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

Yurac, Ratko; Bravo, José; Silva, Álvaro; Marré, Bartolomé

doi:10.1016/j.wneu.2021.07.134

Cited by 7 publications

(4 citation statements)

References 43 publications

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“…They were followed for a minimum of three months and the outcomes revealed all patients returned to their sports activities in less than six months. There were no complications reported [64].…”

Section: Minimally Invasive Surgical Techniquesmentioning

confidence: 79%

Pars Interarticularis Fractures Treated with Minimally Invasive Surgery: A Literature Review

Minor,

Klein,

Sowah

et al. 2024

JCM

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Recurrent stress on the isthmic pars interarticularis often leads to profound injury and symptom burden. When conservative and medical management fail, there are various operative interventions that can be used. The current review details the common clinical presentation and treatment of pars injury, with a special focus on the emerging minimally invasive procedures used in isthmic pars interarticularis repair. PubMed and Google Scholar database literature reviews were conducted. The keywords and phrases that were searched include but were not limited to; “history of spondylolysis”, “pars interarticularis”, “pars defect”, “conventional surgical repair of pars”, and “minimally invasive repair of pars”. The natural history, conventional presentation, etiology, risk factors, and management of pars interarticularis injury are discussed by the authors. The surgical interventions described include the Buck’s repair, Morscher Screw-Hook repair, Scott’s Wiring technique, and additional pedicle screw-based repairs. Minimally invasive techniques are also reviewed, including the Levi technique. Surgical intervention has been proven to be safe and effective in managing pars interarticularis fractures. However, minimally invasive techniques often provide additional benefit to patients such as reducing damage of surrounding structures, decreasing postoperative pain, and limiting the time away from sports and other activities.

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Section: Minimally Invasive Surgical Techniquesmentioning

confidence: 79%

Pars Interarticularis Fractures Treated with Minimally Invasive Surgery: A Literature Review

Minor,

Klein,

Sowah

et al. 2024

JCM

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“…Of those 20 studies, full-text reviews were conducted and 9 studies met the final inclusion criteria (Table 1). Examples of studies excluded were those that did not mention surgical intervention [16] and those with inadequate sample sizes [7,10,14,22,27,30,32]. The final review included 6 retrospective case series [2,11,[24][25][26]28], 2 retrospective cohort studies [5,15], and 1 prospective cohort study [19] (Table 2).…”

Section: Resultsmentioning

confidence: 99%

Return to Sports Following Spondylolysis Surgery in Children and Adolescents: A Systematic Review

Gross,

Yang,

Jones

et al. 2024

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Background: Spondylolysis is common in athletes participating in gymnastics, football, dance, and weightlifting. Few studies have reviewed return to sports (RTS) rates in young athletes after surgical intervention for spondylolysis. Purposes: We sought to review the literature on RTS frequencies and timing, as well as postoperative treatment, in children and adolescents who underwent spondylolysis surgery. Methods: This was a systematic review, using the PubMed, Embase, and Cochrane databases, of primary, peer-reviewed studies published from 2014 to 2022 that investigated child and adolescent RTS after spondylolysis surgery. Each author independently reviewed each study’s design, number of participants, age range, fixation, postoperative course of treatment, frequency of RTS, and reasons for failure of RTS. Results: The initial search produced 106 articles; 25 were reviewed in full and 9 were included in the final analysis, with a combined total of 177 patients. Sample sizes ranged from 5 to 52 participants. The most common fixations were direct repair (6 studies, n = 120), indirect repair (3 studies, n = 22), and fusion (2 studies, n = 35). Five studies mentioned the use of immediate postoperative immobilization. Physical therapy programs were initiated most often at 6 weeks postoperatively. The RTS rate of the 177 athletes (median age younger than 23 years) was 76% to 100%. The most common reason for failure to RTS was lower back pain. Conclusions: This systematic review suggests that young athletes RTS at a high rate following spondylolysis surgery, but more rigorous study is warranted. The review also found varied preferred fixation methodologies and postoperative treatment regimens across the available studies.

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“…Surgical repair of pars defect can enable young patients with spondylolysis to return to work as soon as possible. [3,17] At present, the commonly used surgical methods for repair isthmus defects include modified Buck method, [6,18] screw-rod technique, [19,20] screw-hook fixation technology, [7,21] and screwrod-screw short-segment fixation with direct repair of isthmus. [8,22] Screw-rod-screw short-segment fixation affects the spinal motor unit and limits local movement, especially in the lumbosacral region.…”

Section: Discussionmentioning

confidence: 99%

“…At present, the commonly used isthmus defects surgical repair methods include the modified Buck method [ 6 ] and the pedicle screw-based method. [ 7 , 8 ] However, Buck technology is less stable than pedicle screw-based methods, [ 9 ] thus the pedicle screw-based methods are more prevalent.…”

Section: Introductionmentioning

confidence: 99%

Comparing the Wiltse approach and classical approach of pedicle screw and hook internal fixation system for direct repair of lumbar spondylolysis in young patients: A case-control study

Zhang,

Ma,

Liu

et al. 2023

Medicine

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The aim of this study was to investigate the clinical effect of direct isthmus repair via Wiltse approach and classical approach in the treatment of simple lumbar spondylolysis in young patients. Thirty-three patients with simple lumbar spondylolysis underwent direct isthmic repair via the Wiltse approach (n = 17) or the classical approach (n = 16). The operation time, intraoperative blood loss, postoperative drainage volume, hospital stay, fusion rate, visual analogue scale (VAS), and the Oswestry disability index were evaluated and compared between the 2 groups. The amount of intraoperative blood loss, postoperative drainage volume, and the duration of hospital stay in the Wiltse group were lower than those in the classical group (P < .05). There was no significant difference in Oswestry disability index score between the Wiltse group and the classical group at 3 months, 6 months, and 1 year after operation, but the visual analogue scale score in the Wiltse group was lower than that in the classical group at 6 months after surgery (P < .05). The Wiltse approach was comparable to the classical approach in terms of bone graft fusion time and fusion rate. The Wiltse approach for isthmus repair can achieve the same or even better clinical effect than the classical approach, and the Wiltse approach is more minimally invasive. Pedicle screw-hook internal fixation system combined with autogenous iliac bone graft via Wiltse approach is a feasible, safe, and effective minimally invasive surgical method for the repair of isthmic spondylolysis in young patients.

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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

Cited by 7 publications

References 43 publications

Pars Interarticularis Fractures Treated with Minimally Invasive Surgery: A Literature Review

Pars Interarticularis Fractures Treated with Minimally Invasive Surgery: A Literature Review

Return to Sports Following Spondylolysis Surgery in Children and Adolescents: A Systematic Review

Comparing the Wiltse approach and classical approach of pedicle screw and hook internal fixation system for direct repair of lumbar spondylolysis in young patients: A case-control study

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