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Biportal endoscopic bone graft repair and percutaneous screw fixation for lumbar spondylolysis-technical note and clinical outcomes – Lumbar Fusion

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The article discusses the use of the biportal endoscopic spinal surgery (BESS) technique for the treatment of lumbar spondylolysis, a condition characterized by a bony defect in the vertebral pars interarticularis. The study provides a detailed explanation of the surgical procedures involved in using the BESS technique for bone graft repair and percutaneous cannulated screw fixation. The results show that the BESS technique effectively addresses lumbar spondylolysis through a minimally invasive approach, offering the potential for successful osseous fusion at the defect site. The article concludes that the BESS procedure is a viable surgical strategy for managing lumbar spondylolysis

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most advanced sugical centre on Harley Street UK

Published article

: The BESS procedure for lumbar spondylolysis ensures a clean and prepared defect site for grafting and encourages successful osseous fusion, spotlighting its potential as a viable surgical strategy in managing this condition.

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Acta Neurochir (Wien). 2024 Feb 2;166(1):58. doi: 10.1007/s00701-024-05944-z.ABSTRACTBACKGROUND: Lumbar spondylolysis involves a bony defect in the vertebral pars interarticularis, predominantly affecting the lower lumbar spine. This condition is a significant etiological factor in lumbar instability and recurrent lower back pain, particularly in young individuals. While conservative treatments are the primary intervention, they often fail to,

Acta Neurochir (Wien). 2024 Feb 2;166(1):58. doi: 10.1007/s00701-024-05944-z.

ABSTRACT

BACKGROUND: Lumbar spondylolysis involves a bony defect in the vertebral pars interarticularis, predominantly affecting the lower lumbar spine. This condition is a significant etiological factor in lumbar instability and recurrent lower back pain, particularly in young individuals. While conservative treatments are the primary intervention, they often fail to provide relief, necessitating surgical approaches. Notwithstanding, executing bone grafting and fixation in the pars interarticularis defect simultaneously through minimally invasive surgery remains challenging.

METHOD: This study elucidates the biportal endoscopic spinal surgery (BESS) technique, innovatively applied for bone graft repair and percutaneous cannulated screw fixation in a patient with lumbar spondylolysis. We offer a detailed walkthrough of the technical procedures supplemented with follow-up radiographic evidence.

RESULTS: The BESS technique facilitated meticulous clearance of the defect site, coupled with bone grafting and cannulated screw fixation, effectively addressing lumbar spondylolysis through a minimally invasive approach. This method holds promise for achieving substantial osseous fusion at the vertebral pars interarticularis defect site.

: The BESS procedure for lumbar spondylolysis ensures a clean and prepared defect site for grafting and encourages successful osseous fusion, spotlighting its potential as a viable surgical strategy in managing this condition.

PMID:38302625 | DOI:10.1007/s00701-024-05944-z

The London Spine Unit : most advanced sugical centre on Harley Street UK

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Biportal endoscopic bone graft repair and percutaneous screw fixation for lumbar spondylolysis-technical note and clinical outcomes

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Acta Neurochir (Wien). 2024 Feb 2;166(1):58. doi: 10.1007/s00701-024-05944-z.ABSTRACTBACKGROUND: Lumbar spondylolysis involves a bony defect in the vertebral pars interarticularis, predominantly affecting the lower lumbar spine. This condition is a significant etiological factor in lumbar instability and recurrent lower back pain, particularly in young individuals. While conservative treatments are the primary intervention, they often fail to

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