Direct Repair of Spondylolysis

Roca, Jose; Moretta, Dafne; Fuster, Salvador; Roca, A. Alabat

doi:10.1097/00003086-198909000-00013

Cited by 30 publications

(23 citation statements)

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“…However, patients with highgrade spondylolisthesis are not candidates for direct repair. Following Kimura's initial introduction of the direct repair technique, screw [2,11,12,21,23,25,30,31], wire [3,9,13,20], hook-screw [1,10,18], rod-screw [8], and plate [16] fixation and some variations [14] were used to stabilize the repaired defects. These techniques allow the patients up as soon as possible postoperatively, but reoperation is required to remove the internal fixation device.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Direct repair of defect in lumbar spondylolysis and mild isthmic spondylolisthesis by bone grafting, with or without facet joint fusion

Dai

Jia

Yuan

et al. 2001

European Spine Journal

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Section: Discussionmentioning

confidence: 99%

“…Being responsive to conservative treatment, most patients with lumbar spondylolysis and mild spondylolisthesis do not require surgical intervention [25,26]. However, some patients do eventually undergo surgery.…”

Section: Introductionmentioning

confidence: 99%

Direct repair of defect in lumbar spondylolysis and mild isthmic spondylolisthesis by bone grafting, with or without facet joint fusion

Dai

Jia

Yuan

et al. 2001

European Spine Journal

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“…The mean age at the time of operation was 18 ± 4.5 years (range [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26]. The symptoms were: backache in 55 cases (88.7%) and back and radicular pain in 7 cases (11.3%).…”

Section: Resultsmentioning

confidence: 99%

“…Over the years we have used three different surgical techniques, among those proposed by various authors [5,11,16,19,21,23,24,26].…”

Section: S118mentioning

confidence: 99%

Long-term results of the direct repair of spondylolisthesis

et al. 2011

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Direct repair of spondylolisthesis can save a functional segment in young patients with slight slipping. Since 1968 many surgeons have proposed different technical solutions to obtain the isthmic repair. Their results changed according to the technique used, the extent of listhesis and the age of the patient. The aim of our study was to perform a retrospective review on the long-term results of the direct repair of spondylolisthesis, according to the different techniques used. We operated 62 patients for isthmic repair, with three different techniques, from 1994 to 2007. We analysed the clinical and radiographic results of 52 cases, with an average follow-up of 9 ± 3 years (range 2-15). Ten patients were lost to the follow-up. The results were different depending on the technique used. Good or excellent clinical outcome by Odom's criteria were observed in the 83.3% of patients operated with the modified Scott technique. These results are better than those obtained in the group of patients operated with the Scott (62.5%) and the Buck technique (28.5%). Patients with clinical and radiological failure, who then underwent spinal fusion, were 57% with the Buck technique, 12.5% with the Scott technique and 2.7% with the Scott modified technique. The reasons for a new operation were symptomatic pseudarthrosis and progression of slipping. In conclusion, the pars defect repair is a helpful technique in lumbar spondylolisthesis, especially in young patient with slight slipping and painful symptoms resistant to conservative treatment. In our experience, the modified Scott technique seems to provide a better outcome than the Scott and Buck techniques.

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“…54 Man-agement will differ depending on the clinical presentation of the patient. We propose that patients may classified into one of the following categories (Fig 6): 1) known spondylolysis without low back pain regardless of age; 2) the young patient with low back pain with suspected or known spondylolysis; or 3) the adult patient with low back pain with suspected or known spondylolysis.…”

Section: Conservative Managementmentioning

confidence: 99%