il suo consenso.<\/em><\/p>\n\n\n<h2 class=\"wp-block-heading\">Fonti<\/h2>\n\n\n<ul class=\"wp-block-list\">\n\n<li>Schizas C, Theumann N, Burn A, et al. <em>Qualitative grading of severity of lumbar spinal stenosis based on the morphology of the dural sac on magnetic resonance images.<\/em> Spine 2010;35(21):1919-24. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20671589\/\" target=\"_blank\" rel=\"noopener\">PubMed 20671589<\/a><\/li>\n\n\n<li>Katz JN, Harris MB. <em>Clinical practice. Lumbar spinal stenosis.<\/em> N Engl J Med 2008;358(8):818-25. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18287604\/\" target=\"_blank\" rel=\"noopener\">PubMed 18287604<\/a><\/li>\n\n\n<li>Weinstein JN, Tosteson TD, Lurie JD, et al. <em>Surgical versus nonsurgical therapy for lumbar spinal stenosis.<\/em> N Engl J Med 2008;358(8):794-810. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18287602\/\" target=\"_blank\" rel=\"noopener\">PubMed 18287602<\/a><\/li>\n\n\n<li>Ghogawala Z, Dziura J, Butler WE, et al. <em>Laminectomy plus fusion versus laminectomy alone for lumbar spondylolisthesis.<\/em> N Engl J Med 2016;374(15):1424-34. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27074067\/\" target=\"_blank\" rel=\"noopener\">PubMed 27074067<\/a><\/li>\n\n<\/ul>\n\n\n\n<!-- Box newsletter per fondo articolo blog - Dr. Lavanga. Una sola istanza per pagina. -->\n<aside class=\"ln-nl ln-nl--compact ln-nl--vitolavanga\" id=\"newsletter\" aria-labelledby=\"ln-nl-title\">\n<link rel=\"stylesheet\" href=\"https:\/\/fonts.googleapis.com\/css2?family=Fraunces:wght@400;600&#038;family=Inter:wght@400;600;700&#038;family=IBM+Plex+Mono&#038;display=swap\">\n<style>.ln-nl .is-selection-disabled{ pointer-events: none; cursor: default; }.ln-nl .sib-form *,.ln-nl .sib-form ::after,.ln-nl .sib-form ::before{box-sizing:border-box}.ln-nl .sib-form{background-attachment:fixed;font-size:16px;font-family:Roboto,sans-serif;padding:32px 12px 32px;margin:0}.ln-nl .sib-form__declaration{display:flex;padding:0 16px;align-items:center}.ln-nl .sib-form__declaration .declaration-block-icon{display:flex;padding:0 16px 0 0;margin:0}.ln-nl .sib-form__declaration .declaration-block-icon [class^=svgIcon]{width:65px;height:65px}.ln-nl .sib-form__declaration p{line-height:1.5em;margin:0}.ln-nl .sib-form--blockPosition{position:relative}.ln-nl .sib-form ul,.ln-nl .sib-form ol{padding:0}.ln-nl #sib-container{background:#fff;margin:0 auto;padding:17px;display:inline-block;width:100%}.ln-nl #sib-form{text-align:left}.ln-nl #sib-form .entry__choice label{display:unset}.ln-nl .sib-menu{display:none;position:absolute;top:0;left:0;z-index:10;background-color:#fff;border:1px solid #d1d1d1;border-radius:3px;margin-top:8px}.ln-nl .sib-menu .entry__choice{white-space:nowrap;width:100%;overflow:hidden;text-overflow:ellipsis;padding:0;text-indent:0}.ln-nl .sib-menu__item-list{margin:0;list-style:none;overflow-y:auto;overflow-x:hidden;box-shadow:none;margin-top:8px;max-height:360px;border:none;padding:12px 0}.ln-nl .sib-menu__item{line-height:1.5em;cursor:pointer;padding:4px 16px;overflow:hidden}.ln-nl .sib-menu__item:hover{background-color:#8ed8fd}.ln-nl .sib-menu__apply{text-align:right;padding:8px 12px 12px 0}@media screen and (max-width: 375px){.ln-nl .sib-menu__apply{display:flex;flex-direction:column-reverse;padding:8px}}.ln-nl .sib-menu__apply button{padding:8px 16px}.ln-nl .sib-menu__separator{font-size:20px;vertical-align:sub}.ln-nl .sib-menu__select{padding:0px 7px}.ln-nl .sib-menu__selectTextAlign{padding:0px 15px !important}.ln-nl .sib-menu__select button{padding:8px 5px}.ln-nl .sib-menu .input_replaced{opacity:0;position:static;width:0px;margin:0}.ln-nl .sib-menu .sib-multiselect__label{width:100%}.ln-nl .sib-menu .sib-multiselect__label-text{text-indent:0}.ln-nl #sib-other-container .entry__controls--other{margin-left:1.5em}.ln-nl #sib-other-container .entry__choice--other{width:100%}.ln-nl #sib-other-container #sib-other-reason{width:100%;padding:8px;resize:vertical;border:1px solid #687484}.ln-nl .checkbox__label{word-wrap:break-word}.ln-nl .checkbox.checkbox_tick_positive::before{left:calc(50% - 1px)}.ln-nl .input_display{line-height:1.5rem}.ln-nl .entry__choice{width:100%;margin-bottom:3px;font-family:Roboto,sans-serif;word-wrap:break-all;word-wrap:break-word}.ln-nl .entry__label{margin-bottom:10px;width:100%;font-weight:500;word-break:break-word;word-wrap:break-word}.ln-nl .entry__label_optin{display:inline}.ln-nl .entry__label>*{float:left}.ln-nl .entry__label::after{content:attr(data-required);font-size:1em;color:#ff4949;text-decoration:none;word-wrap:break-all;word-wrap:break-word;display:inline}.ln-nl .entry__specification{margin:10px 0}.ln-nl .entry__controls{margin:0}.ln-nl .entry__error{display:none;margin-top:6px;margin-bottom:6px;background:rgba(0,0,0,0)}.ln-nl .sib-entry_mcq .entry__controls{display:block;background:rgba(0,0,0,0);border:none;outline:none}.ln-nl .sib-form-block{padding:0 16px;word-wrap:break-word;outline:none}.ln-nl .sib-form-block p,.ln-nl .sib-form-block ol,.ln-nl .sib-form-block ul{text-align:inherit;margin:0;line-height:1.5em}.ln-nl .sib-form-block ol,.ln-nl .sib-form-block ul{list-style-position:inside}.ln-nl .sib-form-block__button{display:inline-block;padding:8px 18px;border:none;overflow-wrap:break-word;max-width:100%;cursor:pointer}.ln-nl .sib-form-block__button-disabled{opacity:.5}.ln-nl .sib-form-block__button-with-loader{min-height:40px;line-height:23px}.ln-nl .sib-image-form-block{padding:2px}.ln-nl .sib-image-form-block a{display:block;overflow:hidden}.ln-nl .sib-image-form-block img{max-width:100%}.ln-nl .sib-divider-form-block{border:0;margin:0}.ln-nl .form__label-row{display:flex;flex-direction:column;justify-content:stretch}.ln-nl .form__label-row--horizontal{flex-direction:row;align-items:flex-start;margin:10px 0}.ln-nl .form__label-row--horizontal>*:first-child{margin-right:20px}.ln-nl .form__label-row--horizontal>*{width:50%;flex-grow:1}.ln-nl .input{width:calc(100% - 1rem)}.ln-nl .input--multiselect{position:relative;padding-right:32px;line-height:37px;overflow:hidden;text-overflow:ellipsis;white-space:nowrap}.ln-nl .input--multiselect::before{content:\"\";position:absolute;right:8px;border:8px solid rgba(0,0,0,0);border-top-color:#343f4e;top:calc(50% - 4px)}.ln-nl .input--select{position:relative;width:100%}.ln-nl .input--select::before,.ln-nl .input--select::after{content:\"\";position:absolute;right:8px}.ln-nl .input--select::before{top:calc(50% - 12px);border:5px solid rgba(0,0,0,0);border-bottom-color:#343f4e}.ln-nl .input--select::after{top:calc(50% + 2px);border:5px solid rgba(0,0,0,0);border-top-color:#343f4e}.ln-nl .input--hidden{display:none !important}.ln-nl .input--centerText{display:flex;align-items:center}.ln-nl .input__rtl[type=text]::placeholder{text-align:right !important}.ln-nl .input__textareaRtl::placeholder{text-align:right !important}.ln-nl input::-webkit-input-placeholder{color:#bfcad8}.ln-nl input::-moz-placeholder{color:#bfcad8}.ln-nl input:-ms-input-placeholder{color:#bfcad8}.ln-nl