Blog Post: Spondylolysis/Pars Fracture                                                8-3-2021

Part 6: Surgical Treatment (continued)

 

The last blog post demonstrated my preferred method to fix spondylolysis/pars fractures, when nonsurgical methods fail to adequately relieve low back pain.

 There have been other method to stabilize the surgery as demonstrated below:

 

The below case demonstrates why I prefer pedicle screw fixation-rod-laminar hook fixation:

At this point he was 1 year out from surgery by another surgeon, with an unhealed spondylolysis/pars fracture repair.

Because L5 has now slipped forward we could not do another pars repair surgery, as it would definitely fail. Demonstrated below, instead we had to fuse L5 to S1 by using a posterior screw-rod-screw construct and by removing the disc from the back then placing bone graft/cage between the vertebral bodies in the front.

At 6 months after his 2^nd surgery he has no back pain for the first time in 4 years and can participate in school activities fully!