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Comparison of Direct Pars Repair Techniques for Spondylolysis in Young Patients: Pedicle Screw Hook System versus Pedicle Screw Rod – Lumbar Fusion

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The article discusses the evaluation and comparison of the effectiveness of direct pars repair techniques in young symptomatic patients with lumbar spondylolysis (LS). A retrospective study compared clinical and radiological outcomes in patients who underwent surgery using the pedicle screw hook system (PSHS) and the pedicle screw rod system (PSRS). The results showed that both techniques yielded satisfactory results, but the PSRS group outperformed the PSHS group in various parameters such as operative time, blood loss, postoperative drainage, length of hospital stays, and functional outcomes. Overall, both techniques were effective in promoting early recovery and improving outcomes in young individuals with LS

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Published article

S: Direct pars repair techniques using PSHS and PSRS yielded satisfactory clinical and radiographic results in young patients with symptomatic LS. PSRS, compared to PSHS, demonstrated greater effectiveness in young individuals with LS and promoted early recovery.

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Altern Ther Health Med. 2024 Feb 9:AT9898. Online ahead of print.ABSTRACTBACKGROUND: Lumbar spondylolysis (LS) poses a potential threat, and there is a need to evaluate and compare the effectiveness of direct pars repair techniques.OBJECTIVE: To assess and compare the clinical and radiographic outcomes of direct pars repair techniques using the pedicle screw hook system (PSHS),

Altern Ther Health Med. 2024 Feb 9:AT9898. Online ahead of print.

ABSTRACT

BACKGROUND: Lumbar spondylolysis (LS) poses a potential threat, and there is a need to evaluate and compare the effectiveness of direct pars repair techniques.

OBJECTIVE: To assess and compare the clinical and radiographic outcomes of direct pars repair techniques using the pedicle screw hook system (PSHS) and the pedicle screw rod system (PSRS) in young symptomatic patients with lumbar spondylolysis.

METHODS: A retrospective study was conducted to compare clinical and radiological data in young symptomatic LS patients after surgery. Records of 45 post-surgery LS patients with a minimum 24-month follow-up (January 2014 to June 2019) were reviewed. A total of 26 patients underwent PSHS, and 19 had PSRS. Treatment outcomes were analyzed using the visual analog pain scale (VAS), Oswestry disability index (ODI), MacNab criteria, lumbar fusion status, and Pfirrmann grading standards. Patient baseline characteristics were also compared between the two groups.

RESULTS: No disc degeneration was observed in either PSHS or PSRS groups at 24 months postoperatively, according to the Pfirrmann grading scale. The PSRS group outperformed the PSHS group in operative time, intraoperative blood loss, postoperative drainage, length of hospital stays, ODI, VAS values at 3 months postoperatively, and fusion status at 6 months postoperatively. No notable differences were observed in other parameters during the 24-month follow-up period, and no significant surgical complications were recorded.

S: Direct pars repair techniques using PSHS and PSRS yielded satisfactory clinical and radiographic results in young patients with symptomatic LS. PSRS, compared to PSHS, demonstrated greater effectiveness in young individuals with LS and promoted early recovery.

PMID:38401088

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Comparison of Direct Pars Repair Techniques for Spondylolysis in Young Patients: Pedicle Screw Hook System versus Pedicle Screw Rod

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Altern Ther Health Med. 2024 Feb 9:AT9898. Online ahead of print.ABSTRACTBACKGROUND: Lumbar spondylolysis (LS) poses a potential threat, and there is a need to evaluate and compare the effectiveness of direct pars repair techniques.OBJECTIVE: To assess and compare the clinical and radiographic outcomes of direct pars repair techniques using the pedicle screw hook system (PSHS)

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