input:-moz-placeholder{color:#bfcad8}.ln-nl textarea.input{padding:calc(.5rem - 1px)}.ln-nl .sib-form-container a{text-decoration:underline;color:#2bb2fc}.ln-nl .form__entry{position:static;margin-left:0;padding-left:0}.ln-nl .sib-panel{position:relative;width:100%;margin:24px 0;padding:10px 25px;border-width:1px;border-style:solid;border-radius:3px;color:#3c4858;text-align:center;box-shadow:none}.ln-nl .sib-panel--active{display:block}.ln-nl .sib-panel--inactive{display:none}.ln-nl .sib-panel__text{margin:0;font-weight:600;text-align:left}.ln-nl .sib-panel__link{padding:0 5px;color:#3c4858;text-decoration:underline;cursor:pointer}.ln-nl .sib-panel__close-icon{position:absolute;top:12px;right:25px;cursor:pointer}.ln-nl .sib-form-message-panel{margin:0 0 1.25rem 0;width:100%;padding:.4375rem;border:1px solid;display:none}.ln-nl .sib-form-message-panel--active{display:inline-block}.ln-nl .sib-form-message-panel__text{display:flex;align-items:center;margin:0;padding:.5rem}.ln-nl .sib-form-message-panel__text .sib-icon{contain:strict;display:inline-block;fill:currentColor}.ln-nl .sib-form-message-panel__text .sib-notification__icon{height:1.5em;width:1.5em;flex-shrink:0;margin-right:calc(1rem - 1px)}.ln-nl .sib-loader{display:inline-block;position:relative;width:64px;height:64px}.ln-nl .checkbox_tick_positive:before{left:49%}@media screen and (max-width: 500px){.ln-nl #sib-container{padding:32px 9px 32px}.ln-nl .form__label-row--horizontal{flex-direction:column}.ln-nl .form__label-row--horizontal>*{width:100%}}.ln-nl .sib-loader div{position:absolute;width:5px;height:5px;background:#fff;border-radius:50%;animation:ln-nl-loader 1.2s linear infinite}.ln-nl .sib-loader div:nth-child(1){animation-delay:0s;top:29px;left:53px}.ln-nl .sib-loader div:nth-child(2){animation-delay:-0.1s;top:18px;left:50px}.ln-nl .sib-loader div:nth-child(3){animation-delay:-0.2s;top:9px;left:41px}.ln-nl .sib-loader div:nth-child(4){animation-delay:-0.3s;top:6px;left:29px}.ln-nl .sib-loader div:nth-child(5){animation-delay:-0.4s;top:9px;left:18px}.ln-nl .sib-loader div:nth-child(6){animation-delay:-0.5s;top:18px;left:9px}.ln-nl .sib-loader div:nth-child(7){animation-delay:-0.6s;top:29px;left:6px}.ln-nl .sib-loader div:nth-child(8){animation-delay:-0.7s;top:41px;left:9px}.ln-nl .sib-loader div:nth-child(9){animation-delay:-0.8s;top:50px;left:18px}.ln-nl .sib-loader div:nth-child(10){animation-delay:-0.9s;top:53px;left:29px}.ln-nl .sib-loader div:nth-child(11){animation-delay:-1s;top:50px;left:41px}.ln-nl .sib-loader div:nth-child(12){animation-delay:-1.1s;top:41px;left:50px}.ln-nl .entry__choice label p{display:inline}@keyframes ln-nl-loader{0%,20%,80%,100%{transform:scale(1)}50%{transform:scale(1.5)}}@media screen and (max-width: 400px){.ln-nl #sib-container{padding:32px 0px 32px}}@media screen and (max-width: 480px){.ln-nl .sib-image-form-block img{height:auto !important}}.ln-nl .progress-indicator{background:rgba(0,0,0,0)}.ln-nl .sib-hide-loader-icon{display:none}.ln-nl .sib-form ::-webkit-input-placeholder{color:#c0ccda;opacity:1}.ln-nl .sib-form ::-moz-placeholder{color:#c0ccda;opacity:1}.ln-nl .sib-form :-ms-input-placeholder{color:#c0ccda;opacity:1}.ln-nl .sib-form ::-ms-input-placeholder{color:#c0ccda;opacity:1}.ln-nl .sib-form ::placeholder{color:#c0ccda;opacity:1}.ln-nl .sib-form .sib-form_fieldset{display:table-row-group}.ln-nl .sib-form .fieldset__separator{display:table-row}.ln-nl .sib-form .fieldset__separator:after,.ln-nl .sib-form .fieldset__separator:before{background:#c0ccda;background-clip:padding-box;border:solid rgba(0,0,0,0);border-width:calc(4rem - 1px) 0 4rem;-moz-box-sizing:content-box;box-sizing:content-box;content:\"\";display:table-cell;height:1px}.ln-nl .sib-form .form__fieldset{border:0;display:table-row;padding:0}.ln-nl .sib-form .form__fieldset:first-child .form__entries,.ln-nl .sib-form .form__fieldset:first-child .form__legend{padding-top:0}.ln-nl .sib-form .form__entries,.ln-nl .sib-form .form__legend{display:table-cell;margin:0;padding-top:4rem;vertical-align:top}.ln-nl .sib-form .form__legend{font-size:1.14869835rem;line-height:1.5rem;font-weight:700;padding-right:2.5rem}@media (max-width: 45rem){.ln-nl .sib-form .fieldset__separator,.ln-nl .sib-form .form__entries,.ln-nl .sib-form .form__fieldset,.ln-nl .sib-form .form__legend,.ln-nl .sib-form .sib-form_fieldset{display:block}.ln-nl .sib-form .form__legend{padding-bottom:.5rem;padding-right:0}.ln-nl .sib-form .form__entries{padding-top:0}.ln-nl .sib-form .fieldset__separator{border:0}}.ln-nl .sib-form .form__entry{border:0;margin:0;padding:0;position:relative}.ln-nl .sib-form .form__entry:not(:first-child){margin-top:1.5rem}.ln-nl .sib-form .entry__label+.form__entry{margin-top:0}.ln-nl .sib-form .entry__label{display:table;font-weight:700;padding:0;white-space:normal}.ln-nl .sib-form .form__row{display:-webkit-flex;display:flex;-webkit-flex-wrap:wrap;flex-wrap:wrap;margin:-0.25rem -0.75rem}.ln-nl .sib-form .form__row:not(:first-child){margin-top:1.25rem}.ln-nl .sib-form .entry__label+.form__row{margin-top:-0.25rem}.ln-nl .sib-form .form__row>.form__entry{margin:.25rem .75rem}.ln-nl .sib-form .entry__optional-indicator{color:#687484;font-size:.87055056rem;line-height:1rem;font-weight:400}.ln-nl .sib-form .entry__field{-webkit-align-items:center;align-items:center;background:#fff;border:1px solid #c0ccda;border-radius:3px;display:-webkit-inline-flex;display:inline-flex;margin:.25rem 0;max-width:100%}.ln-nl .sib-form .sib-form-pages .entry__field{background:#fff;border:1px solid #cfcfcf;border-radius:8px;display:-webkit-inline-flex;display:inline-flex;margin:.25rem 0;max-width:100%;-webkit-align-items:center;align-items:center;overflow:hidden}.ln-nl .sib-form .entry__field:focus-within{box-shadow:0 0 0 2px #c9e1f4}.ln-nl .sib-form .input,.ln-nl .sib-form .input__affix{background:none;border:0;font:inherit;margin:0}.ln-nl .sib-form .input:first-child,.ln-nl .sib-form .input__affix:first-child{padding-left:.5rem}.ln-nl .sib-form .input:last-child,.ln-nl .sib-form .input__affix:last-child{padding-right:.5rem}.ln-nl .sib-form .input,.ln-nl .sib-form .input__button{-moz-box-sizing:content-box;box-sizing:content-box;color:inherit;outline:0}.ln-nl .sib-form .input:not(textarea),.ln-nl .sib-form .input__button{height:calc(2.5rem - 2px)}.ln-nl .sib-form .input__affix{color:#687484;-webkit-flex-shrink:0;flex-shrink:0}.ln-nl .sib-form .input__button{cursor:pointer;padding:0 .5rem}.ln-nl .sib-form .input__button[type=submit]{border-bottom-left-radius:0;border-left:1px solid #c0ccda;border-top-left-radius:0;color:inherit;margin-left:.5rem}.ln-nl .sib-form .input__button .sib-icon{height:1.5rem;vertical-align:bottom;width:1.5rem}.ln-nl .sib-form .input{box-shadow:none;min-width:1px;padding:0}.ln-nl .sib-form textarea.input{padding:calc(.5rem - 1px)}.ln-nl .sib-form select.input{-webkit-appearance:none;-moz-appearance:none;appearance:none;background-image:url(\"data:image\/svg+xml;charset=utf-8,%3Csvg xmlns=%27http:\/\/www.w3.org\/2000\/svg%27 viewBox=%270 0 286.1 167%27%3E%3Cpath d=%27M24.1 0h238c21.4 