Minimally Invasive Direct Repair of Bilateral Lumbar Spine Pars Defects in Athletes

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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Main Authors: Gabriel A. Widi, Seth K. Williams, Allan D. Levi
Format: Article
Language:English
Published: Hindawi Limited 2013-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2013/659078
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spelling doaj-1ff31f0bc2c5447981de049f947e4e9d2020-11-24T22:35:43ZengHindawi LimitedCase 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
collection DOAJ
language English
format Article
sources DOAJ
author Gabriel A. Widi
Seth K. Williams
Allan D. Levi
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
author_facet Gabriel A. Widi
Seth K. Williams
Allan D. Levi
author_sort Gabriel A. Widi
title 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_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_sort minimally invasive direct repair of bilateral lumbar spine pars defects in athletes
publisher Hindawi Limited
series Case Reports in Medicine
issn 1687-9627
1687-9635
publishDate 2013-01-01
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.
url http://dx.doi.org/10.1155/2013/659078
work_keys_str_mv AT gabrielawidi minimallyinvasivedirectrepairofbilaterallumbarspineparsdefectsinathletes
AT sethkwilliams minimallyinvasivedirectrepairofbilaterallumbarspineparsdefectsinathletes
AT allandlevi minimallyinvasivedirectrepairofbilaterallumbarspineparsdefectsinathletes
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