{"id":835,"date":"2026-10-23T16:58:38","date_gmt":"2026-10-23T16:58:38","guid":{"rendered":"https:\/\/vitolavanga.it\/?p=835"},"modified":"2026-11-03T10:37:08","modified_gmt":"2026-11-03T10:37:08","slug":"recupero-dopo-artrodesi-lombare-villa-tirrena","status":"publish","type":"post","link":"https:\/\/vitolavanga.it\/en\/recupero-dopo-artrodesi-lombare-villa-tirrena\/","title":{"rendered":"Dopo l&#8217;artrodesi lombare: dalle prime 12 ore al primo passo. Il racconto dal reparto di Villa Tirrena"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Buongiorno! Oggi vi porto con me in reparto, alla <strong>Casa di Cura Villa Tirrena di Livorno<\/strong>, la mattina dopo una giornata di sala operatoria intensa: <strong>cinque interventi, di cui tre artrodesi lombari a doppio approccio XLIF<\/strong>, eseguite per risolvere stenosi complesse del canale vertebrale. Nel video qui sotto vedete due pazienti, lo stesso reparto e lo stesso obiettivo: <strong>rimettersi in piedi il prima possibile<\/strong>.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Villa Tirrena: due pazienti, lo stesso reparto | Dr. Vito Lavanga\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/F9R84VrI2Ss?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><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">In questo articolo rileggiamo con calma quello che succede nelle prime ore dopo un&#8217;<strong>artrodesi lombare<\/strong>: perch\u00e9 si comincia a muoversi gi\u00e0 nelle prime 12 ore, cosa significa il &#8220;primo passaggio letto\u2013sedia&#8221;, a cosa servono gli esercizi per piedi e ginocchia sul bordo del letto e cosa dice la letteratura scientifica sulla mobilizzazione precoce.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Due storie, lo stesso reparto<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">La prima paziente era arrivata con un dolore che per settimane era stato curato come una semplice sciatalgia. \u00abNon andava\u2026 invece era tutt&#8217;altra cosa\u00bb, racconta. Da pi\u00f9 di un mese <strong>la gamba destra non si alzava<\/strong> e lei camminava piegata in avanti, inclinata, perch\u00e9 non riusciva a stare dritta. Le immagini hanno mostrato un canale vertebrale stretto, con il nervo schiacciato.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La seconda paziente aveva anche lei una <strong>grave stenosi<\/strong>, con sintomi a entrambe le gambe. Le vertebre erano molto collassate e lo spazio dei forami, i &#8220;buchi&#8221; da cui escono le radici nervose, era ridottissimo. \u00abSoffrivo di questa schiena\u2026\u00bb, dice nel video.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Situazioni diverse, ma con un punto in comune: un nervo compresso che non lasciava pi\u00f9 camminare in modo normale. Per entrambe la soluzione \u00e8 stata un&#8217;artrodesi lombare con doppio accesso.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Cos&#8217;\u00e8 un&#8217;artrodesi lombare con doppio accesso (XLIF + viti)<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">L&#8217;<strong>artrodesi<\/strong> \u00e8 un intervento che unisce due o pi\u00f9 vertebre in un unico blocco solido, per eliminare il movimento anomalo di un segmento della colonna e ridare spazio ai nervi. Nel doppio accesso lavoriamo da due lati:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>dal fianco (XLIF):<\/strong> attraverso un accesso laterale inseriamo una <strong>gabbietta<\/strong> tra due vertebre, al posto del disco consumato. La gabbietta rid\u00e0 altezza allo spazio tra le vertebre e allarga indirettamente i forami da cui escono i nervi;<\/li>\n\n\n\n<li><strong>da dietro:<\/strong> <strong>viti e barre<\/strong> bloccano il segmento e lo tengono fermo mentre l&#8217;osso si salda.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img decoding=\"async\" src=\"https:\/\/vitolavanga.it\/wp-content\/uploads\/2026\/10\/artrodesi-lombare-viti-barre-gabbietta-scopia.jpg\" alt=\"Scopia intraoperatoria anonima di un'artrodesi lombare: viti e barre posteriori e gabbietta intersomatica, con etichette\"\/><figcaption class=\"wp-element-caption\">Scopia intraoperatoria (immagine anonima): barre e viti posteriori, gabbietta inserita dal fianco tra due vertebre.