0 32.1 25.9 17 41l-119 119c-9.4 9.4-24.6 9.4-33.9 0L7.1 41C-8 25.9 2.7 0 24.1 0z%27 fill=%27%233c4858%27\/%3E%3C\/svg%3E\");background-position:right .65em top 50%;background-repeat:no-repeat;background-size:.65em auto}.ln-nl .sib-form .sib-form-pages select.input{-webkit-appearance:none;-moz-appearance:none;appearance:none;background:url(\"data:image\/svg+xml;utf8,<svg xmlns=\\\"http:\/\/www.w3.org\/2000\/svg\\\" width=\\\"16\\\" height=\\\"16\\\" fill=\\\"none\\\" viewBox=\\\"0 0 16 16\\\" class=\\\"V5oCQcAfDAoMm77TaZq0\\\"><path stroke=\\\"currentColor\\\" stroke-linecap=\\\"round\\\" stroke-linejoin=\\\"round\\\" stroke-width=\\\"2\\\" d=\\\"m4 6 4 4 4-4\\\"><\/path><\/svg>\") no-repeat right 7.5px center;background-size:16px 16px}.ln-nl .sib-form select.input:first-child,.ln-nl .sib-form select.input:last-child{padding-right:calc(2rem - 1px)}.ln-nl .sib-form .sib-entry_block .entry__field,.ln-nl .sib-form .form__row .entry__field,.ln-nl .sib-form .sib-form_block .entry__field{display:-webkit-flex;display:flex}.ln-nl .sib-form .sib-entry_block .input,.ln-nl .sib-form .form__row .input,.ln-nl .sib-form .sib-form_block .input{-webkit-flex-grow:1;flex-grow:1}.ln-nl .sib-form .sib-entry_phrasing,.ln-nl .sib-form .sib-entry_phrasing .entry__label,.ln-nl .sib-form .sib-entry_phrasing .entry__specification{display:inline-block}.ln-nl .sib-form .sib-entry_phrasing .entry__label{font-weight:400}.ln-nl .sib-form .sib-entry_errored{margin-left:-0.5rem;padding-left:.5rem}.ln-nl .sib-form .sib-entry_errored:before{background:#ff4949;bottom:0;content:\"\";position:absolute;right:100%;top:0;width:.25rem}.ln-nl .sib-form .entry__error,.ln-nl .sib-form .entry__label,.ln-nl .sib-form .entry__specification,.ln-nl .sib-form .form__error{max-width:40em}.ln-nl .sib-form .entry__error,.ln-nl .sib-form .entry__specification,.ln-nl .sib-form .form__error{display:block}.ln-nl .sib-form .entry__choice+.entry__error,.ln-nl .sib-form .entry__choice+.entry__specification,.ln-nl .sib-form .entry__error+.entry__error,.ln-nl .sib-form .entry__error+.entry__specification,.ln-nl .sib-form .entry__specification+.entry__error,.ln-nl .sib-form .entry__specification+.entry__specification{margin-top:.5rem}.ln-nl .sib-form .entry__label+.entry__specification{margin-top:4px}.ln-nl .sib-form .entry__error{display:none;color:#ff4949;font-size:.87055056rem;line-height:1rem}.ln-nl .sib-form .entry__specification{color:#687484;margin:0}.ln-nl .sib-form .entry__choice{padding-left:1.5em;text-indent:-1.5em}.ln-nl .sib-form .entry__choice .checkbox,.ln-nl .sib-form .entry__choice .radio-button{margin-right:.5em}.ln-nl .sib-form .entry__choice .sib-toggletip{text-indent:0}.ln-nl .sib-form .entry__choice:not(:first-child){margin-top:.5rem}.ln-nl .sib-form .entry__choices.menu{margin-top:2px;max-height:20rem;overflow:auto;padding:.5rem}.ln-nl .sib-form .checkbox,.ln-nl .sib-form .radio-button{background:#fff;border:1px solid #687484;cursor:pointer;display:inline-block;height:1em;vertical-align:-0.125em;width:1em;position:relative}.ln-nl .sib-form .checkbox{border-radius:3px}.ln-nl .sib-form .radio-button{border-radius:50%}.ln-nl .sib-form .radio-button:before{border-radius:50%;bottom:2px;content:\"\";left:2px;position:absolute;right:2px;top:2px}.ln-nl .sib-form .checkbox_tick_negative:after,.ln-nl .sib-form .checkbox_tick_negative:before{border:solid #fff;border-width:0 0 0 2px;bottom:0;content:\"\";left:50%;margin-left:-1px;position:absolute;top:0}.ln-nl .sib-form .checkbox_tick_negative:after{-webkit-transform:rotate(-45deg);transform:rotate(-45deg)}.ln-nl .sib-form .checkbox_tick_negative:before,.ln-nl .sib-form .checkbox_tick_positive:before{-webkit-transform:rotate(45deg);transform:rotate(45deg)}.ln-nl .sib-form .checkbox_tick_positive:before{border-color:#fff;border-style:solid;border-width:0 2px 2px 0;bottom:1px;content:\"\";left:50%;margin-left:-25%;position:absolute;top:1px;-webkit-transform-origin:80% 45%;transform-origin:80% 45%;width:50%}.ln-nl .sib-form .input_replaced{opacity:0;position:absolute;z-index:-1}.ln-nl .sib-form .input_replaced:checked+.checkbox_tick_positive{background:#13ce66;border-color:#13ce66}.ln-nl .sib-form .input_replaced:checked+.checkbox_tick_negative{background:#ff4949;border-color:#ff4949}.ln-nl .sib-form .input_replaced:not(:checked):not(:indeterminate)+.checkbox_tick_positive:before,.ln-nl .sib-form .input_replaced:not(:checked):not(:indeterminate)+.checkbox_tick_negative:before,.ln-nl .sib-form .input_replaced:not(:checked):not(:indeterminate)+.checkbox_tick_negative:after{display:none}.ln-nl .sib-form .input_replaced:checked+.radio-button{border-color:#0092ff}.ln-nl .sib-form .input_replaced:checked+.radio-button:before{background:#0092ff}.ln-nl .sib-form .input_replaced:indeterminate+.checkbox{background:#fff;border-color:#687484}.ln-nl .sib-form .input_replaced:indeterminate+.checkbox:before{background:#687484;border:0;content:\"\";height:2px;left:2px;margin:-1px 0 0;position:absolute;right:2px;-webkit-transform:none;transform:none;top:50%;width:auto}.ln-nl .sib-form .input_replaced:indeterminate+.checkbox:after{content:normal}.ln-nl .sib-form .input_replaced:active+.checkbox,.ln-nl .sib-form .input_replaced:active+.radio-button,.ln-nl .sib-form .input_replaced:focus+.checkbox,.ln-nl .sib-form .input_replaced:focus+.radio-button{box-shadow:0 0 0 2px #c9e1f4}.ln-nl .sib-form .choice__form{border:0;margin:0;padding:0}.ln-nl .sib-form .choice__form[disabled]{display:none}.ln-nl .sib-form .entry__choice+.choice__form{border-left:2px solid #c0ccda;margin-left:calc(.5em - 1px);padding:.5rem calc(.5rem + .5em - 1px)}.ln-nl .sib-form ::-ms-reveal{display:none}.ln-nl .sib-form ::-webkit-inner-spin-button,.ln-nl .sib-form ::-webkit-search-decoration{display:none}.ln-nl .sib-form [type=search]{-webkit-appearance:textfield;-moz-appearance:textfield;appearance:textfield}.ln-nl .sib-form .input[readonly]{background-color:#f9fafc}.ln-nl .sib-form .input[type=text]+.input__password-toggler{color:#0092ff}.ln-nl .sib-form .sib-ap-nostyle-input-icon{display:none}.ln-nl .sib-form .sib-ap-nostyle-dropdown-menu{-moz-box-sizing:content-box;box-sizing:content-box;background:#fff;border:1px solid #c0ccda;border-radius:3px;list-style:none;margin:0;max-width:100vw;min-width:100%;padding:calc(.5rem - 1px) 0}.ln-nl .sib-form .sib-ap-nostyle-dropdown-menu.sib-collapsible__content{position:absolute;top:100%;z-index:1}.ln-nl .sib-form .sib-ap-nostyle-dropdown-menu.sib-collapsible__content:not(.sib-collapsible__content_toggled){display:none}.ln-nl .sib-form .sib-ap-nostyle-dropdown-menu em{font-style:normal;font-weight:700}.ln-nl .sib-form .sib-ap-nostyle-input{padding-right:.5rem}.ln-nl .sib-form .sib-ap-nostyle-suggestion{cursor:default;color:inherit;display:block;overflow:hidden;padding:.5rem 1rem;text-decoration:none;text-overflow:ellipsis;white-space:nowrap}.ln-nl .sib-form .sib-ap-nostyle-cursor,.ln-nl .sib-form .sib-ap-nostyle-suggestion:focus,.ln-nl .sib-form .sib-ap-nostyle-suggestion:hover{background:#eff2f7}.ln-nl .sib-form .sib-ap-footer{display:none}.ln-nl .sib-form .menu{background:#fff;border:1px solid #c0ccda;border-radius:3px;list-style:none;margin:0;max-width:100vw;min-width:100%;padding:calc(.5rem - 1px) 0}.ln-nl .sib-form .menu.sib-collapsible__content{position:absolute;top:100%;z-index:1}.ln-nl .sib-form .menu.sib-collapsible__content:not(.sib-collapsible__content_toggled){display:none}.ln-nl .sib-form .menu__content,.ln-nl .sib-form .menu__heading{padding:0;margin:1rem}.ln-nl .sib-form .menu__content:first-child,.ln-nl .sib-form .menu__heading:first-child{margin-top:.5rem}.ln-nl .sib-form .menu__content:last-child,.ln-nl .sib-form .menu__heading:last-child{margin-bottom:.5rem}.ln-nl .sib-form .menu__heading{font-size:1.31950791rem;line-height:1.5rem;font-weight:400}.ln-nl .sib-form .menu__content{list-style:none}.ln-nl .sib-form .menu__icon{color:#8492a6;height:1em;vertical-align:-0.125em;width:1em;margin-right:.5rem}.ln-nl .sib-form .menu__control{color:inherit;cursor:pointer;display:block;overflow:hidden;padding:.5rem 1rem;text-decoration:none;text-overflow:ellipsis;white-space:nowrap}.ln-nl .sib-form .menu__control:focus,.ln-nl .sib-form .menu__control:hover{background:#eff2f7}.ln-nl .sib-form .menu__divider{border:0;border-top:1px solid #c0ccda;margin:.5rem 0}.ln-nl .sib-form .clickable_button,.ln-nl .sib-form .clickable_link{font:inherit;margin:0}.ln-nl .sib-form .clickable_button.sib-collapsible__trigger:before,.ln-nl .sib-form .clickable_link.sib-collapsible__trigger:before{border-left:.25rem solid rgba(0,0,0,0);border-right:.25rem solid rgba(0,0,0,0);border-bottom:0;border-top:.25rem solid;content:\"\";float:right;margin:.625rem 0 0 .25em}.ln-nl .sib-form .clickable_button.sib-collapsible__trigger_toggled:before,.ln-nl .sib-form .clickable_link.sib-collapsible__trigger_toggled:before{border-bottom:.25rem solid;border-top:0}.ln-nl .sib-form .clickable_button:not([disabled]),.ln-nl .sib-form .clickable_link:not([disabled]){cursor:pointer}.ln-nl .sib-form .clickable_button{background:#0092ff;border:1px solid #0092ff;border-radius:3px;color:#fff;display:inline-block;outline:0;padding:calc(.5rem - 1px) calc(1rem - 1px);text-decoration:none}.ln-nl .sib-form .clickable_button.sib-collapsible__trigger{overflow:hidden;text-align:left;text-overflow:ellipsis;white-space:nowrap}.ln-nl .sib-form .clickable_button[disabled]{opacity:.5}.ln-nl .sib-form .clickable_button:focus{box-shadow:0 0 0 2px #c9e1f4}.ln-nl .sib-form .clickable_button:focus:not([disabled]),.ln-nl .sib-form .clickable_button:hover:not([disabled]){background:#007cd9;border-color:#007cd9}.ln-nl .sib-form .clickable_ghost{background:none;border-color:#c0ccda;color:#3c4858}.ln-nl .sib-form .clickable_ghost:focus:not([disabled]),.ln-nl .sib-form .clickable_ghost:hover:not([disabled]){background:none;border-color:#8492a6}.ln-nl .sib-form .clickable_dropdown{display:inline-block;position:relative}.ln-nl .sib-form .clickable_dropdown .menu{margin-top:2px}.ln-nl .sib-form .clickable_dropdown .menu_left{left:0}.ln-nl .sib-form .clickable_dropdown .menu_right{right:0}.ln-nl .sib-form .clickable_block{width:100%}.ln-nl .sib-form .clickable_cta{border-radius:9999em}.ln-nl .sib-form .clickable_link{background:none;border:0;color:#0092ff;display:inline;padding:0;text-decoration:none}.ln-nl .sib-form .clickable_link:focus,.ln-nl .sib-form .clickable_link:hover{color:#007cd9;text-decoration:underline}.ln-nl .sib-form .clickable_link:focus{outline:0}.ln-nl .sib-form .clickable_sneaky,.ln-nl .sib-form .clickable_sneaky:focus,.ln-nl .sib-form .clickable_sneaky:hover{color:inherit}.ln-nl .sib-form .clickable_plan{color:#0092ff}.ln-nl .sib-form .clickable_plan:focus,.ln-nl .sib-form .clickable_plan:hover{color:#007cd9}.ln-nl .sib-form .clickable_destructive{background:#ff4949;border-color:#ff4949}.ln-nl .sib-form .clickable_destructive:focus:not([disabled]),.ln-nl .sib-form .clickable_destructive:hover:not([disabled]){background:#d93e3e;border-color:#d93e3e}.ln-nl .sib-form .clickable__group{display:-webkit-inline-flex;display:inline-flex;-webkit-flex-wrap:wrap;flex-wrap:wrap}.ln-nl .sib-form .clickable__group .clickable_button:focus,.ln-nl .sib-form .clickable__group .clickable_button:hover{position:relative}.ln-nl .sib-form .clickable__group .clickable_button:not(:first-child),.ln-nl .sib-form .clickable__group .clickable_dropdown:not(:first-child) .clickable_button{border-bottom-left-radius:0;border-top-left-radius:0;margin-left:-1px}.ln-nl .sib-form .clickable__group>.clickable_button:not(:last-child),.ln-nl .sib-form .clickable__group>.clickable_dropdown:not(:last-child) .clickable_button{border-bottom-right-radius:0;border-top-right-radius:0}.ln-nl .sib-form .clickable__group>.clickable_dropdown:not(:last-child) .clickable_link,.ln-nl .sib-form .clickable__group>.clickable_link:not(:last-child){margin-right:1.5em;position:relative}.ln-nl .sib-form .clickable__group>.clickable_dropdown:not(:last-child) .clickable_link:after,.ln-nl .sib-form .clickable__group>.clickable_link:not(:last-child):after{background:#c0ccda;border-radius:50%;content:\"\";cursor:auto;display:inline-block;height:.25rem;pointer-events:none;position:absolute;right:-0.9em;top:.7em;width:.25rem}.ln-nl .sib-form .clickable__icon{height:1.5rem;vertical-align:bottom;width:1.5rem}.ln-nl .sib-form .clickable__icon:not(.sib-icon_standalone){margin-right:calc(.7002rem - 1px)}.ln-nl .sib-form .progress-indicator{-webkit-align-items:center;align-items:center;background:rgba(255,255,255,.9);display:-webkit-flex;display:flex;height:100%;-webkit-justify-content:center;justify-content:center;width:100%}.ln-nl .sib-form .progress-indicator .progress-indicator__icon{fill:#0092ff;height:2rem;width:2rem}.ln-nl .sib-form .progress-indicator_small .progress-indicator__icon{height:1rem;width:1rem}.ln-nl .sib-form .progress-indicator__icon{-webkit-animation:ln-nl-indicator-spin 1.3s cubic-bezier(0.46, 0.35, 0.39, 0.85) infinite;animation:ln-nl-indicator-spin 1.3s cubic-bezier(0.46, 0.35, 0.39, 0.85) infinite}@-webkit-keyframes ln-nl-indicator-spin{0%{-webkit-transform:rotate(0deg);transform:rotate(0deg)}to{-webkit-transform:rotate(1turn);transform:rotate(1turn)}}@keyframes ln-nl-indicator-spin{0%{-webkit-transform:rotate(0deg);transform:rotate(0deg)}to{-webkit-transform:rotate(1turn);transform:rotate(1turn)}}\n.ln-nl{--nl-navy:#081b33;--nl-blue:#0458bb;--nl-accent:#f5b400;--nl-btn-bg:#f5b400;--nl-btn-fg:#081b33;--nl-btn-hover:#ffc61a;--nl-r:6px;--nl-in-r:3px;--nl-btn-r:2px;\n box-sizing:border-box;display:block;width:100%;margin:0;font-family:Inter,-apple-system,\"Segoe UI\",Roboto,Arial,sans-serif;color:#33404f;line-height:1.5;text-align:left}\n.ln-nl *,.ln-nl *::before,.ln-nl *::after{box-sizing:border-box}\n.ln-nl.ln-nl--full{background:var(--nl-navy);padding:72px 20px;position:relative;overflow:hidden}\n.ln-nl.ln-nl--full::before{content:\"\";position:absolute;right:-120px;top:-120px;width:360px;height:360px;border-radius:50%;background:radial-gradient(circle,rgba(245,180,0,.18) 0%,rgba(0,0,0,0) 70%);pointer-events:none}\n.ln-nl .ln-nl__inner{position:relative;max-width:1120px;margin:0 