Pars interarticularis repair using pedicle screws and laminar hooks fixation technique in patients with symptomatic lumbar spondylolysis

Autor: Zayan Mohammed, Hussien Mohammed Ali, El Zahlawy Hany
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: SICOT-J, Vol 8, p 13 (2022)
Druh dokumentu: article
ISSN: 2426-8887
DOI: 10.1051/sicotj/2022013
Popis: Study Design: Prospective case series. Purpose: To assess the outcomes of pars repair surgery using pedicle screws and laminar hooks. Methods: This study was conducted on 22 patients with symptomatic lumbar spondylolysis. Curettage of the fibrocartilage in the defect and drilling of the sclerotic bone ends were done, followed by impaction of cancellous bone graft. Pedicle screws were inserted bilaterally in the corresponding pedicles and connected to a laminar hook via rods (screw-rod-hook fixation). The intensity of back pain and the functional outcome were assessed using the visual analog scale (VAS) and the Oswestry disability index (ODI). Plain radiographs were performed immediately postoperatively and after 3 and 6 months. CT scan was done at the final follow-up to assess pars healing. The mean follow-up period was 27 months. Results: The mean preoperative VAS and ODI were 7.4 ± 0.8 and 64.8 ± 6.7, which improved to 2.4 ± 0.8 and 20 ± 6 respectively at the final follow-up (P
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