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u00abMi hanno messo le viti, le viti e le barre\u2026 e la gabbia\u00bb: la paziente lo spiega con le sue parole meglio di qualunque schema. Se volete approfondire il ruolo di viti e barre, trovate un articolo dedicato su <a href=\"https:\/\/vitolavanga.it\/artrodesi-vertebrale-a-cosa-servono-le-viti-e-le-barre-nella-colonna\/\">a cosa servono le viti e le barre nella colonna<\/a> e la pagina sugli <a href=\"https:\/\/vitolavanga.it\/interventi-artrodesi-vertebrale\/\">interventi di artrodesi vertebrale<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Le prime 12 ore: perch\u00e9 si comincia subito<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nel video lo diciamo chiaramente: \u00abbisogna alzarsi in piedi, perch\u00e9 il letto uccide\u00bb. \u00c8 una frase forte, ma racchiude un concetto preciso. Dopo un intervento alla colonna, restare immobili a letto non protegge la schiena: rallenta il recupero. L&#8217;immobilit\u00e0 favorisce rigidit\u00e0, perdita di forza, problemi di circolazione e di respirazione, e rende pi\u00f9 difficile ripartire.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Per questo il percorso comincia gi\u00e0 nelle <strong>prime 12 ore<\/strong> dall&#8217;intervento. Alla prima paziente, la mattina dopo, chiediamo di sollevare il ginocchio destro: <strong>\u00abadesso la gamba destra ha ricominciato a funzionare\u00bb<\/strong>. Quella stessa gamba che da oltre un mese non si alzava.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">I passaggi del primo giorno<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>La colazione:<\/strong> in reparto \u00absi comincia dalle colazioni\u00bb. Tornare a mangiare normalmente fa parte del recupero.<\/li>\n\n\n\n<li><strong>Gli esercizi per i piedi e le ginocchia:<\/strong> \u00absu e gi\u00f9 i piedi\u00bb, seduti sul bordo del letto. Muovere caviglie e ginocchia attiva la circolazione delle gambe e prepara i muscoli al carico.<\/li>\n\n\n\n<li><strong>Il primo passaggio letto\u2013sedia:<\/strong> imparare a passare dalla posizione sdraiata a quella seduta, e poi dal letto alla sedia, nel modo corretto. \u00abImpariamo a stare cos\u00ec\u00bb.<\/li>\n\n\n\n<li><strong>La posizione in piedi e il primo passo:<\/strong> sempre con l&#8217;aiuto del personale. \u00abCi facciamo dare una mano\u00bb, e la paziente conferma: \u00abmi stanno mettendo in piedi\u00bb.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Alla seconda paziente, il giorno dopo l&#8217;intervento, chiedo come sente le gambe rispetto a ieri. La risposta \u00e8 quella che ogni chirurgo spera di sentire: <strong>\u00abMeglio\u00bb<\/strong>. Le gambe sono <strong>pi\u00f9 leggere<\/strong>, pi\u00f9 libere.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Cosa dice la scienza<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">La mobilizzazione precoce non \u00e8 un&#8217;abitudine di reparto: \u00e8 uno dei pilastri dei protocolli <strong>ERAS<\/strong> (Enhanced Recovery After Surgery), i percorsi di recupero accelerato dopo chirurgia basati sulle evidenze.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>La <strong>ERAS\u00ae Society<\/strong> ha pubblicato nel 2021 un documento di consenso multidisciplinare dedicato proprio all&#8217;artrodesi lombare: 28 raccomandazioni che vanno dall&#8217;informazione al paziente prima dell&#8217;intervento, alle tecniche anestesiologiche e chirurgiche, fino alla gestione multimodale del dolore dopo l&#8217;operazione (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33444664\/\" target=\"_blank\" rel=\"noopener\">Debono 2021, PMID 33444664<\/a>).<\/li>\n\n\n\n<li>Una revisione narrativa sulla chirurgia vertebrale programmata conclude che la mobilizzazione guidata da obiettivi pu\u00f2 ridurre la durata del ricovero e le complicanze, e che <strong>mobilizzarsi il giorno stesso dell&#8217;intervento e camminare dal primo giorno \u00e8 possibile e dovrebbe essere l&#8217;obiettivo<\/strong> (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31323868\/\" target=\"_blank\" rel=\"noopener\">Burgess 2019, PMID 31323868<\/a>).