auto;display:grid;grid-template-columns:minmax(0,1fr) minmax(0,560px);gap:56px;align-items:center}\n.ln-nl .ln-nl__eyebrow{font-family:\"IBM Plex Mono\",ui-monospace,monospace;font-size:13px;letter-spacing:.12em;text-transform:uppercase;color:var(--nl-accent);margin:0 0 14px}\n.ln-nl .ln-nl__title{font-family:Fraunces,Georgia,serif;font-weight:400;font-size:clamp(30px,4vw,46px);line-height:1.1;color:#fff;margin:0 0 18px;letter-spacing:0;text-transform:none}\n.ln-nl .ln-nl__title em{font-style:normal;color:var(--nl-accent)}\n.ln-nl .ln-nl__lead{font-size:17px;color:rgba(255,255,255,.85);margin:0 0 22px;max-width:46ch}\n.ln-nl .ln-nl__list{list-style:none;margin:0;padding:0}\n.ln-nl .ln-nl__list li{position:relative;padding:0 0 0 30px;margin:0 0 10px;color:rgba(255,255,255,.9);font-size:15px}\n.ln-nl .ln-nl__list li::before{content:\"\";position:absolute;left:0;top:4px;width:18px;height:18px;border-radius:50%;background:var(--nl-accent) url(\"data:image\/svg+xml,%3Csvg xmlns='http:\/\/www.w3.org\/2000\/svg' viewBox='0 0 16 16'%3E%3Cpath d='M4 8.2l2.5 2.5L12 5.3' fill='none' stroke='%23001d3f' stroke-width='2' stroke-linecap='round' stroke-linejoin='round'\/%3E%3C\/svg%3E\") center\/12px no-repeat}\n.ln-nl .ln-nl__card{background:#fff;border-radius:var(--nl-r);box-shadow:0 18px 50px rgba(0,0,0,.25);border-top:4px solid var(--nl-accent);padding:30px 28px 26px}\n\/* Brevo overrides (scoped) *\/\n.ln-nl .sib-form .entry__label .ln-nl__opt{font-weight:400;color:#7b8796;float:none}\n.ln-nl .sib-form{background:transparent;padding:0;margin:0;font-family:inherit;font-size:16px;text-align:left}\n.ln-nl .sib-form-container{text-align:left}\n.ln-nl #sib-container{background:transparent;border:0;border-radius:0;padding:0;max-width:none;width:100%;display:block;text-align:left}\n.ln-nl #sib-form{margin:0}\n.ln-nl .sib-form-block{padding:0;margin:0 0 16px}\n.ln-nl .ln-nl__row{display:grid;grid-template-columns:1fr 1fr;gap:14px}\n.ln-nl .sib-form .entry__label{display:block;font-family:inherit;font-size:14px;font-weight:600;color:var(--nl-navy);margin:0 0 6px;text-align:left}\n.ln-nl .ln-nl__sr{position:absolute!important;width:1px!important;height:1px!important;overflow:hidden!important;clip:rect(0 0 0 0)!important;white-space:nowrap!important;margin:-1px!important;padding:0!important;border:0!important}\n.ln-nl .sib-form .entry__field{display:flex;background:#fff;border:1px solid #c7d0dc;border-radius:var(--nl-in-r);box-shadow:none;margin:0;transition:border-color .15s,box-shadow .15s}\n.ln-nl .sib-form .entry__field:focus-within{border-color:var(--nl-blue);box-shadow:0 0 0 3px rgba(4,88,187,.18)}\n.ln-nl .sib-form input.input,.ln-nl .sib-form input.input:focus{width:100%;min-width:0;height:46px;padding:0 14px;margin:0;border:0;border-radius:inherit;background:transparent;box-shadow:none;outline:0;font-family:inherit;font-size:16px;color:#1d2733;line-height:46px;box-sizing:border-box}\n.ln-nl .sib-form input.input::placeholder{color:#8a97a8;opacity:1;font-family:inherit}\n.ln-nl .sib-form .entry__specification{font-size:12px;color:#7b8796;margin:6px 0 0;text-align:left;max-width:none}\n.ln-nl .sib-form .entry__error{font-size:13px;color:#8b1d1d;background:#ffeded;border:1px solid #ff4949;border-radius:4px;padding:6px 10px;margin:6px 0 0;max-width:none}\n.ln-nl .sib-form .entry__choice{font-family:inherit;padding-left:1.7em;text-indent:-1.7em;margin:0}\n.ln-nl .sib-form .entry__choice label{cursor:pointer;font-weight:400}\n.ln-nl .sib-form .checkbox{width:18px;height:18px;border:1.5px solid #8a97a8;border-radius:4px;vertical-align:-4px;margin-right:.55em;background:#fff}\n.ln-nl .sib-form .input_replaced:checked+.checkbox{background:var(--nl-blue);border-color:var(--nl-blue)}\n.ln-nl .sib-form .input_replaced:focus-visible+.checkbox{box-shadow:0 0 0 3px rgba(4,88,187,.3)}\n.ln-nl .ln-nl__consent,.ln-nl .ln-nl__consent p{font-size:13.5px;line-height:1.5;color:#3c4858;margin:0;text-indent:0;display:inline}\n.ln-nl .ln-nl__privacy{padding-left:1.7em}\n.ln-nl .ln-nl__privacy a,.ln-nl .ln-nl__privacy a:visited{color:var(--nl-blue);text-decoration:underline;font-weight:600;font-size:13px}\n.ln-nl .ln-nl__privacy a:hover{color:var(--nl-navy)}\n.ln-nl .ln-nl__submit{margin:4px 0 0}\n.ln-nl .sib-form button.sib-form-block__button,.ln-nl .sib-form button.sib-form-block__button:focus{display:inline-flex;align-items:center;justify-content:center;gap:8px;width:100%;min-height:50px;padding:12px 24px;margin:0;border:0;border-radius:var(--nl-btn-r);background:var(--nl-btn-bg);color:var(--nl-btn-fg);font-family:inherit;font-size:16px;font-weight:700;line-height:1.2;text-transform:none;letter-spacing:.01em;cursor:pointer;box-shadow:none;transition:background-color .15s,transform .15s}\n.ln-nl .sib-form button.sib-form-block__button:hover{background:var(--nl-btn-hover);color:var(--nl-btn-fg);transform:translateY(-1px)}\n.ln-nl .sib-form button.sib-form-block__button:focus-visible{outline:3px solid var(--nl-accent);outline-offset:2px}\n.ln-nl .sib-form button .progress-indicator__icon{width:18px;height:18px;fill:currentColor;animation:ln-nl-indicator-spin 1.3s cubic-bezier(.46,.35,.39,.85) infinite}\n.ln-nl .sib-form button .sib-hide-loader-icon{display:none}\n.ln-nl .sib-form-message-panel{max-width:none;width:100%;border:1px solid;border-radius:6px;font-family:inherit;font-size:15px;margin:0 0 16px;text-align:left}\n.ln-nl #error-message{color:#661d1d;background:#ffeded;border-color:#ff4949}\n.ln-nl #success-message{color:#085229;background:#e7faf0;border-color:#13ce66}\n.ln-nl .sib-form-message-panel .sib-notification__icon{width:20px;height:20px}\n.ln-nl .sib-form-message-panel--active{display:block}\n\/* compact (blog) *\/\n.ln-nl.ln-nl--compact{max-width:760px;margin:40px auto;padding:0}\n.ln-nl.ln-nl--compact .ln-nl__card{box-shadow:0 6px 24px rgba(0,29,63,.10);border:1px solid #e3e8ef;border-top:4px solid var(--nl-accent);padding:24px 24px 20px}\n.ln-nl.ln-nl--compact .ln-nl__eyebrow{color:var(--nl-blue);margin:0 0 6px;font-size:12px}\n.ln-nl.ln-nl--compact .ln-nl__title{color:var(--nl-navy);font-size:26px;margin:0 0 6px}\n.ln-nl.ln-nl--compact .ln-nl__lead{color:#4a5666;font-size:15px;margin:0 0 16px;max-width:none}\n.ln-nl.ln-nl--light{background:#f3f5f8;border-top:1px solid #e3e8ef}\n.ln-nl.ln-nl--light .ln-nl__title{color:var(--nl-navy)}\n.ln-nl.ln-nl--light .ln-nl__title em{color:var(--nl-blue)}\n.ln-nl.ln-nl--light .ln-nl__eyebrow{color:#b07f00}\n.ln-nl.ln-nl--light .ln-nl__lead,.ln-nl.ln-nl--light .ln-nl__list li{color:#33404f}\n.ln-nl.ln-nl--light .ln-nl__card{box-shadow:0 14px 40px rgba(8,27,51,.12)}\n@media (max-width:900px){ .ln-nl .ln-nl__inner{grid-template-columns:1fr;gap:32px} }\n@media (max-width:560px){ .ln-nl.ln-nl--full{padding:48px 16px} .ln-nl .ln-nl__row{grid-template-columns:1fr;gap:0} .ln-nl .ln-nl__card{padding:22px 18px 20px} .ln-nl .ln-nl__lead{font-size:16px} .ln-nl.ln-nl--compact .ln-nl__title{font-size:23px} }\n<\/style>\n<div class=\"ln-nl__card\">\n<p class=\"ln-nl__eyebrow\">Newsletter<\/p>\n<h2 class=\"ln-nl__title\" id=\"ln-nl-title\">Iscriviti alla newsletter<\/h2>\n<p class=\"ln-nl__lead\">Ti &egrave; stato utile questo articolo? Una email a settimana con consigli pratici per la salute della tua schiena.