Minimally Invasive Direct Repair of Bilateral Lumbar Spine Pars Defects in Athletes
Spondylolysis of the lumbar spine has traditionally been treated using a variety of techniques ranging from conservative care to fusion. Direct repair of the defect may be utilized in young adult patients without significant disc degeneration and lumbar instability. We used minimally invasive techni...
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Format: | Article |
Language: | English |
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Wiley
2013-01-01
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Series: | Case Reports in Medicine |
Online Access: | http://dx.doi.org/10.1155/2013/659078 |
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author | Gabriel A. Widi Seth K. Williams Allan D. Levi |
author_facet | Gabriel A. Widi Seth K. Williams Allan D. Levi |
author_sort | Gabriel A. Widi |
collection | DOAJ |
description | Spondylolysis of the lumbar spine has traditionally been treated using a variety of techniques ranging from conservative care to fusion. Direct repair of the defect may be utilized in young adult patients without significant disc degeneration and lumbar instability. We used minimally invasive techniques to place pars interarticularis screws with the use of an intraoperative CT scanner in three young adults, including two athletes. This technique is a modification of the original procedure in 1970 by Buck, and it offers the advantage of minimal muscle dissection and optimal screw trajectory. There were no intra- or postoperative complications. The detailed operative procedure and the postoperative course along with a brief review of pars interarticularis defect treatment are discussed. |
format | Article |
id | doaj-art-1ff31f0bc2c5447981de049f947e4e9d |
institution | Kabale University |
issn | 1687-9627 1687-9635 |
language | English |
publishDate | 2013-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Medicine |
spelling | doaj-art-1ff31f0bc2c5447981de049f947e4e9d2025-02-03T01:09:47ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/659078659078Minimally Invasive Direct Repair of Bilateral Lumbar Spine Pars Defects in AthletesGabriel A. Widi0Seth K. Williams1Allan D. Levi2Department of Neurological Surgery and the Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Lois Pope Life Center, 1095 NW 14th Terrace (D4-6), Miami, FL 33136, USADepartment of Neurological Surgery and the Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Lois Pope Life Center, 1095 NW 14th Terrace (D4-6), Miami, FL 33136, USADepartment of Neurological Surgery and the Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Lois Pope Life Center, 1095 NW 14th Terrace (D4-6), Miami, FL 33136, USASpondylolysis of the lumbar spine has traditionally been treated using a variety of techniques ranging from conservative care to fusion. Direct repair of the defect may be utilized in young adult patients without significant disc degeneration and lumbar instability. We used minimally invasive techniques to place pars interarticularis screws with the use of an intraoperative CT scanner in three young adults, including two athletes. This technique is a modification of the original procedure in 1970 by Buck, and it offers the advantage of minimal muscle dissection and optimal screw trajectory. There were no intra- or postoperative complications. The detailed operative procedure and the postoperative course along with a brief review of pars interarticularis defect treatment are discussed.http://dx.doi.org/10.1155/2013/659078 |
spellingShingle | Gabriel A. Widi Seth K. Williams Allan D. Levi Minimally Invasive Direct Repair of Bilateral Lumbar Spine Pars Defects in Athletes Case Reports in Medicine |
title | Minimally Invasive Direct Repair of Bilateral Lumbar Spine Pars Defects in Athletes |
title_full | Minimally Invasive Direct Repair of Bilateral Lumbar Spine Pars Defects in Athletes |
title_fullStr | Minimally Invasive Direct Repair of Bilateral Lumbar Spine Pars Defects in Athletes |
title_full_unstemmed | Minimally Invasive Direct Repair of Bilateral Lumbar Spine Pars Defects in Athletes |
title_short | Minimally Invasive Direct Repair of Bilateral Lumbar Spine Pars Defects in Athletes |
title_sort | minimally invasive direct repair of bilateral lumbar spine pars defects in athletes |
url | http://dx.doi.org/10.1155/2013/659078 |
work_keys_str_mv | AT gabrielawidi minimallyinvasivedirectrepairofbilaterallumbarspineparsdefectsinathletes AT sethkwilliams minimallyinvasivedirectrepairofbilaterallumbarspineparsdefectsinathletes AT allandlevi minimallyinvasivedirectrepairofbilaterallumbarspineparsdefectsinathletes |