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Comparing the Wiltse approach and classical approach of pedicle screw and hook internal fixation system for direct repair of lumbar spondylolysis in young patients: A case-control study – Lumbar Fusion

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This article examines the clinical effect of two different surgical approaches, the Wiltse approach and the classical approach, in treating young patients with simple lumbar spondylolysis. The study included 33 patients, with 17 undergoing direct isthmic repair via the Wiltse approach and 16 undergoing the classical approach. Various factors including operation time, blood loss, postoperative drainage, hospital stay, fusion rate, visual analogue scale (VAS) score, and Oswestry disability index score were evaluated and compared between the two groups. The results showed that the Wiltse group had lower blood loss, drainage volume, and hospital stay compared to the classical group. There was no significant difference in Oswestry disability index score between the groups, but the Wiltse group had a lower VAS score at 6 months after surgery. The Wiltse approach was found to be minimally invasive and achieve comparable or better clinical outcomes than the classical approach. The study concluded that the Wiltse approach combined with autogenous iliac bone graft is a safe and effective surgical method for repairing lumbar spondylolysis in young patients

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best recognised spine clinic in UK

Published article

The aim of this study was to investigate the clinical effect of direct isthmus repair via Wiltse approach and classical approach in the treatment of simple lumbar spondylolysis in young patients. Thirty-three patients with simple lumbar spondylolysis underwent direct isthmic repair via the Wiltse approach (n = 17) or the classical approach (n = 16). The operation time, intraoperative blood loss, postoperative drainage volume, hospital stay, fusion rate, visual analogue scale (VAS), and the…

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Medicine (Baltimore). 2023 Sep 15;102(37):e34813. doi: 10.1097/MD.0000000000034813.ABSTRACTThe aim of this study was to investigate the clinical effect of direct isthmus repair via Wiltse approach and classical approach in the treatment of simple lumbar spondylolysis in young patients. Thirty-three patients with simple lumbar spondylolysis underwent direct isthmic repair via the Wiltse approach (n = 17) or,

Medicine (Baltimore). 2023 Sep 15;102(37):e34813. doi: 10.1097/MD.0000000000034813.

ABSTRACT

The aim of this study was to investigate the clinical effect of direct isthmus repair via Wiltse approach and classical approach in the treatment of simple lumbar spondylolysis in young patients. Thirty-three patients with simple lumbar spondylolysis underwent direct isthmic repair via the Wiltse approach (n = 17) or the classical approach (n = 16). The operation time, intraoperative blood loss, postoperative drainage volume, hospital stay, fusion rate, visual analogue scale (VAS), and the Oswestry disability index were evaluated and compared between the 2 groups. The amount of intraoperative blood loss, postoperative drainage volume, and the duration of hospital stay in the Wiltse group were lower than those in the classical group (P < .05). There was no significant difference in Oswestry disability index score between the Wiltse group and the classical group at 3 months, 6 months, and 1 year after operation, but the visual analogue scale score in the Wiltse group was lower than that in the classical group at 6 months after surgery (P < .05). The Wiltse approach was comparable to the classical approach in terms of bone graft fusion time and fusion rate. The Wiltse approach for isthmus repair can achieve the same or even better clinical effect than the classical approach, and the Wiltse approach is more minimally invasive. Pedicle screw-hook internal fixation system combined with autogenous iliac bone graft via Wiltse approach is a feasible, safe, and effective minimally invasive surgical method for the repair of isthmic spondylolysis in young patients.

PMID:37713869 | DOI:10.1097/MD.0000000000034813

The London Spine Unit : best recognised spine clinic in UK

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Comparing the Wiltse approach and classical approach of pedicle screw and hook internal fixation system for direct repair of lumbar spondylolysis in young patients: A case-control study

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Medicine (Baltimore). 2023 Sep 15;102(37):e34813. doi: 10.1097/MD.0000000000034813.ABSTRACTThe aim of this study was to investigate the clinical effect of direct isthmus repair via Wiltse approach and classical approach in the treatment of simple lumbar spondylolysis in young patients. Thirty-three patients with simple lumbar spondylolysis underwent direct isthmic repair via the Wiltse approach (n = 17) or

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