Consecutive double-level lumbar spondylolysis successfully treated with the double “smiley face” rod method

Takeuchi, Makoto; Tezuka, Fumiaki; Chikawa, Takashi; Hibino, Naohito; Takahashi, Yūzō; Yamasaki, Yuhei; Momota, Kaori; Henmi, Tatsuhiko; Maeda, Toru; Sairyo, Koichi

doi:10.2152/jmi.67.202

Cited by 4 publications

(1 citation statement)

References 18 publications

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“…The 29-year-old patient underwent direct repair of bilateral pars defects at L4 and L5 using this surgical approach at both vertebral levels. There were no complications and clinical improvement was reported one year after the surgery [63]. In 2021, Yurac et al performed a modified Buck technique repair with a minimally invasive technique involving cannulated compression screws along with neuronavigation and neuromonitoring.…”

Section: Minimally Invasive Surgical Techniquesmentioning

confidence: 99%

Pars Interarticularis Fractures Treated with Minimally Invasive Surgery: A Literature Review

Minor,

Klein,

Sowah

et al. 2024

JCM

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Recurrent stress on the isthmic pars interarticularis often leads to profound injury and symptom burden. When conservative and medical management fail, there are various operative interventions that can be used. The current review details the common clinical presentation and treatment of pars injury, with a special focus on the emerging minimally invasive procedures used in isthmic pars interarticularis repair. PubMed and Google Scholar database literature reviews were conducted. The keywords and phrases that were searched include but were not limited to; “history of spondylolysis”, “pars interarticularis”, “pars defect”, “conventional surgical repair of pars”, and “minimally invasive repair of pars”. The natural history, conventional presentation, etiology, risk factors, and management of pars interarticularis injury are discussed by the authors. The surgical interventions described include the Buck’s repair, Morscher Screw-Hook repair, Scott’s Wiring technique, and additional pedicle screw-based repairs. Minimally invasive techniques are also reviewed, including the Levi technique. Surgical intervention has been proven to be safe and effective in managing pars interarticularis fractures. However, minimally invasive techniques often provide additional benefit to patients such as reducing damage of surrounding structures, decreasing postoperative pain, and limiting the time away from sports and other activities.

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Section: Minimally Invasive Surgical Techniquesmentioning

confidence: 99%

Pars Interarticularis Fractures Treated with Minimally Invasive Surgery: A Literature Review

Minor,

Klein,

Sowah

et al. 2024

JCM

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Is there a place for surgical repair in adults with spondylolysis or grade-I spondylolisthesis—a systematic review and treatment algorithm

et al. 2021

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Evaluation of V-type titanium cable internal fixation for the treatment of young adult fifth lumbar spondylolysis: technical notes and a retrospective clinical study

Huang,

Teng,

et al. 2024

J Orthop Surg Res

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Background Various strategies, each with its own set of limitations, are available for managing lumbar spondylolysis. In response, our department has developed an innovative solution: a V-shaped titanium cable integrated with a pedicle screw internal fixation system specifically designed for lumbar spondylolysis in young adults. Aim The objective of this study was to thoroughly investigate the long-term efficacy of V-type titanium cable internal fixation for the management of spondylolysis, especially in young adults. Methods Twenty-one patients with fifth lumbar spondylolysis were treated using V-shaped titanium cables and pedicle screw internal fixation at the General Hospital Xinjiang Military Command. The duration of low back pain before surgery was 6 ~ 48 (15.85 ± 11.57) months. The Medtronic (S7) navigation system was used during surgery to guide the placement of pedicle screws, aiming to avoid damaging the L4-5 facet joint by positioning the screws lower and further to the side. Intraoperative indices (operative time and intraoperative blood loss) were recorded. The visual analog scale (VAS), Oswestry Disability Index (ODI), pelvic incidence (PI), and intraoperative imaging measurements of screw accuracy were meticulously recorded and assessed in a comprehensive manner. This thorough evaluation was conducted both intraoperatively and throughout the follow-up period, which lasted for at least one year.The Macnab efficacy criteria were used to assess postoperative outcomes during the final follow-up period. Results All patients successfully completed the 1-year follow-up on time. Two patients experienced postoperative wound liquefaction and successfully recovered after undergoing dressing changes. The average duration of the surgical procedure was 113.09 ± 6.97 min, and an intraoperative blood loss of 50.47 ± 21.32 millilitres was observed. Significant differences were noted in visual analog scale (VAS) scores before and after surgery at various time intervals, indicating improvement with the progression of rehabilitation exercises. No significant changes were found in the pelvic incidence (PI), and there were no notable differences between the preoperative and postoperative periods. No loosening, breakage, or failure of the internal fixation was found during the long-term follow-up. Furthermore, there were no serious complications, such as infection or vascular or nerve injuries. occurred during the procedure. A patient who presented with a considerable cryptic fissure of sacrum 1 experienced dural injury during the surgical procedure. Intraoperatively, dural sutures were skillfully applied, and the adjacent muscles were fortified. Remarkably, the patient achieved successful healing in a single stage. On the first day postsurgery, a gradual improvement in mobility was noted. Conclusions The use of a V-shaped titanium cable in conjunction with a pedicle screw internal fixation ...

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Consecutive double-level lumbar spondylolysis successfully treated with the double “smiley face” rod method

Cited by 4 publications

References 18 publications

Pars Interarticularis Fractures Treated with Minimally Invasive Surgery: A Literature Review

Pars Interarticularis Fractures Treated with Minimally Invasive Surgery: A Literature Review

Is there a place for surgical repair in adults with spondylolysis or grade-I spondylolisthesis—a systematic review and treatment algorithm

Evaluation of V-type titanium cable internal fixation for the treatment of young adult fifth lumbar spondylolysis: technical notes and a retrospective clinical study

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