<\/p>\n<div class=\"sib-form\"><div id=\"sib-form-container\" class=\"sib-form-container\">\n<div id=\"error-message\" class=\"sib-form-message-panel\"><div class=\"sib-form-message-panel__text sib-form-message-panel__text--center\"><svg viewBox=\"0 0 512 512\" class=\"sib-icon sib-notification__icon\"><path d=\"M256 40c118.621 0 216 96.075 216 216 0 119.291-96.61 216-216 216-119.244 0-216-96.562-216-216 0-119.203 96.602-216 216-216m0-32C119.043 8 8 119.083 8 256c0 136.997 111.043 248 248 248s248-111.003 248-248C504 119.083 392.957 8 256 8zm-11.49 120h22.979c6.823 0 12.274 5.682 11.99 12.5l-7 168c-.268 6.428-5.556 11.5-11.99 11.5h-8.979c-6.433 0-11.722-5.073-11.99-11.5l-7-168c-.283-6.818 5.167-12.5 11.99-12.5zM256 340c-15.464 0-28 12.536-28 28s12.536 28 28 28 28-12.536 28-28-12.536-28-28-28z\"\/><\/svg><span class=\"sib-form-message-panel__inner-text\">Non &egrave; stato possibile salvare l&#39;iscrizione. Riprova.<\/span><\/div><\/div>\n<div><\/div>\n<div id=\"success-message\" class=\"sib-form-message-panel\"><div class=\"sib-form-message-panel__text sib-form-message-panel__text--center\"><svg viewBox=\"0 0 512 512\" class=\"sib-icon sib-notification__icon\"><path d=\"M256 8C119.033 8 8 119.033 8 256s111.033 248 248 248 248-111.033 248-248S392.967 8 256 8zm0 464c-118.664 0-216-96.055-216-216 0-118.663 96.055-216 216-216 118.664 0 216 96.055 216 216 0 118.663-96.055 216-216 216zm141.63-274.961L217.15 376.071c-4.705 4.667-12.303 4.637-16.97-.068l-85.878-86.572c-4.667-4.705-4.637-12.303.068-16.97l8.52-8.451c4.705-4.667 12.303-4.637 16.97.068l68.976 69.533 163.441-162.13c4.705-4.667 12.303-4.637 16.97.068l8.451 8.52c4.668 4.705 4.637 12.303-.068 16.97z\"\/><\/svg><span class=\"sib-form-message-panel__inner-text\">Grazie! Controlla la tua email e conferma l&#39;iscrizione.<\/span><\/div><\/div>\n<div><\/div>\n<div id=\"sib-container\" class=\"sib-container--large sib-container--vertical\">\n<form id=\"sib-form\" method=\"POST\" action=\"https:\/\/56df30df.sibforms.com\/serve\/MUIFAHYvkE87717A1PGNWZowg6fFk44T6WoC9pYo4UUAhTyKMD47ROao9mW8GVCboljbnBe7Gx8rczYyQMuq0cRkYZ-AXIFcfgIUkLZKoOLwRNo0pVKxXCQsc2p7HWk2FPGZW8wjBz1oNMjTRJ25bTWPvyYmq649v-hIxv1OUtO5e6y4YhcDcwrTneFDtcPhBLjCRGVuOAmkCsncEQ==\" data-type=\"subscription\">\n<div class=\"ln-nl__row\">\n<div class=\"ln-nl__field\"><div class=\"sib-input sib-form-block\"><div class=\"form__entry entry_block\"><div class=\"form__label-row \"><label class=\"entry__label\" for=\"FIRSTNAME\">Nome <span class=\"ln-nl__opt\">(facoltativo)<\/span><\/label><div class=\"entry__field\"><input class=\"input \" maxlength=\"200\" type=\"text\" id=\"FIRSTNAME\" name=\"FIRSTNAME\" autocomplete=\"given-name\" placeholder=\"Il tuo nome\" \/><\/div><\/div><label class=\"entry__error entry__error--primary\"><\/label><\/div><\/div><\/div>\n<div class=\"ln-nl__field\"><div class=\"sib-input sib-form-block\"><div class=\"form__entry entry_block\"><div class=\"form__label-row \"><label class=\"entry__label\" for=\"EMAIL\" data-required=\"*\">Email<\/label><div class=\"entry__field\"><input class=\"input \" type=\"text\" id=\"EMAIL\" name=\"EMAIL\" autocomplete=\"email\" inputmode=\"email\" value=\"\" placeholder=\"La tua email\" data-required=\"true\" required \/><\/div><\/div><label class=\"entry__error entry__error--primary\"><\/label><\/div><\/div><\/div>\n<\/div>\n<div class=\"sib-optin sib-form-block\" data-required=\"true\"><div class=\"form__entry entry_mcq\"><div class=\"form__label-row \"><label class=\"entry__label ln-nl__sr\" for=\"OPT_IN\" data-required=\"*\">Consenso<\/label><div class=\"entry__choice\"><label><input type=\"checkbox\" class=\"input_replaced\" value=\"1\" id=\"OPT_IN\" name=\"OPT_IN\" required \/><span class=\"checkbox checkbox_tick_positive\"><\/span><span class=\"ln-nl__consent\"><p>Acconsento a ricevere la newsletter del Dott. Vito Lavanga \/ Ortho-Next con contenuti informativi sulla salute della colonna. Posso disiscrivermi in qualsiasi momento con il link presente in ogni email.<\/p><\/span><\/label><\/div><\/div><label class=\"entry__error entry__error--primary\"><\/label><label class=\"entry__specification ln-nl__privacy\"><a href=\"https:\/\/orthonext.it\/privacy-policy\/\" target=\"_blank\" rel=\"noopener\">Leggi l&#39;informativa privacy<\/a><\/label><\/div><\/div>\n<div class=\"sib-form-block ln-nl__submit\"><button class=\"sib-form-block__button sib-form-block__button-with-loader\" form=\"sib-form\" type=\"submit\"><svg class=\"icon clickable__icon progress-indicator__icon sib-hide-loader-icon\" viewBox=\"0 0 512 512\"><path d=\"M460.116 373.846l-20.823-12.022c-5.541-3.199-7.54-10.159-4.663-15.874 30.137-59.886 28.343-131.652-5.386-189.946-33.641-58.394-94.896-95.833-161.827-99.676C261.028 55.961 256 50.751 256 44.352V20.309c0-6.904 5.808-12.337 12.703-11.982 83.556 4.306 160.163 50.864 202.11 123.677 42.063 72.696 44.079 162.316 6.031 236.832-3.14 6.148-10.75 8.461-16.728 5.01z\"\/><\/svg>Iscrivimi<\/button><\/div>\n<input type=\"text\" name=\"email_address_check\" value=\"\" class=\"input--hidden\">\n<input type=\"hidden\" name=\"locale\" value=\"en\">\n<\/form><\/div><\/div><\/div>\n<\/div>\n<script>\nwindow.REQUIRED_CODE_ERROR_MESSAGE = 'Please choose a country code';\nwindow.LOCALE = 'en';\nwindow.EMAIL_INVALID_MESSAGE = window.SMS_INVALID_MESSAGE = \"Le informazioni inserite non sono valide. Controlla il formato dei campi e riprova.\";\nwindow.REQUIRED_ERROR_MESSAGE = \"Questo campo non pu\\u00f2 essere lasciato vuoto. \";\nwindow.GENERIC_INVALID_MESSAGE = \"Le informazioni inserite non sono valide. Controlla il formato dei campi e riprova.\";\nwindow.INVALID_NUMBER = \"Le informazioni inserite non sono valide. Controlla il formato dei campi e riprova.\";\nwindow.INVALID_DATE = \"Please enter a valid date\";\nwindow.REQUIRED_MULTISELECT_MESSAGE = 'Please select at least 1 option';\nwindow.translation = { common: { selectedList: '{quantity} list selected', selectedLists: '{quantity} lists selected', selectedOption: '{quantity} selected', selectedOptions: '{quantity} selected' } };\nvar AUTOHIDE = Boolean(0);\n<\/script>\n<script defer src=\"https:\/\/sibforms.com\/forms\/end-form\/build\/main.js\"><\/script>\n<\/aside>\n<!-- Fine box newsletter -->\n","protected":false},"excerpt":{"rendered":"<p>Il Sig. Giorgio Tosetti \u00e8 entrato nel mio ambulatorio in sedia a rotelle. Non perch\u00e9 le gambe non funzionassero, ma perch\u00e9 dopo pochi passi il dolore lo costringeva a fermarsi. Oggi cammina sul lungomare con i suoi bastoncini da Nordic walking, e ha voluto raccontarlo in un breve video. Lo ringrazio, perch\u00e9 la sua storia [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1061,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[1],"tags":[50,51,49,48,38,52],"class_list":["post-1060","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-approfondimenti","tag-artrodesi","tag-classificazione-di-schizas","tag-claudicatio-neurogena","tag-stenosi-lombare","tag-stenosi-spinale","tag-testimonianza"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Stenosi lombare grave: classificazione di Schizas e claudicatio<\/title>\n<meta name=\"description\" content=\"Stenosi lombare grave: cos&#039;\u00e8 la classificazione di Schizas, come si riconosce la claudicatio neurogena e quando operare. La storia del Sig. Tosetti.