Spondylolysis Repair Using a Minimally Invasive Modified Buck Technique with Neuronavigation and Neuromonitoring in High School and Professional Athletes: Technical Notes, Case Series, and Literature Review
| Autor: | Alvaro Silva, Bartolomé Marré, José T. Bravo, Ratko Yurac |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Neuronavigation Adolescent Intraoperative Neurophysiological Monitoring medicine.medical_treatment Spondylolysis Pars interarticularis Humans Minimally Invasive Surgical Procedures Medicine Students Fixation (histology) Lumbar Vertebrae Schools Rehabilitation biology business.industry Athletes biology.organism_classification medicine.disease Nonsurgical treatment Surgery Vertebra medicine.anatomical_structure Athletic Injuries Neurology (clinical) business |
| Zdroj: | World Neurosurgery. 155:54-63 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2021.07.134 |
| Popis: | Background Spondylolysis is a defect in the pars interarticularis of the vertebra that occurs frequently in high-performance young athletes. Although nonsurgical management is the mainstay of treatment, surgery is an option for patients with persistent symptoms despite multiple cycles of nonsurgical treatment. Performing a minimally invasive technique reduces complications, postsurgery pain, and hospitalization time and leads to a quick recovery. The aim of this study was to report the clinical results of a series of 3 patients treated with a modification of the Buck technique with a minimally invasive approach. Methods Three high-performance athletes between 17 and 18 years old who were managed nonsurgically for at least 6 months underwent a modified Buck technique repair with a minimally invasive approach using cannulated compression screws, with neuronavigation and neuromonitoring. Patients were followed at least 6 months with computed tomography scans to assess consolidation and fixation status. Following rehabilitation and in the absence of pain, all 3 athletes returned to their respective sports. No complications were reported. Results All patients presented with bilateral spondylolysis, at L3 in 1 case and at L5 in 2 cases. Patients received conservative management for 12–36 months before surgery. After surgery, consolidation was obtained at 4 months in all patients, who returned to their sports activities in Conclusions The proposed technique shows the advantages of performing minimally invasive surgery in young high-performance athletes, ensuring consolidation and early return to sports activity without complications. |
| Databáze: | OpenAIRE |
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