<\/li>\n\n\n\n<li>In un ampio registro multicentrico statunitense con oltre 23.000 pazienti operati alla colonna lombare, <strong>camminare gi\u00e0 il giorno dell&#8217;intervento<\/strong> si \u00e8 associato a una degenza pi\u00f9 breve, a meno riammissioni e a meno complicanze come ritenzione urinaria, infezioni urinarie e ileo, anche nel sottogruppo delle artrodesi (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31832659\/\" target=\"_blank\" rel=\"noopener\">Zakaria 2020, PMID 31832659<\/a>).<\/li>\n\n\n\n<li>Una revisione sistematica sui percorsi ERAS in chirurgia vertebrale riporta, nella maggior parte degli studi, una riduzione della durata del ricovero senza aumento di riammissioni o complicanze (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30933920\/\" target=\"_blank\" rel=\"noopener\">Elsarrag 2019, PMID 30933920<\/a>).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Un limite onesto: molti di questi studi sono osservazionali e non permettono di stabilire con certezza quale protocollo di mobilizzazione sia il migliore. Il messaggio di fondo per\u00f2 \u00e8 coerente: <strong>dopo un&#8217;artrodesi lombare il movimento precoce e guidato aiuta<\/strong>. Tempi e modi vanno sempre decisi caso per caso dal chirurgo e dall&#8217;\u00e9quipe.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Il recupero \u00e8 un lavoro di squadra<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ogni primo passo che vedete nel video non \u00e8 merito solo del chirurgo. Dietro c&#8217;\u00e8 il lavoro del <strong>personale di reparto<\/strong>, che aiuta i pazienti ad alzarsi, a vestirsi e a fare i primi passi in sicurezza, e dell&#8217;<strong>\u00e9quipe di anestesia<\/strong>, che con una buona gestione del dolore rende possibile muoversi presto. A tutti loro, a Villa Tirrena, va il mio grazie di cuore: ogni primo passo \u00e8 anche merito vostro.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Se volete sapere come si svolge il ricovero, dalla preparazione alla dimissione, trovate le informazioni nella pagina <a href=\"https:\/\/vitolavanga.it\/ricovero\/\">Ricovero<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Domande frequenti<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Dopo un&#8217;artrodesi lombare quando ci si alza dal letto?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Quando le condizioni lo permettono, il percorso inizia gi\u00e0 nelle prime ore dopo l&#8217;intervento, con esercizi a letto, il passaggio letto\u2013sedia e poi la posizione in piedi con assistenza. I tempi precisi li decide l&#8217;\u00e9quipe in base all&#8217;intervento e al paziente.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Muoversi subito non rischia di danneggiare le viti?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Viti, barre e gabbietta servono proprio a tenere il segmento fermo mentre l&#8217;osso si salda. Il movimento guidato in reparto (alzarsi, sedersi, camminare) \u00e8 previsto dal percorso; quello che va evitato nelle prime settimane lo spieghiamo al paziente prima della dimissione.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Perch\u00e9 si fanno gli esercizi per i piedi?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Muovere su e gi\u00f9 i piedi e piegare le ginocchia attiva i muscoli del polpaccio, aiuta la circolazione nelle gambe e prepara al carico. \u00c8 il primo, semplice gesto per uscire dall&#8217;immobilit\u00e0.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Tutti i pazienti con stenosi devono operarsi?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">No. Molte stenosi si gestiscono con fisioterapia, esercizio e altri trattamenti conservativi. L&#8217;intervento si valuta quando i sintomi limitano la vita quotidiana e le cure conservative non bastano, sempre dopo una visita e un esame attento delle immagini. Ne parlo anche nell&#8217;articolo <a href=\"https:\/\/vitolavanga.it\/sciatica-acuta-letto-o-movimento\/\">Sciatica acuta: letto o movimento?