\" \/>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Stenosi lombare grave: classificazione di Schizas e claudicatio\" \/>\n<meta property=\"og:description\" content=\"Stenosi lombare grave: cos&#039;\u00e8 la classificazione di Schizas, come si riconosce la claudicatio neurogena e quando operare. La storia del Sig. Tosetti.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/vitolavanga.it\/en\/stenosi-lombare-grave-schizas-testimonianza\/\" \/>\n<meta property=\"og:site_name\" content=\"Dr. Vito Lavanga\" \/>\n<meta property=\"article:published_time\" content=\"2026-10-27T17:36:27+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-11-03T10:36:07+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/vitolavanga.it\/wp-content\/uploads\/2026\/10\/tosetti-cammina-lungomare-featured.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1600\" \/>\n\t<meta property=\"og:image:height\" content=\"900\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Dott. Vito Lavanga\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dott. Vito Lavanga\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/stenosi-lombare-grave-schizas-testimonianza\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/stenosi-lombare-grave-schizas-testimonianza\\\/\"},\"author\":{\"name\":\"Dott. Vito Lavanga\",\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/#\\\/schema\\\/person\\\/de84545b93b50c845f9a9bbf9fb26557\"},\"headline\":\"Stenosi lombare grave (Schizas D): la storia del Sig. Tosetti, entrato in sedia a rotelle e uscito camminando\",\"datePublished\":\"2026-10-27T17:36:27+00:00\",\"dateModified\":\"2026-11-03T10:36:07+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/stenosi-lombare-grave-schizas-testimonianza\\\/\"},\"wordCount\":1332,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/#\\\/schema\\\/person\\\/24c6c6b2b2b066cbde95ae9a40d06cf1\"},\"image\":{\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/stenosi-lombare-grave-schizas-testimonianza\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/vitolavanga.it\\\/wp-content\\\/uploads\\\/2026\\\/10\\\/tosetti-cammina-lungomare-featured.jpg\",\"keywords\":[\"artrodesi\",\"classificazione di Schizas\",\"claudicatio neurogena\",\"stenosi lombare\",\"stenosi spinale\",\"testimonianza\"],\"articleSection\":[\"Approfondimenti\"],\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/vitolavanga.it\\\/stenosi-lombare-grave-schizas-testimonianza\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/stenosi-lombare-grave-schizas-testimonianza\\\/\",\"url\":\"https:\\\/\\\/vitolavanga.it\\\/stenosi-lombare-grave-schizas-testimonianza\\\/\",\"name\":\"Stenosi lombare grave: classificazione di Schizas e claudicatio\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/stenosi-lombare-grave-schizas-testimonianza\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/stenosi-lombare-grave-schizas-testimonianza\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/vitolavanga.it\\\/wp-content\\\/uploads\\\/2026\\\/10\\\/tosetti-cammina-lungomare-featured.jpg\",\"datePublished\":\"2026-10-27T17:36:27+00:00\",\"dateModified\":\"2026-11-03T10:36:07+00:00\",\"description\":\"Stenosi lombare grave: cos'\u00e8 la classificazione di Schizas, come si riconosce la claudicatio neurogena e quando operare. La storia del Sig. Tosetti.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/stenosi-lombare-grave-schizas-testimonianza\\\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/vitolavanga.it\\\/stenosi-lombare-grave-schizas-testimonianza\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/stenosi-lombare-grave-schizas-testimonianza\\\/#primaryimage\",\"url\":\"https:\\\/\\\/vitolavanga.it\\\/wp-content\\\/uploads\\\/2026\\\/10\\\/tosetti-cammina-lungomare-featured.jpg\",\"contentUrl\":\"https:\\\/\\\/vitolavanga.it\\\/wp-content\\\/uploads\\\/2026\\\/10\\\/tosetti-cammina-lungomare-featured.jpg\",\"width\":1600,\"height\":900,\"caption\":\"Il Sig. Giorgio Tosetti cammina sul lungomare con i bastoncini da Nordic walking dopo l'intervento per stenosi lombare\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/stenosi-lombare-grave-schizas-testimonianza\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/vitolavanga.it\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Stenosi lombare grave (Schizas D): la storia del Sig. Tosetti, entrato in sedia a rotelle e uscito camminando\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/#website\",\"url\":\"https:\\\/\\\/vitolavanga.it\\\/\",\"name\":\"Dott. Vito Lavanga\",\"description\":\"Chirurgo della Colonna a Lainate\",\"publisher\":{\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/#\\\/schema\\\/person\\\/24c6c6b2b2b066cbde95ae9a40d06cf1\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/vitolavanga.it\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/#\\\/schema\\\/person\\\/24c6c6b2b2b066cbde95ae9a40d06cf1\",\"name\":\"Vito Lavanga\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/wp-content\\\/uploads\\\/2026\\\/07\\\/cropped-LOGO_PULSE-1.gif\",\"url\":\"https:\\\/\\\/vitolavanga.it\\\/wp-content\\\/uploads\\\/2026\\\/07\\\/cropped-LOGO_PULSE-1.gif\",\"contentUrl\":\"https:\\\/\\\/vitolavanga.it\\\/wp-content\\\/uploads\\\/2026\\\/07\\\/cropped-LOGO_PULSE-1.gif\",\"width\":512,\"height\":320,\"caption\":\"Vito Lavanga\"},\"logo\":{\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/wp-content\\\/uploads\\\/2026\\\/07\\\/cropped-LOGO_PULSE-1.gif\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/vitolavanga.it\\\/#\\\/schema\\\/person\\\/de84545b93b50c845f9a9bbf9fb26557\",\"name\":\"Dott. Vito Lavanga\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/6065e9a1286afad446ac410b46938cd2b6529ec40d003db6b4ace7c66616adec?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/6065e9a1286afad446ac410b46938cd2b6529ec40d003db6b4ace7c66616adec?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/6065e9a1286afad446ac410b46938cd2b6529ec40d003db6b4ace7c66616adec?s=96&d=mm&r=g\",\"caption\":\"Dott. Vito Lavanga\"},\"description\":\"Chirurgo ortopedico della colonna vertebrale, oltre 2.300 interventi come primo operatore. Riceve al Poliambulatorio Ortho-Next di Lainate e in telemedicina.