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Case Reports in Medicine
Volume 2013 (2013), Article ID 659078, 5 pages
http://dx.doi.org/10.1155/2013/659078
Case Report

Minimally Invasive Direct Repair of Bilateral Lumbar Spine Pars Defects in Athletes

1Department 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
2Department of Orthopaedics, University of Miami Miller, School of Medicine, Miami, FL 33136, USA

Received 29 January 2013; Accepted 12 April 2013

Academic Editor: Jeffrey C. Wang

Copyright © 2013 Gabriel A. Widi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.