Widi Gabriel A, Williams Seth K, Levi Allan D
Department of Neurological Surgery and the Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Lois Pope Life Center, 1095 NW 14th Terrace (D4-6), Miami, FL 33136, USA.
Case Rep Med. 2013;2013:659078. doi: 10.1155/2013/659078. Epub 2013 Apr 30.
Spondylolysis of the lumbar spine has traditionally been treated using a variety of techniques ranging from conservative care to fusion. Direct repair of the defect may be utilized in young adult patients without significant disc degeneration and lumbar instability. We used minimally invasive techniques to place pars interarticularis screws with the use of an intraoperative CT scanner in three young adults, including two athletes. This technique is a modification of the original procedure in 1970 by Buck, and it offers the advantage of minimal muscle dissection and optimal screw trajectory. There were no intra- or postoperative complications. The detailed operative procedure and the postoperative course along with a brief review of pars interarticularis defect treatment are discussed.
腰椎峡部裂传统上采用从保守治疗到融合术等多种技术进行治疗。对于没有明显椎间盘退变和腰椎不稳的年轻成年患者，可采用直接修复缺损的方法。我们在三名年轻成年人（包括两名运动员）中，使用术中CT扫描仪，采用微创技术置入关节突间螺钉。该技术是对1970年Buck原手术方法的改良，具有肌肉剥离最少和螺钉轨迹最佳的优点。术中及术后均无并发症。本文讨论了详细的手术步骤、术后过程以及对关节突间缺损治疗的简要回顾。
