ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2017
A minimal soft tissue damage approach of spondylolysis repair in athletes: preliminary report.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed, 8 citations in OpenAlex.
- Navigation-Assisted Minimally Invasive Direct Pars Repair for Lumbar Spondylolysis.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Return to Sports Following Spondylolysis Surgery in Children and Adolescents: A Systematic Review.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
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Authors and funding
3 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purpose and hypothesisBoth spondylolysis and spondylolisthesis come in second place in the causes of pain among athletes. Treatment options include both conservative management and different operative methods. Athletes and adolescents are groups where the priority is to protect tissues from perioperative damage.
objectiveWe present our modification of the Buck's, direct pars repair method, which we believe offers maximum protection of tissues. We used the modified surgical method in young, competitive athletes, in whom non-surgical treatment was not effective.
methodEight pars defects in five patients were treated using suggested method. All of them were young males (aged between 13 and 18 years), who practice soccer professionally. We use modified method of direct repair pars through the cannulated screw fixation, first proposed by Buck. Preoperative preparation consists of proper analysis of computer tomography images in multiplanar reconstruction mode: measuring screw length, measurement of inclination angle of the optimal screw trajectory in the frontal and sagittal plane. During the operation, the wire proper direction is performed by usage of the predetermined angles. Starting point for guide wire was also changed to the lower end of the facet. The fusion takes place with a screw of 3 mm diameter. After the operation patient need to use thoracolumbar spinal orthosis as a primary immobilization for 6 weeks and appropriate rehabilitation for another 6 weeks. We used these methods in eight pars fixations.
resultsAll of the patients were painless in first week after surgery. All of them underwent total rehabilitation programme and returned to sport.
conclusionsDirect pars repair using Buck's method with proposed modification, including adequate radiographic preparation, the use of a thin cannulated screw and changing the point of screw entry, allows precise and safe screw placement, regardless of the size of the bone at the defect site.
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