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The article discusses the use of minimally invasive repair for pars defects, particularly in pediatric and adolescent patients. The authors present a case report of a 14-year-old male athlete with lumbar 5 pars fracture, where an endoscopic approach was employed for repair and fusion across the pars defect. The repair procedure resulted in successful radiographic evidence of bony fusion by the third postoperative month, highlighting the effectiveness of this minimally invasive technique in achieving positive clinical outcomes
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best situated spine centre in London
Published article
Minimally invasive repair of pars defects can be achieved via means of cannulation followed by tubular decortication. Given these injuries typically occur in pediatric and adolescent patients, minimal disruption to surrounding tissue during the repair is ideal. The use of an endoscopic approach to assist with repair and fusion across the pars defect is a novel consideration in the pediatric demographic, and in this case report we highlight our experience and rationale for this in treating a…
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Clin Neurol Neurosurg. 2023 Aug 1;233:107920. doi: 10.1016/j.clineuro.2023.107920. Online ahead of print.ABSTRACTMinimally invasive repair of pars defects can be achieved via means of cannulation followed by tubular decortication. Given these injuries typically occur in pediatric and adolescent patients, minimal disruption to surrounding tissue during the repair is ideal. The use of an endoscopic approach to,
Clin Neurol Neurosurg. 2023 Aug 1;233:107920. doi: 10.1016/j.clineuro.2023.107920. Online ahead of print.
ABSTRACT
Minimally invasive repair of pars defects can be achieved via means of cannulation followed by tubular decortication. Given these injuries typically occur in pediatric and adolescent patients, minimal disruption to surrounding tissue during the repair is ideal. The use of an endoscopic approach to assist with repair and fusion across the pars defect is a novel consideration in the pediatric demographic, and in this case report we highlight our experience and rationale for this in treating a 14-year-old male athlete with lumbar 5 pars fracture. Radiographic evidence of bony fusion was seen by the third postoperative month. In this case report we demonstrate the invasive nature of this repair can be minimized further than current convention with successful radiographic and clinical outcomes.
PMID:37536252 | DOI:10.1016/j.clineuro.2023.107920
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Read the original publication:
Endoscopic-assisted fusion for lumbar pars fracture repair in an adolescent patient
