Acta Chir Orthop Traumatol Cech. 2012; 79(6):549-551 | DOI: 10.55095/achot2012/080

Bilateral L3 Spondylolysis. A Case Report and an Overview of Spondylolytic Defect Repair TechniquesCase report

J. ©RÁMEK1,2,*, R. BERTAGNOLI1, Z. ČEJKA3
1 Klinika ProSpine, Bogen, Germany
2 Fakulta biomedicínského inľenýrství, České vysoké učení technické v Praze, ČR
3 Prospon, s. r. o., Kladno, ČR

The direct fusion methods for repair of spondylolytic defects of the lumbar spine have recently been replaced by transpedicular screw fixation of the affected segment, in combination with PLIF, TLIF or ALIF procedures. However, in clearly indicated cases, such as a younger patient with no intervertebral disc degeneration and only minimal or no displacement of the vertebra, the direct repair techniques have a great advantage over transpedicular fixation because they preserve segmental motion.
The paper reports on a patient with spondylolysis at L3 who underwent surgery combining the Tokuhashi and Matsuzaki and the Gillet and Petit techniques, which involved a system of transpedicular screws, rods and sublaminar hooks supplemented with a cross-connector to support the base of the spinous process. After surgery, the patient reported pain relief and return to normal activities and CT examination showed bony union of both spondylolytic defects.

Keywords: spondylolysis, fusion

Published: December 1, 2012  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
©RÁMEK J, BERTAGNOLI R, ČEJKA Z. Bilateral L3 Spondylolysis. A Case Report and an Overview of Spondylolytic Defect Repair Techniques. Acta Chir Orthop Traumatol Cech. 2012;79(6):549-551. doi: 10.55095/achot2012/080. PubMed PMID: 23286689.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. BRADFORD, D., IZA, J.: Repair of the defect in spondylolysis or minimal degrees of spondylolisthesis by segmental wire fixation and bone grafting. Spine, 10: 673-679, 1985. Go to original source... Go to PubMed...
    2. BUCK, J.: Direct repair of the defect in spondylolisthesis. Preliminary report. J. Bone Jt Surg., 52-B: 432-437, 1970. Go to original source...
    3. DREYZIN, V., ESSES, S.: A comparative analysis of spondylolysis repair. Spine, 19: 1909-1914, 1994. Go to original source... Go to PubMed...
    4. FAN, J., YU, G., LIU, F., ZHAO, J., ZHAO, W.: A biomechanical study on the direct repair of spondylolysis by different techniques of fixation. Orthop. Surg., 2: 46-51, 2010. Go to original source... Go to PubMed...
    5. GILL, G., MANNING, J., WHITE, H.: Surgical treatment of spondylolisthesis without spine fusion; excision of the loose lamina with decompression of the nerve roots. J. Bone Jt Surg., 37-A: 493-520, 1955. Go to original source...
    6. GILLET, P., PETIT, M.: Direct repair of spondylolysis without spondylolisthesis, using a rod-screw construct and bone grafting of the pars defect. Spine, 15: 1252-1256, 1999. Go to original source... Go to PubMed...
    7. GIUDICI, F., MINOIA, L., ARCHETTI, M., CORRIERO, A., ZAGRA, A.: Long-term results of the direct repair of spondylolisthesis. Eur. Spine J., 20: S115-S120, 2011. Go to original source... Go to PubMed...
    8. KIMURA, M.: My method of filing the lesion with spongy bone in spondylolysis and spondylolistesis. Seikei Geka, 19: 285-296, 1968.
    9. MARTÍNKOVÁ, V.: Spondylolýza- diagnostické moľnosti, kazuistika. Dostupné z URL: http://www.kcsolid.cz, 2008.
    10. MORSCHER, E., GERBER B., FASEL, J.: Surgical treatment of spondylolisthesis by bone grafting and direct stabilization of spondylolysis by means of a hook screw. Arch. Orthop. Trauma Surg., 103: 175-178, 1984. Go to original source... Go to PubMed...
    11. NICOL, R., SCOTT, J.: Lytic spondylolysis. Repair by wiring. Spine, 11: 1027-1030, 1986. Go to original source... Go to PubMed...
    12. NOGGLE, J., SCIUBBA, D., SAMDANI, A., ANDERSON, D., BETZ, R., ASGHAR, J.: Minimally invasive direct repair of lumbar spondylolysis with a pedicle screw and hook construct. Neurosurg. Focus, 25: E15, 2008. Go to original source... Go to PubMed...
    13. POPE, M., SMITH, F.: Biomechanics of spondylolysis and spondylolisthesis. In: Gunzberg, R., Szpalski, M.: Spondylolysis, spondylolisthesis, and degenerative spondylolisthesis. Philadelphia, USA, Lippincott Williams & Wilkins 2006, 11-21.
    14. REPKO, M., KRBEC, M., CHALOUPKA, R., MESSNER, P., ©PRLÁKOVÁ-PUKOVÁ, A.: Diagnostic and treatment methods of spondylolisthesis in young athletes. Med. Sport. Boh. Slov., 17: 18-23, 2008.
    15. SCHLENZKA, D., REMES, V., HELENIUS, I., LAMBERG, T., TERVAHARTIALA, P., YRJÖNEN, T., TALLROTH, K., OSTERMAN, K., SEITSALO, S., POUSSA, M.: Direct repair for treatment of symptomatic spondylolysis and low-grade isthmic spondylolisthesis in young patients: no benefit in comparison to segmental fusion after a mean follow-up of 14.8 years. Eur. Spine J., 10: 1437-1447, 2006. Go to original source... Go to PubMed...
    16. SONGER, M., ROVIN R.: Repair of the pars interarticularis defect with a cable-screw construct. A preliminary report. Spine, 23: 263-9, 1998. Go to original source... Go to PubMed...
    17. SUCHOMEL, P., VLACH, O.: Historie diagnostiky a terapie spondylolistézy. In: Suchomel, P., Krbec, M.: Spondylolistéza. Diagnostika a terapie. Praha, Galén 2007, 3-9.
    18. TOKUHASHI, Y., MATSUZAKI, H.: Repair of defects in spondylolysis by segmental pedicular screw hook fixation. A preliminary report. Spine, 21: 2041-2045, 1996. Go to original source... Go to PubMed...

    Return to the content