New Technique for Treatment of Spondylolysis and Contralateral Facet Fracture Using Navigation and Robotics: A Case Report.

Autor:	Nilssen PK; Department of Orthopedic Surgery, Cedars-Sinai Medical Center, Los Angeles, California., Finkel RA; Department of Orthopedic Surgery, Cedars-Sinai Medical Center, Los Angeles, California., Narendran N; Department of Orthopedic Surgery, Cedars-Sinai Medical Center, Los Angeles, California., Skaggs DL; Department of Orthopedic Surgery, Cedars-Sinai Medical Center, Los Angeles, California., Walker CT; Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California.
Jazyk:	angličtina
Zdroj:	JBJS case connector [JBJS Case Connect] 2024 Aug 29; Vol. 14 (3). Date of Electronic Publication: 2024 Aug 29 (Print Publication: 2024).
DOI:	e23.00698
Abstrakt:	Case: A healthy 15-year-old male competitive hockey player presented with acute-on-chronic lower back pain was found to have a bilateral pars defect. After conservative treatment, subsequent computed tomography imaging demonstrated partial healing of the right-sided facet fracture but persistent left-sided pars fracture. A novel technique was performed, using robotic navigation to assist in laminar screw placement and to determine the optimal trajectory for subsequent microscopic surgery and bone grafting. Conclusion: Robotic navigation can be safely used to not only guide precise laminar screw placement for fixation and direct repair but also to provide guidance for microscopic tubular bone grafting of the pars defect. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C426). (Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.)
Databáze:	MEDLINE
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