<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ogni salita comincia da un primo passo<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Se hai un dolore alla schiena o alla gamba che non ti lascia camminare e vuoi capire quale sentiero \u00e8 giusto per te, possiamo valutarlo insieme in visita. <strong>Scrivimi su WhatsApp al <a href=\"https:\/\/wa.me\/393923991841?text=Buongiorno%20Dottore%2C%20vorrei%20prenotare%20una%20visita\" target=\"_blank\" rel=\"noopener\">392 39 91 841<\/a><\/strong>. Se vuoi la mia guida gratuita, scrivi <strong>GUIDA<\/strong> qui: <a href=\"https:\/\/wa.me\/393315032553?text=GUIDA\" target=\"_blank\" rel=\"noopener\">https:\/\/wa.me\/393315032553?text=GUIDA<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Trovi una versione pi\u00f9 breve, con le informazioni pratiche sul centro di Lainate, anche su <a href=\"https:\/\/orthonext.it\/artrodesi-lombare-recupero-lainate\/\" target=\"_blank\" rel=\"noopener\">orthonext.it<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Questo articolo ha uno scopo informativo e non sostituisce il parere del medico. Le indicazioni all&#8217;intervento e al percorso di recupero vanno sempre poste dopo una visita specialistica. I dati delle pazienti sono stati omessi per tutelarne la privacy.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Fonti (PubMed):<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Debono B et al. Consensus statement for perioperative care in lumbar spinal fusion: Enhanced Recovery After Surgery (ERAS\u00ae) Society recommendations. <em>Spine J 2021<\/em>. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33444664\/\" target=\"_blank\" rel=\"noopener\">PMID 33444664<\/a><\/li>\n\n\n\n<li>Burgess LC, Wainwright TW. What Is the Evidence for Early Mobilisation in Elective Spine Surgery? A Narrative Review. <em>Healthcare (Basel) 2019<\/em>. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31323868\/\" target=\"_blank\" rel=\"noopener\">PMID 31323868<\/a><\/li>\n\n\n\n<li>Zakaria HM et al. Ambulation on Postoperative Day #0 Is Associated With Decreased Morbidity and Adverse Events After Elective Lumbar Spine Surgery: Analysis From the Michigan Spine Surgery Improvement Collaborative (MSSIC). <em>Neurosurgery 2020<\/em>. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31832659\/\" target=\"_blank\" rel=\"noopener\">PMID 31832659<\/a><\/li>\n\n\n\n<li>Elsarrag M et al. Enhanced recovery after spine surgery: a systematic review. <em>Neurosurg Focus 2019<\/em>. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30933920\/\" target=\"_blank\" rel=\"noopener\">PMID 30933920<\/a><\/li>\n<\/ol>\n\n\n\n<!-- Box newsletter per fondo articolo blog - Dr. Lavanga. 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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? 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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>Buongiorno! Oggi vi porto con me in reparto, alla Casa di Cura Villa Tirrena di Livorno, la mattina dopo una giornata di sala operatoria intensa: cinque interventi, di cui tre artrodesi lombari a doppio approccio XLIF, eseguite per risolvere stenosi complesse del canale vertebrale. Nel video qui sotto vedete due pazienti, lo stesso reparto e [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":834,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[1],"tags":[36,40,39,38,41,37],"class_list":["post-835","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-approfondimenti","tag-artrodesi-lombare","tag-mobilizzazione-precoce","tag-recupero-post-operatorio","tag-stenosi-spinale","tag-villa-tirrena","tag-xlif"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Artrodesi lombare: dalle prime 12 ore al primo passo<\/title>\n<meta name=\"description\" content=\"Dopo un&#039;artrodesi lombare ci si alza gi\u00e0 nelle prime ore: colazione, esercizi per i piedi, passaggio letto-sedia e primo passo. 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