Percutaneous Direct Repair of a Pars Defect Using Intraoperative Computed Tomography Scan: A Modification of the Buck
Ali Nourbakhsh1, Fletcher Preuss, Michael Hadeed
1Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA.
Study Design:
Case report.
Objective:
To describe a young adult with a pars defect undergoing percutaneous direct fixation using intraoperative computed tomography (CT) scan.
Summary Of Background Data:
Direct pars repair has been utilized since the 1960s. There are no reports in the literature describing a percutaneous technique.
Methods:
Using a percutaneous technique under the guide of intraoperative CT scan, a cannulated partially threaded screw was inserted across the pars defect.
Results:
Surgery was completed without complication and the patient returned to preoperative activity level 3 months post-op. Postoperative CT scan showed a well-healed L4 pars defect.
Conclusion:
Percutaneous direct pars repair using intraoperative CT scan offers the advantage of minimal soft tissue dissection, thereby reducing blood loss, infection risk, and recovery time.
Level Of Evidence:
5.
More Related Videos
06:17Augmented Reality Navigation-Guided Core Decompression for Osteonecrosis of Femoral Head
Published on: April 12, 2022
13:16Computed Tomography and Optical Imaging of Osteogenesis-angiogenesis Coupling to Assess Integration of Cranial Bone Autografts and Allografts
Published on: December 22, 2015