\",\"sameAs\":[\"https:\\\/\\\/vitolavanga.it\\\/chi-sono\\\/\"],\"url\":\"https:\\\/\\\/vitolavanga.it\\\/en\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Stenosi lombare grave: classificazione di Schizas e claudicatio","description":"Stenosi lombare grave: cos'\u00e8 la classificazione di Schizas, come si riconosce la claudicatio neurogena e quando operare. La storia del Sig. Tosetti.","robots":{"index":"noindex","follow":"follow"},"og_locale":"en_GB","og_type":"article","og_title":"Stenosi lombare grave: classificazione di Schizas e claudicatio","og_description":"Stenosi lombare grave: cos'\u00e8 la classificazione di Schizas, come si riconosce la claudicatio neurogena e quando operare. La storia del Sig. Tosetti.","og_url":"https:\/\/vitolavanga.it\/en\/stenosi-lombare-grave-schizas-testimonianza\/","og_site_name":"Dr. Vito Lavanga","article_published_time":"2026-10-27T17:36:27+00:00","article_modified_time":"2026-11-03T10:36:07+00:00","og_image":[{"width":1600,"height":900,"url":"https:\/\/vitolavanga.it\/wp-content\/uploads\/2026\/10\/tosetti-cammina-lungomare-featured.jpg","type":"image\/jpeg"}],"author":"Dott. Vito Lavanga","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Dott. Vito Lavanga","Estimated reading time":"8 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/vitolavanga.it\/stenosi-lombare-grave-schizas-testimonianza\/#article","isPartOf":{"@id":"https:\/\/vitolavanga.it\/stenosi-lombare-grave-schizas-testimonianza\/"},"author":{"name":"Dott. Vito Lavanga","@id":"https:\/\/vitolavanga.it\/#\/schema\/person\/de84545b93b50c845f9a9bbf9fb26557"},"headline":"Stenosi lombare grave (Schizas D): la storia del Sig. Tosetti, entrato in sedia a rotelle e uscito camminando","datePublished":"2026-10-27T17:36:27+00:00","dateModified":"2026-11-03T10:36:07+00:00","mainEntityOfPage":{"@id":"https:\/\/vitolavanga.it\/stenosi-lombare-grave-schizas-testimonianza\/"},"wordCount":1332,"commentCount":0,"publisher":{"@id":"https:\/\/vitolavanga.it\/#\/schema\/person\/24c6c6b2b2b066cbde95ae9a40d06cf1"},"image":{"@id":"https:\/\/vitolavanga.it\/stenosi-lombare-grave-schizas-testimonianza\/#primaryimage"},"thumbnailUrl":"https:\/\/vitolavanga.it\/wp-content\/uploads\/2026\/10\/tosetti-cammina-lungomare-featured.jpg","keywords":["artrodesi","classificazione di Schizas","claudicatio neurogena","stenosi lombare","stenosi spinale","testimonianza"],"articleSection":["Approfondimenti"],"inLanguage":"en-GB","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/vitolavanga.it\/stenosi-lombare-grave-schizas-testimonianza\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/vitolavanga.it\/stenosi-lombare-grave-schizas-testimonianza\/","url":"https:\/\/vitolavanga.it\/stenosi-lombare-grave-schizas-testimonianza\/","name":"Stenosi lombare grave: classificazione di Schizas e claudicatio","isPartOf":{"@id":"https:\/\/vitolavanga.it\/#website"},"primaryImageOfPage":{"@id":"https:\/\/vitolavanga.it\/stenosi-lombare-grave-schizas-testimonianza\/#primaryimage"},"image":{"@id":"https:\/\/vitolavanga.it\/stenosi-lombare-grave-schizas-testimonianza\/#primaryimage"},"thumbnailUrl":"https:\/\/vitolavanga.it\/wp-content\/uploads\/2026\/10\/tosetti-cammina-lungomare-featured.jpg","datePublished":"2026-10-27T17:36:27+00:00","dateModified":"2026-11-03T10:36:07+00:00","description":"Stenosi lombare grave: cos'\u00e8 la classificazione di Schizas, come si riconosce la claudicatio neurogena e quando operare. La storia del Sig. Tosetti.","breadcrumb":{"@id":"https:\/\/vitolavanga.it\/stenosi-lombare-grave-schizas-testimonianza\/#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/vitolavanga.it\/stenosi-lombare-grave-schizas-testimonianza\/"]}]},{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/vitolavanga.it\/stenosi-lombare-grave-schizas-testimonianza\/#primaryimage","url":"https:\/\/vitolavanga.it\/wp-content\/uploads\/2026\/10\/tosetti-cammina-lungomare-featured.jpg","contentUrl":"https:\/\/vitolavanga.it\/wp-content\/uploads\/2026\/10\/tosetti-cammina-lungomare-featured.jpg","width":1600,"height":900,"caption":"Il Sig. Giorgio Tosetti cammina sul lungomare con i bastoncini da Nordic walking dopo l'intervento per stenosi lombare"},{"@type":"BreadcrumbList","@id":"https:\/\/vitolavanga.it\/stenosi-lombare-grave-schizas-testimonianza\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/vitolavanga.it\/"},{"@type":"ListItem","position":2,"name":"Stenosi lombare grave (Schizas D): la storia del Sig. Tosetti, entrato in sedia a rotelle e uscito camminando"}]},{"@type":"WebSite","@id":"https:\/\/vitolavanga.it\/#website","url":"https:\/\/vitolavanga.it\/","name":"Dr. Vito Lavanga","description":"Chirurgo della Colonna a Lainate","publisher":{"@id":"https:\/\/vitolavanga.it\/#\/schema\/person\/24c6c6b2b2b066cbde95ae9a40d06cf1"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/vitolavanga.it\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-GB"},{"@type":["Person","Organization"],"@id":"https:\/\/vitolavanga.it\/#\/schema\/person\/24c6c6b2b2b066cbde95ae9a40d06cf1","name":"Vito Lavanga","image":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/vitolavanga.it\/wp-content\/uploads\/2026\/07\/cropped-LOGO_PULSE-1.gif","url":"https:\/\/vitolavanga.it\/wp-content\/uploads\/2026\/07\/cropped-LOGO_PULSE-1.gif","contentUrl":"https:\/\/vitolavanga.it\/wp-content\/uploads\/2026\/07\/cropped-LOGO_PULSE-1.gif","width":512,"height":320,"caption":"Vito Lavanga"},"logo":{"@id":"https:\/\/vitolavanga.it\/wp-content\/uploads\/2026\/07\/cropped-LOGO_PULSE-1.gif"}},{"@type":"Person","@id":"https:\/\/vitolavanga.it\/#\/schema\/person\/de84545b93b50c845f9a9bbf9fb26557","name":"Dr. Vito Lavanga","image":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/secure.gravatar.com\/avatar\/6065e9a1286afad446ac410b46938cd2b6529ec40d003db6b4ace7c66616adec?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/6065e9a1286afad446ac410b46938cd2b6529ec40d003db6b4ace7c66616adec?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/6065e9a1286afad446ac410b46938cd2b6529ec40d003db6b4ace7c66616adec?s=96&d=mm&r=g","caption":"Dott. Vito Lavanga"},"description":"Chirurgo ortopedico della colonna vertebrale, oltre 2.300 interventi come primo operatore. Riceve al Poliambulatorio Ortho-Next di Lainate e in telemedicina.","sameAs":["https:\/\/vitolavanga.it\/chi-sono\/"],"url":"https:\/\/vitolavanga.it\/en\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/vitolavanga.it\/en\/wp-json\/wp\/v2\/posts\/1060","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vitolavanga.it\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vitolavanga.it\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vitolavanga.it\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vitolavanga.it\/en\/wp-json\/wp\/v2\/comments?post=1060"}],"version-history":[{"count":2,"href":"https:\/\/vitolavanga.it\/en\/wp-json\/wp\/v2\/posts\/1060\/revisions"}],"predecessor-version":[{"id":1110,"href":"https:\/\/vitolavanga.it\/en\/wp-json\/wp\/v2\/posts\/1060\/revisions\/1110"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vitolavanga.it\/en\/wp-json\/wp\/v2\/media\/1061"}],"wp:attachment":[{"href":"https:\/\/vitolavanga.it\/en\/wp-json\/wp\/v2\/media?parent=1060"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vitolavanga.it\/en\/wp-json\/wp\/v2\/categories?post=1060"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vitolavanga.it\/en\/wp-json\/wp\/v2\/tags?post=1060"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}